Compound fractures of the pelvis

Does Colostomy Prevent Infection in Open Blunt Pelvic Fractures? A Systematic Review

“…Wound location and severity are confounding factors because the decision to perform colostomy was not randomized and was left to the surgeon. 1,6,7,18 We found a significantly lower rate of complications in the colostomy group if the wounds were located in perineal/rectal region in our analysis. This finding might be questioned because the ratio of rectal involvement is not known in each group.…”

“…Other authors stressed the importance of general wound management. 1,4,6,19 These authors obtained the subjective experience that they had better results if the patients were taken to the operating room for daily debridement in the first few days. The wounds were left open.…”

Use of the initial trauma CT scan to aid in diagnosis of open pelvic fractures

“…Unfortunately, mortality rates as high as 50% have been reported for open pelvic ring trauma [10][11][12][13][14]. Improved initial management and resuscitation has led to a decrease in their mortality [1,2,[15][16][17].…”

Acquired Traumatic Imperforate Anus-Management of a Complex Rectovesical Fistula

“…Severe hyper abduction of one of the lower extremities against the pelvis has been postulated to be the cause of such an injury. 4,5 The definitive management of such patients is quite complex and needs a multi-disciplinary approach. We performed the abdomino-perineal exploration and urethroplasty for two reasons.…”