Laparotomy or Angiography First for Pelvic Fracture with Intraperitoneal Hemorrhage

Abstract

Up to two thirds of patients with severe pelvic fracture also have intraperitoneal hemorrhage, and debate continues about which area of hemorrhage to stabilize first. In an observational cohort study, researchers used the Japan Trauma Data Bank to determine patient outcomes based on whether laparotomy or pelvic angiography was performed first. Of 317 trauma patients with pelvic fracture and positive results on Focused …