Internal iliac artery ligation as a damage control method in hemodynamically unstable pelvic fractures:A systematic review of the literature  

作　　者：Hui Li Tao Ai Guang-Bin Huang Jun Yang Gong-Bin Wei Jin-Mou Gao Ping He Xue-Mei Cao Ding-Yuan Du 

机构地区：[1]Department of Trauma Surgery,Chongqing University Central Hospital,Chongqing Emergency Medical Center,Chongqing,400014,China

出　　处：《Chinese Journal of Traumatology》2024年第5期288-294,共7页中华创伤杂志（英文版）

基　　金：supported by the Joint Fund of Chongqing Municipal Science and Technology Bureau and Health Bureau,China(Grant ID:2022QNXM025);National Trauma Regional Medical Center(Jointly Constructed by the Commission and the Municipality)Major Research Project(jjzx2021-gjcsqyylzx01);Research Project of Chongqing Talent Program(cstc2022ycjhbgzxm0245).

摘　　要：Purpose:Internal iliac artery ligation(IIAL)has been used as a damage control procedure to treat hemodynamically unstable pelvic fracture for many years.However,there is ongoing debate regarding the effectiveness and safety of this hemostatic method.Therefore,we performed a systematic literature review to assess the efficacy and safety of IIAL for pelvic fracture hemostasis.Methods:Three major databases,PubMed,Embase,and Google Scholar,were searched to screen eligible original studies published in English journals.Two reviewers independently read the titles,abstracts,and full texts of all literature.Articles were included if they reported the use and effects of IIAL.Results:A total of 171 articles were initially identified,with 22 fully meeting the inclusion criteria.Among the analyzed cases,up to 66.7%of patients had associated abdominal and pelvic organ injuries,with the urethra being the most frequently injured organ,followed by the bowel.The outcomes of IIAL for achieving hemostasis in pelvic fractures were found to be satisfactory,with an effective rate of 80%.Hemorrhagic shock was the leading cause of death,followed by craniocerebral injury.Notably,no reports of ischemic complications involving the pelvic organs due to IIAL were found.Conclusion:IIAL has a good effect in treating hemodynamically unstable pelvic fracture without the risk of pelvic organ ischemia.This procedure should be considered a priority for hemodynamically unstable pelvic fracture patients with abdominal organ injuries.

关 键 词：Internal iliac artery LIGATION EMBOLIZATION Pelvic fracture LAPAROTOMY 

分 类 号：R683.3[医药卫生—骨科学]