{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T19:51:58Z","timestamp":1777924318998,"version":"3.51.4"},"reference-count":91,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2025,1,11]],"date-time":"2025-01-11T00:00:00Z","timestamp":1736553600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2025,1,11]],"date-time":"2025-01-11T00:00:00Z","timestamp":1736553600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"name":"Medizinische Hochschule Hannover (MHH)"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Arch Orthop Trauma Surg"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Patients with unstable hemodynamics and unstable pelvic ring injuries are still demanding patients regarding initial treatment and survival. Several concepts were reported during the last 30 years. Mechanical stabilization of the pelvis together with hemorrhage control offer the best treatment option in these patients. While pelvic ring stabilization using pelvic binders, external fixators and the pelvic C-clamp are the basis for mechanical stability of the pelvic ring, the optimal modality for pelvic bleeding control is still under discussion. Beside angioembolization (AE) and Resuscitative Endovascular Balloon Occlusion of the Aorta (REBOA), pelvic packing PP (predominantly extraperitoneal) with direct access to the pelvic bleeding sources, are potential options. The present overview represents the present status, results and the value of pelvic packing in treating these patients. Interpretation of these results must consider the difference between the initial European concept of pelvic ring stabilization followed by PP in contrast to the North American concept with a reduced rate of pelvic ring stabilizations.<\/jats:p>","DOI":"10.1007\/s00402-024-05699-3","type":"journal-article","created":{"date-parts":[[2025,1,11]],"date-time":"2025-01-11T06:23:33Z","timestamp":1736576613000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Pelvic packing \u2013 status 2024"],"prefix":"10.1007","volume":"145","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2186-5049","authenticated-orcid":false,"given":"Axel","family":"G\u00e4nsslen","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tim","family":"Pohlemann","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jan","family":"Lindahl","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jan Erik","family":"Madsen","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2025,1,11]]},"reference":[{"key":"5699_CR1","doi-asserted-by":"crossref","first-page":"114","DOI":"10.4103\/0974-2700.76846","volume":"4","author":"N Ahmed","year":"2011","unstructured":"Ahmed N, Vernick J (2011) Management of liver trauma in adults. J Emerg Trauma Shock 4:114\u2013119","journal-title":"J Emerg Trauma Shock"},{"key":"5699_CR2","doi-asserted-by":"crossref","first-page":"17","DOI":"10.1016\/j.jamcollsurg.2020.08.763","volume":"232","author":"S Asmar","year":"2021","unstructured":"Asmar S, Bible L, Chehab M, Tang A, Khurrum M, Douglas M, Castanon L, Kulvatunyou N, Joseph B (2021) Resuscitative endovascular balloon occlusion of the aorta vs pre-peritoneal packing in patients with pelvic fracture. J Am Coll Surg 232:17-26.e2","journal-title":"J Am Coll Surg"},{"key":"5699_CR3","doi-asserted-by":"crossref","first-page":"477","DOI":"10.1016\/0002-9610(62)90156-3","volume":"103","author":"S Baylis","year":"1962","unstructured":"Baylis S, Lansing E, Glas W (1962) Traumatic retroperitoneal hematoma. Am J Surg 103:477\u2013480","journal-title":"Am J Surg"},{"key":"5699_CR4","doi-asserted-by":"crossref","first-page":"1005","DOI":"10.2214\/ajr.157.5.1927786","volume":"157","author":"Y Ben-Menachem","year":"1991","unstructured":"Ben-Menachem Y, Coldwell D, Young J, Burgess A (1991) Hemorrhage associated with pelvic fractures: causes, diagnosis, and emergent management. AJR Am J Roentgenol 157:1005\u20131014","journal-title":"AJR Am J Roentgenol"},{"key":"5699_CR5","first-page":"189","volume":"95","author":"U Bosch","year":"1992","unstructured":"Bosch U, Pohlemann T, Haas N, Tscherne H (1992) [Classification and management of complex pelvic trauma]. Unfallchirurg 95:189\u2013196","journal-title":"Unfallchirurg"},{"key":"5699_CR6","first-page":"823","volume":"153","author":"S Brotman","year":"1981","unstructured":"Brotman S, Soderstrom C, Oster-Granite M, Cisternino S, Browner B, Cowley R (1981) Management of severe bleeding in fractures of the pelvis. Surg Gynecol Obstet 153:823\u2013826","journal-title":"Surg Gynecol Obstet"},{"key":"5699_CR7","doi-asserted-by":"crossref","first-page":"873","DOI":"10.1016\/j.amjsurg.2020.05.037","volume":"220","author":"N Bugaev","year":"2020","unstructured":"Bugaev N, Rattan R, Goodman M, Mukherjee K, Robinson B, McDonald A, Bogert J, Croft C, Edavettal M, Engels PT, Jayaraman V, Khwaja K, Kasotakis G, Lawless RA, Maine R, Hasenboehler E, Schroeder M, Schroll R, Kim D, Mentzer C, Litt J, Como J (2020) Preperitoneal packing for pelvic fracture-associated hemorrhage: a systematic review, meta-analysis, and practice management guideline from the Eastern Association for the surgery of Trauma. Am J Surg 220:873\u2013888","journal-title":"Am J Surg"},{"key":"5699_CR8","doi-asserted-by":"crossref","first-page":"1825","DOI":"10.1007\/s00264-017-3485-3","volume":"41","author":"C Burlew","year":"2017","unstructured":"Burlew C (2017) Preperitoneal pelvic packing for exsanguinating pelvic fractures. Int Orthop 41:1825\u20131829","journal-title":"Int Orthop"},{"key":"5699_CR9","doi-asserted-by":"crossref","first-page":"628","DOI":"10.1016\/j.jamcollsurg.2010.12.020","volume":"212","author":"C Burlew","year":"2011","unstructured":"Burlew C, Moore E, Smith W, Johnson J, Biffl W, Barnett C, Stahel P (2011) Preperitoneal pelvic packing\/external fixation with secondary angioembolization: optimal care for life-threatening hemorrhage from unstable pelvic fractures. J Am Coll Surg 212:628\u2013635","journal-title":"J Am Coll Surg"},{"key":"5699_CR10","doi-asserted-by":"crossref","first-page":"779","DOI":"10.1097\/00005373-198409000-00001","volume":"24","author":"R Carmona","year":"1984","unstructured":"Carmona R, Peck D, Lim JR (1984) The role of packing and planned reoperation in severe hepatic trauma. J Trauma 24:779\u2013784","journal-title":"J Trauma"},{"key":"5699_CR11","doi-asserted-by":"publisher","first-page":"22","DOI":"10.1186\/s13017-016-0077-2","volume":"11","author":"O Chiara","year":"2016","unstructured":"Chiara O, di Fratta E, Mariani A, Michaela B, Prestini L, Sammartano F, Cimbanassi S (2016) Efficacy of extra-peritoneal pelvic packing in hemodynamically unstable pelvic fractures, a propensity score analysis. World J Emerg Surg 11:22. https:\/\/doi.org\/10.1186\/s13017-016-0077-2","journal-title":"World J Emerg Surg"},{"key":"5699_CR12","doi-asserted-by":"publisher","DOI":"10.1186\/s13017-017-0117-6","author":"F Coccolini","year":"2017","unstructured":"Coccolini F, Stahel P, Montori G, Biffl W, Horer T, Catena F, Kluger Y, Moore E, Peitzman A, Ivatury R, Coimbra R, Fraga G, Pereira B, Rizoli S, Kirkpatrick A, Leppaniemi A, Manfredi R, Magnone S, Chiara O, Solaini L, Ceresoli M, Allievi N, Arvieux C, Velmahos G, Balogh Z, Naidoo N, Weber D, Abu-Zidan F, Sartelli M, Ansaloni L (2017) Pelvic trauma: WSES classification and guidelines. World J Emerg Surg. https:\/\/doi.org\/10.1186\/s13017-017-0117-6","journal-title":"World J Emerg Surg"},{"key":"5699_CR13","doi-asserted-by":"crossref","first-page":"1433","DOI":"10.1097\/00005373-198810000-00004","volume":"28","author":"T Cogbill","year":"1988","unstructured":"Cogbill T, Moore E, Jurkovich G, Feliciano D, Morris J, Mucha P (1988) Severe hepatic trauma: a multicenter experience with 1,335 liver injuries. J Trauma 28:1433\u20131438","journal-title":"J Trauma"},{"key":"5699_CR14","doi-asserted-by":"crossref","first-page":"717","DOI":"10.1097\/TA.0000000000001034","volume":"80","author":"T Costantini","year":"2016","unstructured":"Costantini T, Coimbra R, Holcomb JB, Podbielski J, Catalano R, Blackburn A, Scalea T, Stein D, Williams L, Conflitti J, Keeney S, Suleiman G, Zhou T, Sperry J, Skiada D, Inaba K, Williams B, Minei J, Privette A, Mackersie R, Robinson B, Moore F, Group APFS (2016) J Trauma Acute Care Surg 80:717\u2013723","journal-title":"J Trauma Acute Care Surg"},{"key":"5699_CR15","doi-asserted-by":"crossref","first-page":"1030","DOI":"10.1097\/TA.0000000000001465","volume":"82","author":"T Costantini","year":"2017","unstructured":"Costantini T, Coimbra R, Holcomb J, Podbielski J, Catalano R, Blackburn A, Scalea T, Stein D, Williams L, Conflitti J, Keeney S, Hoey C, Zhou T, Sperry J, Skiada D, Inaba K, Williams B, Minei J, Privette A, Mackersie R, Robinson B, Moore F, Group APFS (2017) J Trauma Acute Care Surg 82:1030\u20131038","journal-title":"J Trauma Acute Care Surg"},{"key":"5699_CR16","first-page":"834","volume":"62","author":"C Cothren","year":"2007","unstructured":"Cothren C, Osborn P, Moore E, Morgan S, Johnson J, Smith W (2007) Preperitonal pelvic packing for hemodynamically unstable pelvic fractures: a paradigm. Shift J Trauma 62:834\u2013842","journal-title":"Shift J Trauma"},{"key":"5699_CR17","first-page":"1012","volume":"65","author":"J Davis","year":"2008","unstructured":"Davis J, Moore FA, McIntyre R, Cocanour C, Moore E, West M (2008) Western trauma association critical decisions in trauma: management of pelvic fracture with hemodynamic instability. J Trauma 65:1012\u20131015","journal-title":"J Trauma"},{"key":"5699_CR18","first-page":"89","volume":"31","author":"A Downs","year":"1988","unstructured":"Downs A, Dhalla S (1988) Hemorrhage and pelvic fractures. Can J Surg 31:89\u201390","journal-title":"Can J Surg"},{"key":"5699_CR19","doi-asserted-by":"crossref","first-page":"278","DOI":"10.1007\/PL00002452","volume":"26","author":"W Ertel","year":"2000","unstructured":"Ertel W, Eid K, Keel M, Trentz O (2000) Therapeutical strategies and outcome of polytraumatized patients with pelvic injuries - a six-year experience. Eur J Trauma 26:278\u2013286","journal-title":"Eur J Trauma\u00a0"},{"key":"5699_CR20","doi-asserted-by":"crossref","first-page":"468","DOI":"10.1097\/00005131-200109000-00002","volume":"15","author":"W Ertel","year":"2001","unstructured":"Ertel W, Keel M, Eid K, Platz A, Trentz O (2001) Control of severe hemorrhage using C-clamp and pelvic packing in multiply injured patients with pelvic ring disruption. J Orthop Trauma 15:468\u2013474","journal-title":"J Orthop Trauma"},{"key":"5699_CR21","doi-asserted-by":"crossref","first-page":"422","DOI":"10.1001\/archsurg.1989.01410040032006","volume":"124","author":"B Evers","year":"1989","unstructured":"Evers B, Cryer H, Miller F (1989) Pelvic fracture hemorrhage. Priorities in management. Arch Surg 124:422\u2013424","journal-title":"Arch Surg"},{"key":"5699_CR22","doi-asserted-by":"crossref","first-page":"107","DOI":"10.1007\/978-1-4939-1200-1_12","volume-title":"Operative Techniques for Severe Liver Injury","author":"D Feliciano","year":"2015","unstructured":"Feliciano D (2015) Liver packing. In: Ivatury RR (ed) Operative Techniques for Severe Liver Injury. Springer, New York, pp 107\u2013115"},{"key":"5699_CR23","doi-asserted-by":"crossref","first-page":"285","DOI":"10.1097\/00005373-198104000-00005","volume":"21","author":"D Feliciano","year":"1981","unstructured":"Feliciano D, Mattox K, Jordan JG (1981) Intraabdominal packing for control of hepatic hemorrhage: a reappraisal. J Trauma 21:285\u2013290","journal-title":"J Trauma"},{"key":"5699_CR24","doi-asserted-by":"crossref","first-page":"567","DOI":"10.1097\/00005373-197306000-00013","volume":"13","author":"W Fleming","year":"1973","unstructured":"Fleming W, Bowen J (1973) Control of hemorrhage in pelvic crush injuries. J Trauma 13:567\u2013570","journal-title":"J Trauma"},{"key":"5699_CR25","doi-asserted-by":"crossref","first-page":"709","DOI":"10.1097\/00000658-197906000-00006","volume":"189","author":"L Flint","year":"1979","unstructured":"Flint L, Brown A, Richardson J, Polk H (1979) Definitive control of bleeding from severe pelvic fractures. Ann Surg 189:709\u2013716","journal-title":"Ann Surg"},{"key":"5699_CR26","doi-asserted-by":"crossref","first-page":"597","DOI":"10.1097\/TA.0000000000002618","volume":"88","author":"S Frassini","year":"2020","unstructured":"Frassini S, Gupta S, Granieri S, Cimbanassi S, Sammartano F, Scalea T, Chiara O (2020) Extraperitoneal packing in unstable blunt pelvic trauma: a single-center study. J Trauma Acute Care Surg 88:597\u2013606","journal-title":"J Trauma Acute Care Surg"},{"key":"5699_CR27","first-page":"515","volume":"9","author":"A G\u00e4nsslen","year":"2003","unstructured":"G\u00e4nsslen A, Giannoudis P, Pape H (2003) Hemorrhage in pelvic fracture: who needs angiography? Curr Opin Crit Care 9:515\u2013523","journal-title":"Curr Opin Crit Care"},{"key":"5699_CR28","doi-asserted-by":"crossref","first-page":"141","DOI":"10.1007\/978-3-030-54730-1_10","volume-title":"Pelvic Ring fractures","author":"A G\u00e4nsslen","year":"2021","unstructured":"G\u00e4nsslen A, Lindahl J (2021) Chap. 10: Emergency Management: pelvic C-Clamp. In: G\u00e4nsslen A et al (eds) Pelvic Ring fractures. Springer-, Heidelberg, pp 141\u2013150"},{"key":"5699_CR29","doi-asserted-by":"crossref","first-page":"71","DOI":"10.1097\/00003086-199106000-00009","volume":"267","author":"R Ganz","year":"1991","unstructured":"Ganz R, Krushell R, Jakob R, K\u00fcffer J (1991) The antishock pelvic clamp. Clin Orthop 267:71\u201378","journal-title":"Clin Orthop"},{"key":"5699_CR30","doi-asserted-by":"crossref","first-page":"644","DOI":"10.1097\/TA.0000000000001139","volume":"81","author":"I Gaski","year":"2016","unstructured":"Gaski I, Barckman J, Naess P, Skaga N, Madsen J, Klow N, Flugsrud G, Gaarder C (2016) Reduced need for extraperitoneal pelvic packing for severe pelvic fractures is associated with improved resuscitation strategies. J Trauma Acute Care Surg 81:644\u2013651","journal-title":"J Trauma Acute Care Surg"},{"key":"5699_CR31","doi-asserted-by":"crossref","first-page":"454","DOI":"10.1097\/00005373-199803000-00006","volume":"44","author":"M Grimm","year":"1998","unstructured":"Grimm M, Vrahas M, Thomas K (1998) Pressure-volume characteristics of the intact and disrupted pelvic. retroperitoneum J Trauma 44:454\u2013459","journal-title":"retroperitoneum J Trauma"},{"key":"5699_CR32","first-page":"1","volume-title":"Uebersicht der geschichte der chirurgie und des chirurgischen standes","author":"H Haeser","year":"1879","unstructured":"Haeser H (1879). In: Chirurgie Dt (ed) Uebersicht der geschichte der chirurgie und des chirurgischen standes. Verlag Ferdinand von Enke, Stuttgart, p 1"},{"key":"5699_CR33","first-page":"629","volume":"66","author":"S Hamilton","year":"1973","unstructured":"Hamilton S (1973) Blood loss in pelvic fractures. Proc R Soc Med 66:629\u2013631","journal-title":"Proc R Soc Med"},{"key":"5699_CR34","doi-asserted-by":"crossref","first-page":"541","DOI":"10.1016\/j.purol.2022.02.006","volume":"32","author":"J Hardy","year":"2022","unstructured":"Hardy J, Coisy M, Long Depaquit T, Fortier E, Monchal T, Bourgouin S, Caubere A, Chiron P, Savoie P (2022) [Place of preperitoneal pelvic packing in severe pelvic traumatisms: 20 cases in a French level 1 trauma center]. Prog Urol 32:541\u2013550","journal-title":"Prog Urol"},{"key":"5699_CR35","doi-asserted-by":"crossref","first-page":"2577","DOI":"10.1007\/s11999-016-5042-6","volume":"474","author":"A Hawk","year":"2016","unstructured":"Hawk A (2016) Artifacts: jean louis petit\u2019s screw tourniquet. Clin Orthop Relat Res 474:2577\u20132579","journal-title":"Clin Orthop Relat Res"},{"key":"5699_CR36","doi-asserted-by":"crossref","first-page":"1395","DOI":"10.1016\/j.amjsurg.2020.08.043","volume":"220","author":"A Heelan","year":"2020","unstructured":"Heelan A, Freedberg M, Moore E, Platnick B, Pieracci F, Cohen M, Lawless R, Campion E, Coleman J, Hoehn M, Burlew C (2020) Worth looking! venous thromboembolism in patients who undergo preperitoneal pelvic packing warrants screening duplex. Am J Surg 220:1395\u20131399","journal-title":"Am J Surg"},{"key":"5699_CR37","doi-asserted-by":"crossref","first-page":"148","DOI":"10.4103\/2229-5151.190655","volume":"6","author":"J Hsu","year":"2016","unstructured":"Hsu J, Yadev S, Farai S (2016) Controllinh hemorrthage in exsanguinating perlvic fractures: utility of extraperitoneal pelvic packing as a damage control procedure. Int J Crit Ill Inj Sci 6:148\u2013152","journal-title":"Int J Crit Ill Inj Sci"},{"key":"5699_CR38","doi-asserted-by":"crossref","first-page":"844","DOI":"10.1001\/archsurg.1979.01370310086015","volume":"114","author":"S Hubbard","year":"1979","unstructured":"Hubbard S, Bivins B, Sachatello C, Griffen W (1979) Diagnostic errors with peritoneal lavage in patients with pelvic fractures. Arch Surg 114:844\u2013846","journal-title":"Arch Surg"},{"key":"5699_CR39","doi-asserted-by":"crossref","first-page":"946","DOI":"10.1016\/j.injury.2020.11.039","volume":"52","author":"D Hundersmarck","year":"2021","unstructured":"Hundersmarck D, Hietbrink F, Leenen L, Heng M (2021) Pelvic packing and angio-embolization after blunt pelvic trauma: a retrospective 18-year analysis. Injury 52:946\u2013955","journal-title":"Injury"},{"key":"5699_CR40","doi-asserted-by":"crossref","first-page":"744","DOI":"10.1097\/00005373-198608000-00011","volume":"26","author":"R Ivatury","year":"1986","unstructured":"Ivatury R, Nallathambi M, Gunduz Y, Constable R, Rohman M, Stahl W (1986) Liver packing for uncontrolled hemorrhage: a reappraisal. J Trauma 26:744\u2013753","journal-title":"J Trauma"},{"key":"5699_CR41","doi-asserted-by":"crossref","first-page":"488","DOI":"10.1016\/j.injury.2021.12.015","volume":"53","author":"J Jang","year":"2022","unstructured":"Jang J, Bae K, Chang S, Jung K, Kim D, Kang B (2022) Current management and clinical outcomes for patients with haemorrhagic shock due to pelvic fracture in Korean regional trauma centres: a multi-institutional trial. Injury 53:488\u2013495","journal-title":"Injury"},{"key":"5699_CR42","doi-asserted-by":"crossref","first-page":"941","DOI":"10.1016\/j.asjsur.2019.01.004","volume":"42","author":"T Kim","year":"2019","unstructured":"Kim T, Yoon Y, Chung J, Song H (2019) Strategies for the management of hemodynamically unstable pelvic fractures: from preperitoneal pelvic packing to definitive internal fixation. Asian J Surg 42:941\u2013946","journal-title":"Asian J Surg"},{"key":"5699_CR43","doi-asserted-by":"crossref","first-page":"247","DOI":"10.4266\/acc.2021.01396","volume":"37","author":"K Kim","year":"2022","unstructured":"Kim K, Kim M, Chung J, Ko J, Choi Y, Shim H, Jang J, Bae K, Kim K (2022) Determination of risk factors associated with surgical site infection in patients undergoing preperitoneal pelvic packing for unstable pelvic fracture. Acute Crit Care 37:247\u2013255","journal-title":"Acute Crit Care"},{"key":"5699_CR44","first-page":"44","volume":"46","author":"M Kim","year":"2023","unstructured":"Kim M, Lee S, JangJY, Lee J (2023) Comparison of mortality among hemorrhage-control methods performed for hemodynamically unstable patients with traumatic pelvic fractures: a multi-center study. Asian J Surg 46:44\u201350","journal-title":"Asian J Surg"},{"key":"5699_CR45","doi-asserted-by":"crossref","first-page":"2301","DOI":"10.1007\/s00264-023-05859-x","volume":"47","author":"F Klingebiel","year":"2023","unstructured":"Klingebiel F, Hasegawa M, Parry J, Balogh Z, Sen R, Kalbas Y, Teuben M, Halvachizadeh S, Pape H, Pfeifer R, Group STR (2023) Standard practice in the treatment of unstable pelvic ring injuries: an international survey. Int Orthop 47:2301\u20132318","journal-title":"Int Orthop"},{"key":"5699_CR46","first-page":"441ff","volume-title":"Chirurgische operationslehre","author":"T Kocher","year":"1907","unstructured":"Kocher T (1907) Chirurgische operationslehre. Verlag Gustav Fischer, Jena, p 441ff"},{"key":"5699_CR47","doi-asserted-by":"crossref","first-page":"380","DOI":"10.1302\/0301-620X.50B2.380","volume":"50","author":"L Lawson","year":"1968","unstructured":"Lawson L, Wainwright D (1968) Massive haemorrhage following pelvic fracture. report of a case. J Bone Joint Surg Br 50:380\u2013382","journal-title":"J Bone Joint Surg Br"},{"key":"5699_CR48","first-page":"346","volume":"12","author":"J Lee","year":"2006","unstructured":"Lee J, Peitzman A (2006) Damage-control laparotomy. Curr Opin Crit Care 12:346\u2013350","journal-title":"Curr Opin Crit Care"},{"key":"5699_CR49","doi-asserted-by":"crossref","first-page":"395","DOI":"10.1016\/j.injury.2015.10.008","volume":"47","author":"Q Li","year":"2016","unstructured":"Li Q, Dong J, Yang Y, Wang G, Wang Y, Liu P, Robinson Y, Zhou D (2016) Retroperitoneal packing or angioembolization for haemorrhage control of pelvic fractures\u2013quasi-randomized clinical trial of 56 haemodynamically unstable patients with Injury Severity score\u2009\u2265\u200933. Injury 47:395\u2013401","journal-title":"Injury"},{"key":"5699_CR50","doi-asserted-by":"crossref","first-page":"29","DOI":"10.1186\/s10195-022-00647-6","volume":"23","author":"P Li","year":"2022","unstructured":"Li P, Liu F, Li Q, Zhou D, Dong J, Wang D (2022) Role of pelvic packing in the first attention given to hemodynamically unstable pelvic fracture patients: a meta-analysis. J Orthop Traumatol 23:29","journal-title":"J Orthop Traumatol"},{"key":"5699_CR51","doi-asserted-by":"crossref","first-page":"100","DOI":"10.1016\/j.cjtee.2021.01.008","volume":"24","author":"S Lin","year":"2021","unstructured":"Lin S, Zhou S, He L, Zhang Z, Zhang X (2021) The effect of preperitoneal pelvic packing for hemodynamically unstable patients with pelvic fractures. Chin J Traumatol 24:100\u2013103","journal-title":"Chin J Traumatol"},{"key":"5699_CR52","first-page":"175","volume-title":"Fundamentals of general surgery","author":"C Lu","year":"2018","unstructured":"Lu C, Marks J (2018) Fundamentals of exploratory laparotomy for Trauma. Fundamentals of general surgery. Springer Nature, Cham, pp 175\u2013288"},{"key":"5699_CR53","doi-asserted-by":"crossref","first-page":"18","DOI":"10.1186\/1749-7922-9-18","volume":"9","author":"S Magnone","year":"2014","unstructured":"Magnone S, Coccolini F, Manfredi R, Piazzalunga D, Agazzi R, Arici C, Barozzi M, Bellanova G, Belluati A, Berlot G, Biffl W, Camagni S, Campanati L, Castelli C, Catena F, Chiara O, Colaianni N, De Masi S, Di Saverio S, Dodi G, Fabbri A, Faustinelli G, Gambale G, Capponi M, Lotti M, Marchesi G, Masse A, Mastropietro T, Nardi G, Niola R, Nita G, Pisano M, Poiasina E, Poletti E, Rampoldi A, Ribaldi S, Rispoli G, Rizzi L, Sonzogni V, Tugnoli G, Ansaloni L (2014) Management of hemodynamically unstable pelvic trauma: results of the first Italian consensus conference (cooperative guidelines of the italian society of surgery, the italian association of hospital surgeons, the multi-specialist Italian society of young surgeons, the Italian society of emergency surgery and trauma, the Italian society of anesthesia, analgesia, resuscitation and intensive care, the italian society of orthopaedics and traumatology, the Italian society of emergency medicine, the italian society of medical radiology -section of vascular and interventional radiology- and the world society of emergency surgery). World J Emerg Surg 9:18","journal-title":"World J Emerg Surg"},{"key":"5699_CR54","doi-asserted-by":"crossref","first-page":"2003","DOI":"10.1007\/s00264-018-3978-8","volume":"42","author":"K Markatos","year":"2018","unstructured":"Markatos K, Androutsos G, Karamanou M, Tzagkarakis G, Kaseta M, Mavrogenis A (2018) Jean-Louis Petit (1674\u20131750): a pioneer anatomist and surgeon and his contribution to orthopaedic surgery and trauma surgery. Int Orthop 42:2003\u20132007","journal-title":"Int Orthop"},{"key":"5699_CR55","doi-asserted-by":"crossref","first-page":"2199","DOI":"10.1007\/s00264-019-04371-5","volume":"43","author":"K Markatos","year":"2019","unstructured":"Markatos K, Mavrogenis A, Brilakis E, Korres D, Karamanou M, Chronopoulos E (2019) Abulcasis (936\u20131013): his work and contribution to orthopaedics. Int Orthop 43:2199\u20132203","journal-title":"Int Orthop"},{"key":"5699_CR56","doi-asserted-by":"crossref","first-page":"1285","DOI":"10.1097\/00007611-197610000-00010","volume":"69","author":"K Maull","year":"1976","unstructured":"Maull K, Sachatello C (1976) Current management of pelvic fractures: a combined surgical-angiographic approach to hemorrhage. South Med J 69:1285\u20131289","journal-title":"South Med J"},{"key":"5699_CR57","doi-asserted-by":"crossref","first-page":"931","DOI":"10.1097\/TA.0000000000003528","volume":"92","author":"J McDonogh","year":"2022","unstructured":"McDonogh J, Lewis D, Tarrant S, Balogh Z (2022) Preperitoneal packing versus angioembolization for the initial management of hemodynamically unstable pelvic fracture: a systematic review and meta-analysis. J Trauma Acute Care Surg 92:931\u2013939","journal-title":"J Trauma Acute Care Surg"},{"key":"5699_CR58","doi-asserted-by":"crossref","first-page":"1834","DOI":"10.1016\/j.injury.2020.06.003","volume":"51","author":"S Mikdad","year":"2020","unstructured":"Mikdad S, van Erp I, Moheb M, Fawley J, Saillant N, King D, Kaafarani H, Velmahos G, Mendoza A (2020) Pre-peritoneal pelvic packing for early hemorrhage control reduces mortality compared to resuscitative endovascular balloon occlusion of the aorta in severe blunt pelvic trauma patients: a nationwide analysis. Injury 51:1834\u20131839","journal-title":"Injury"},{"issue":"Suppl 1","key":"5699_CR59","doi-asserted-by":"crossref","first-page":"S57","DOI":"10.1016\/j.jviscsurg.2017.08.006","volume":"154","author":"T Monchal","year":"2017","unstructured":"Monchal T, Hornez E, Coisy M, Bourgouin S, de Roulhac J, Balandraud P (2017) Preperitoneal pelvic packing. J Visc Surg 154(Suppl 1):S57\u2013S60","journal-title":"J Visc Surg"},{"issue":"Suppl 1","key":"5699_CR60","doi-asserted-by":"crossref","first-page":"S-A29","DOI":"10.1016\/S0020-1383(96)90109-6","volume":"27","author":"M Nerlich","year":"1996","unstructured":"Nerlich M, Maghsudi M (1996) Algorithms for early management of pelvic fractures. Injury 27(Suppl 1):S-A29-37","journal-title":"Injury"},{"key":"5699_CR61","doi-asserted-by":"crossref","first-page":"54","DOI":"10.1016\/j.injury.2008.08.038","volume":"40","author":"P Osborn","year":"2009","unstructured":"Osborn P, Smith W, Moore E, Clothren C, Morgan S, Williams A, Stahel P (2009) Direct retroperitoneal pelvic packing versus pelvic angiography: a comparison of two management protocols for haemodynamically unstable pelvic fractures. Injury 40:54\u201360","journal-title":"Injury"},{"key":"5699_CR62","doi-asserted-by":"crossref","first-page":"53","DOI":"10.1016\/j.injury.2009.10.037","volume":"40","author":"C Papakostidis","year":"2009","unstructured":"Papakostidis C, Giannoudis P (2009) Pelvic ring injuries with haemodynamic instability: efficacy of pelvic packing, a systematic review. Injury 40:53\u201361","journal-title":"Injury"},{"key":"5699_CR63","doi-asserted-by":"crossref","first-page":"1060","DOI":"10.2106\/00004623-196547050-00018","volume":"47A","author":"L Peltier","year":"1965","unstructured":"Peltier L (1965) Complications associuated with fractures of the pelvis. J Bone Joint Surg 47A:1060\u20131069","journal-title":"J Bone Joint Surg"},{"key":"5699_CR64","doi-asserted-by":"crossref","first-page":"84","DOI":"10.1097\/00000658-189521060-00009","volume":"21","author":"J Pilcher","year":"1895","unstructured":"Pilcher J (1895) Guy De Chauliac and Henri De Mondeville - A Surgical Retrospect. Ann Surg 21:84\u2013102","journal-title":"Ann Surg"},{"key":"5699_CR65","doi-asserted-by":"crossref","first-page":"267","DOI":"10.1097\/00013611-199400940-00004","volume":"9","author":"T Pohlemann","year":"1995","unstructured":"Pohlemann T, G\u00e4nsslen A, Bosch U, Tscherne H (1995) The technique of packing for control of hemorrhage in complex pelvic fractures. Techniques Orthop 9:267\u2013270","journal-title":"Techniques Orthop"},{"key":"5699_CR66","doi-asserted-by":"crossref","first-page":"734","DOI":"10.1007\/s001130050049","volume":"99","author":"T Pohlemann","year":"1996","unstructured":"Pohlemann T, Culemann U, G\u00e4nsslen A, Tscherne H (1996) Die schwere Beckenverletzung mit pelviner Massenblutung: Ermittlung der Blutungsschwere und klinische Erfahrung mit der Notfallstabilisierung. Der Unfallchirurg 99:734\u2013743","journal-title":"Der Unfallchirurg"},{"key":"5699_CR67","doi-asserted-by":"crossref","first-page":"205","DOI":"10.1007\/BF01275854","volume":"361","author":"D Raithel","year":"1983","unstructured":"Raithel D (1983) Diagnostisches und therapeutisches konzept bei gef\u00e4\u00dfverletzungen der beckenetage. Langenbecks Arch Chir 361:205\u2013208","journal-title":"Langenbecks Arch Chir"},{"key":"5699_CR68","doi-asserted-by":"crossref","first-page":"331","DOI":"10.1007\/s13304-020-00856-w","volume":"73","author":"E Reitano","year":"2021","unstructured":"Reitano E, Granieri S, Frassini S, Sammartano F, Cimbanassi S, Chiara O (2021) Infectious complications of extra-peritoneal pelvic packing in emergency room. Updates Surg 73:331\u2013337","journal-title":"Updates Surg"},{"key":"5699_CR69","doi-asserted-by":"crossref","first-page":"104","DOI":"10.1097\/00000658-197101000-00015","volume":"173","author":"B Reynolds","year":"1971","unstructured":"Reynolds B, Balsano N (1971) Venography in pelvic fractures: a clinical evaluation. Ann Surg 173:104\u2013106","journal-title":"Ann Surg"},{"key":"5699_CR70","first-page":"109","volume":"3","author":"H Richter","year":"1964","unstructured":"Richter H (1964) Die transacetabul\u00e4re beckensprengung und ihre behandlung mittels percutaner. Schraubenzugkompression Monatsschr Unfallheilkd 3:109\u2013115","journal-title":"Schraubenzugkompression Monatsschr Unfallheilkd"},{"key":"5699_CR71","doi-asserted-by":"crossref","first-page":"141","DOI":"10.1007\/BF00266884","volume":"3","author":"E Riska","year":"1979","unstructured":"Riska E, vin Bonsdorff H, Hakkinen S, Jaroma H, Kiviluato O, Paavilainen T (1979) Operative control of massive haemorrhage in comminuted pelvic fractures. Intern Orthop 3:141\u2013144","journal-title":"Intern Orthop"},{"key":"5699_CR72","doi-asserted-by":"crossref","first-page":"181","DOI":"10.4103\/0974-2700.166586","volume":"8","author":"G Ron","year":"2015","unstructured":"Ron G, Epstein D, Ben-Galim P, Klein Y, Kaban A, Sagiv S (2015) Extra-peritoneal pressure packing without external pelvic fixation: a life-saving stand-alone surgical treatment. J Emerg Trauma Shock 8:181\u2013187","journal-title":"J Emerg Trauma Shock"},{"key":"5699_CR73","first-page":"375","volume":"35","author":"M Rotondo","year":"1993","unstructured":"Rotondo M, Schwab C, McGonigal M, Phillips G, Fruchterman T, Kauder D, Latenser B, Angood P (1993) Damage control\u2019: an approach for improved survival in exsanguinating penetrating abdominal injury. Injury 35:375\u2013382","journal-title":"Injury"},{"key":"5699_CR74","doi-asserted-by":"crossref","first-page":"6376","DOI":"10.1007\/s00330-020-06965-9","volume":"30","author":"J Sandhu","year":"2020","unstructured":"Sandhu J, Abrahams R, Miller Z, Bhatia S, Zakrison T, Mohan P (2020) Pelvic trauma: factors predicting arterial hemorrhage and the role of angiography and preperitoneal pelvic packing. Eur Radiol 30:6376\u20136383","journal-title":"Eur Radiol"},{"key":"5699_CR75","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1097\/00004311-200207000-00003","volume":"40","author":"T Scalea","year":"2001","unstructured":"Scalea T (2001) What\u2019s new in trauma in the past 10 years. Int Anesthesiol Clin 40:1\u20137","journal-title":"Int Anesthesiol Clin"},{"key":"5699_CR76","doi-asserted-by":"crossref","first-page":"e0206991","DOI":"10.1371\/journal.pone.0206991","volume":"13","author":"H Shim","year":"2018","unstructured":"Shim H, Jang J, Kim J, Ryu H, Jung P, Kim S, Kwon H, Kim K, Chung H, Bae k (2018) Effectiveness and postoperative wound infection of preperitoneal pelvic packing in patients with hemodynamic instability caused by pelvic fracture. PLoS ONE 13:e0206991","journal-title":"PLoS ONE"},{"key":"5699_CR77","doi-asserted-by":"crossref","first-page":"535","DOI":"10.1001\/archsurg.1959.04320040031009","volume":"78","author":"F Spencer","year":"1959","unstructured":"Spencer F, Robinson R (1959) Division of the pubis for massive hemorrhage from fractures of the pelvis. AMA Arch Surg 78:535\u2013537","journal-title":"AMA Arch Surg"},{"key":"5699_CR78","doi-asserted-by":"crossref","first-page":"532","DOI":"10.1097\/00000658-198305000-00005","volume":"197","author":"H Stone","year":"1983","unstructured":"Stone H, Strom P, Mullins R (1983) Management of the major coagulopathy with onset during laparotomy. Ann Surg 197:532\u2013535","journal-title":"Ann Surg"},{"key":"5699_CR79","doi-asserted-by":"crossref","first-page":"717","DOI":"10.1016\/0002-9610(82)90557-8","volume":"144","author":"J Svoboda","year":"1982","unstructured":"Svoboda J, Peter E, Dang C, Parks S, Ellyson J (1982) Severe liver trauma in the face of coagulopathy. a case for temporary packing and early reexploration. Am J Surg 144:717\u2013721","journal-title":"Am J Surg"},{"key":"5699_CR80","doi-asserted-by":"crossref","first-page":"79","DOI":"10.1097\/TA.0b013e31820cede0","volume":"71","author":"D Tai","year":"2011","unstructured":"Tai D, Li W, Lee K, Cheng M, Lee K, Tang L, Lai A, Ho H, Cheung M (2011) Retroperitoneal pelvic packing in the management of hemodynamically unstable pelvic fractures: a level I trauma center\u00a0experience. J Trauma\u00a0Acute Care Surg 71:79\u201386","journal-title":"J Trauma Acute Care Surg"},{"key":"5699_CR81","doi-asserted-by":"crossref","first-page":"571","DOI":"10.1016\/j.ajem.2018.06.027","volume":"37","author":"J Tang","year":"2019","unstructured":"Tang J, Shi Z, Hu J, Wu H, Yang C, Le G, Zhao J (2019) Optimal sequence of surgical procedures for hemodynamically unstable patients with pelvic fracture: a network meta-analysis. Am J Emerg Med 37:571\u2013578","journal-title":"Am J Emerg Med"},{"key":"5699_CR82","doi-asserted-by":"crossref","first-page":"18","DOI":"10.1097\/TA.0000000000001259","volume":"82","author":"R Tesoriero","year":"2017","unstructured":"Tesoriero R, Bruns B, Narayan M, Dubose J, Guliani S, Brenner M, Boswell S, Stein D, Scalea T (2017) Angiographic embolization for hemorrhage following pelvic fracture: is it time for a paradigm shift? J Trauma Acute Care Surg 82:18\u201326","journal-title":"J Trauma Acute Care Surg"},{"key":"5699_CR83","first-page":"843","volume":"62","author":"A T\u00f6tterman","year":"2007","unstructured":"T\u00f6tterman A, Madsen J, Skaga N, R\u00f8ise O (2007) Extraperitoneal pelvic packing: a salvage procedure to control massive traumatic pelvic. Hemorrhage J Trauma 62:843\u2013852","journal-title":"Hemorrhage J Trauma"},{"key":"5699_CR84","doi-asserted-by":"crossref","first-page":"1171","DOI":"10.1097\/TA.0000000000001230","volume":"81","author":"T Tran","year":"2016","unstructured":"Tran T, Brasel K, Karmy-Jones R, Rowell S, Schreiber M, Shatz D, Albrecht R, Cohen M, DeMoya M, Biffl W, Moore E, Namias N (2016) Western trauma association critical decisions in trauma: management of pelvic fracture with hemodynamic instability-2016 updates. J Trauma Acute Care Surg 81:1171\u20131174","journal-title":"J Trauma Acute Care Surg"},{"key":"5699_CR85","first-page":"639","volume":"60","author":"O Trentz","year":"1989","unstructured":"Trentz O, B\u00fchren V, Friedl H (1989) Beckenverletzungen Chirurg 60:639\u2013648","journal-title":"Beckenverletzungen Chirurg"},{"key":"5699_CR86","doi-asserted-by":"crossref","first-page":"912","DOI":"10.1097\/00005373-197411000-00002","volume":"14","author":"D Trunkey","year":"1974","unstructured":"Trunkey D, Chapman M, Lim R, Dunphy J (1974) Management of pelvic fractures in blunt trauma injury. J Trauma 14:912\u2013923","journal-title":"J Trauma"},{"key":"5699_CR87","doi-asserted-by":"crossref","unstructured":"Tscherne H, Bosch U, Pohlemann T (1993) Blutungen bei komplexen Beckenverletzungen. Langenbecks Arch Chir Suppl (Kongre\u00dfbericht 1993) 358\u2013363","DOI":"10.1007\/978-3-642-78145-2_98"},{"key":"5699_CR88","doi-asserted-by":"crossref","first-page":"276","DOI":"10.1080\/110241500750009078","volume":"166","author":"H Tscherne","year":"2000","unstructured":"Tscherne H, Pohlemann T, G\u00e4nsslen A, H\u00fcfner T, Pape H (2000) Crush injuries of the pelvis. Eur J Surg 166:276\u2013282","journal-title":"Eur J Surg"},{"key":"5699_CR89","doi-asserted-by":"crossref","first-page":"1874","DOI":"10.1007\/s00268-008-9591-z","volume":"32","author":"D Verbeek","year":"2008","unstructured":"Verbeek D, Sugrue M, Balogh Z, Cass D, Civil I, Harris I, Kossmann T, Leibman S, Malka V, Pohl A, Rao S, Richardson M, Schuetz M, Ursic C, Wills V (2008) Acute management of hemodynamically unstable pelvic trauma patients: time for a change? multicenter review of recent practice. World J Surg 32:1874\u20131882","journal-title":"World J Surg"},{"key":"5699_CR90","first-page":"2755","volume":"48","author":"Vorsch\u00fctz","year":"1937","unstructured":"Vorsch\u00fctz (1937) Schraubenzwingenbehandlung bei symphysenspaltung zentbl. Chir 48:2755\u20132766","journal-title":"Chir"},{"key":"5699_CR91","doi-asserted-by":"crossref","first-page":"3365","DOI":"10.1016\/j.injury.2022.07.025","volume":"53","author":"N Werner","year":"2022","unstructured":"Werner N, Moore E, Hoehn M, Lawless R, Coleman J, Freedberg M, Heelan A, Platnick K, Cohen M, Coleman J, Campion E, Fox C, Mauffrey C, Cralley A, Pieracci F, Burlew C (2022) Inflate and pack! pelvic packing combined with REBOA deployment prevents hemorrhage related deaths in unstable pelvic fractures. Injury 53:3365\u20133370","journal-title":"Injury"}],"container-title":["Archives of Orthopaedic and Trauma Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00402-024-05699-3.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s00402-024-05699-3","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00402-024-05699-3.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,12,31]],"date-time":"2025-12-31T08:17:53Z","timestamp":1767169073000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s00402-024-05699-3"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,1,11]]},"references-count":91,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2025,12]]}},"alternative-id":["5699"],"URL":"https:\/\/doi.org\/10.1007\/s00402-024-05699-3","relation":{},"ISSN":["1434-3916"],"issn-type":[{"value":"1434-3916","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,1,11]]},"assertion":[{"value":"1 September 2024","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"29 September 2024","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"11 January 2025","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}}],"article-number":"125"}}