Pelvic trauma: WSES classification and guidelines.
Identifieur interne : 001318 ( PubMed/Corpus ); précédent : 001317; suivant : 001319Pelvic trauma: WSES classification and guidelines.
Auteurs : Federico Coccolini ; Philip F. Stahel ; Giulia Montori ; Walter Biffl ; Tal M. Horer ; Fausto Catena ; Yoram Kluger ; Ernest E. Moore ; Andrew B. Peitzman ; Rao Ivatury ; Raul Coimbra ; Gustavo Pereira Fraga ; Bruno Pereira ; Sandro Rizoli ; Andrew Kirkpatrick ; Ari Leppaniemi ; Roberto Manfredi ; Stefano Magnone ; Osvaldo Chiara ; Leonardo Solaini ; Marco Ceresoli ; Niccol Allievi ; Catherine Arvieux ; George Velmahos ; Zsolt Balogh ; Noel Naidoo ; Dieter Weber ; Fikri Abu-Zidan ; Massimo Sartelli ; Luca AnsaloniSource :
- World journal of emergency surgery : WJES [ 1749-7922 ] ; 2017.
Abstract
Complex pelvic injuries are among the most dangerous and deadly trauma related lesions. Different classification systems exist, some are based on the mechanism of injury, some on anatomic patterns and some are focusing on the resulting instability requiring operative fixation. The optimal treatment strategy, however, should keep into consideration the hemodynamic status, the anatomic impairment of pelvic ring function and the associated injuries. The management of pelvic trauma patients aims definitively to restore the homeostasis and the normal physiopathology associated to the mechanical stability of the pelvic ring. Thus the management of pelvic trauma must be multidisciplinary and should be ultimately based on the physiology of the patient and the anatomy of the injury. This paper presents the World Society of Emergency Surgery (WSES) classification of pelvic trauma and the management Guidelines.
DOI: 10.1186/s13017-017-0117-6
PubMed: 28115984
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pubmed:28115984Le document en format XML
<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Pelvic trauma: WSES classification and guidelines.</title>
<author><name sortKey="Coccolini, Federico" sort="Coccolini, Federico" uniqKey="Coccolini F" first="Federico" last="Coccolini">Federico Coccolini</name>
<affiliation><nlm:affiliation>General, Emergency and Trauma Surgery, Papa Giovanni XXIII Hospital, P.zza OMS 1, 24128 Bergamo, Italy.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Stahel, Philip F" sort="Stahel, Philip F" uniqKey="Stahel P" first="Philip F" last="Stahel">Philip F. Stahel</name>
<affiliation><nlm:affiliation>Department of Orthopedic Surgery and Department of Neurosurgery, Denver Health Medical Center and University of Colorado School of Medicine, Denver, CO USA.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Montori, Giulia" sort="Montori, Giulia" uniqKey="Montori G" first="Giulia" last="Montori">Giulia Montori</name>
<affiliation><nlm:affiliation>General, Emergency and Trauma Surgery, Papa Giovanni XXIII Hospital, P.zza OMS 1, 24128 Bergamo, Italy.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Biffl, Walter" sort="Biffl, Walter" uniqKey="Biffl W" first="Walter" last="Biffl">Walter Biffl</name>
<affiliation><nlm:affiliation>Acute Care Surgery, The Queen's Medical Center, Honolulu, HI USA.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Horer, Tal M" sort="Horer, Tal M" uniqKey="Horer T" first="Tal M" last="Horer">Tal M. Horer</name>
<affiliation><nlm:affiliation>Dept. of Cardiothoracic and Vascular Surgery & Dept. Of Surgery Örebro University Hospital and Örebro University, Örebro, Sweden.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Catena, Fausto" sort="Catena, Fausto" uniqKey="Catena F" first="Fausto" last="Catena">Fausto Catena</name>
<affiliation><nlm:affiliation>Emergency and Trauma Surgery, Maggiore Hospital, Parma, Italy.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Kluger, Yoram" sort="Kluger, Yoram" uniqKey="Kluger Y" first="Yoram" last="Kluger">Yoram Kluger</name>
<affiliation><nlm:affiliation>Division of General Surgery Rambam Health Care Campus Haifa, Haifa, Israel.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Moore, Ernest E" sort="Moore, Ernest E" uniqKey="Moore E" first="Ernest E" last="Moore">Ernest E. Moore</name>
<affiliation><nlm:affiliation>Trauma Surgery, Denver Health, Denver, CO USA.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Peitzman, Andrew B" sort="Peitzman, Andrew B" uniqKey="Peitzman A" first="Andrew B" last="Peitzman">Andrew B. Peitzman</name>
<affiliation><nlm:affiliation>Surgery Department, University of Pittsburgh, Pittsburgh, Pensylvania USA.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Ivatury, Rao" sort="Ivatury, Rao" uniqKey="Ivatury R" first="Rao" last="Ivatury">Rao Ivatury</name>
<affiliation><nlm:affiliation>Virginia Commonwealth University, Richmond, VA USA.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Coimbra, Raul" sort="Coimbra, Raul" uniqKey="Coimbra R" first="Raul" last="Coimbra">Raul Coimbra</name>
<affiliation><nlm:affiliation>Department of Surgery, UC San Diego Health System, San Diego, USA.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Fraga, Gustavo Pereira" sort="Fraga, Gustavo Pereira" uniqKey="Fraga G" first="Gustavo Pereira" last="Fraga">Gustavo Pereira Fraga</name>
<affiliation><nlm:affiliation>Faculdade de Ciências Médicas (FCM) - Unicamp, Campinas, SP Brazil.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Pereira, Bruno" sort="Pereira, Bruno" uniqKey="Pereira B" first="Bruno" last="Pereira">Bruno Pereira</name>
<affiliation><nlm:affiliation>Faculdade de Ciências Médicas (FCM) - Unicamp, Campinas, SP Brazil.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Rizoli, Sandro" sort="Rizoli, Sandro" uniqKey="Rizoli S" first="Sandro" last="Rizoli">Sandro Rizoli</name>
<affiliation><nlm:affiliation>Trauma & Acute Care Service, St Michael's Hospital, Toronto, ON Canada.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Kirkpatrick, Andrew" sort="Kirkpatrick, Andrew" uniqKey="Kirkpatrick A" first="Andrew" last="Kirkpatrick">Andrew Kirkpatrick</name>
<affiliation><nlm:affiliation>General, Acute Care, Abdominal Wall Reconstruction, and Trauma Surgery Foothills Medical Centre, Calgary, AB Canada.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Leppaniemi, Ari" sort="Leppaniemi, Ari" uniqKey="Leppaniemi A" first="Ari" last="Leppaniemi">Ari Leppaniemi</name>
<affiliation><nlm:affiliation>Abdominal Center, University Hospital Meilahti, Helsinki, Finland.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Manfredi, Roberto" sort="Manfredi, Roberto" uniqKey="Manfredi R" first="Roberto" last="Manfredi">Roberto Manfredi</name>
<affiliation><nlm:affiliation>General, Emergency and Trauma Surgery, Papa Giovanni XXIII Hospital, P.zza OMS 1, 24128 Bergamo, Italy.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Magnone, Stefano" sort="Magnone, Stefano" uniqKey="Magnone S" first="Stefano" last="Magnone">Stefano Magnone</name>
<affiliation><nlm:affiliation>General, Emergency and Trauma Surgery, Papa Giovanni XXIII Hospital, P.zza OMS 1, 24128 Bergamo, Italy.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Chiara, Osvaldo" sort="Chiara, Osvaldo" uniqKey="Chiara O" first="Osvaldo" last="Chiara">Osvaldo Chiara</name>
<affiliation><nlm:affiliation>Emergency and Trauma Surgery, Niguarda Hospital, Milan, Italy.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Solaini, Leonardo" sort="Solaini, Leonardo" uniqKey="Solaini L" first="Leonardo" last="Solaini">Leonardo Solaini</name>
<affiliation><nlm:affiliation>General, Emergency and Trauma Surgery, Papa Giovanni XXIII Hospital, P.zza OMS 1, 24128 Bergamo, Italy.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Ceresoli, Marco" sort="Ceresoli, Marco" uniqKey="Ceresoli M" first="Marco" last="Ceresoli">Marco Ceresoli</name>
<affiliation><nlm:affiliation>General, Emergency and Trauma Surgery, Papa Giovanni XXIII Hospital, P.zza OMS 1, 24128 Bergamo, Italy.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Allievi, Niccol" sort="Allievi, Niccol" uniqKey="Allievi N" first="Niccol" last="Allievi">Niccol Allievi</name>
<affiliation><nlm:affiliation>General, Emergency and Trauma Surgery, Papa Giovanni XXIII Hospital, P.zza OMS 1, 24128 Bergamo, Italy.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Arvieux, Catherine" sort="Arvieux, Catherine" uniqKey="Arvieux C" first="Catherine" last="Arvieux">Catherine Arvieux</name>
<affiliation><nlm:affiliation>Digestive and Emergency Surgery, UGA-Université Grenoble Alpes, Grenoble, France.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Velmahos, George" sort="Velmahos, George" uniqKey="Velmahos G" first="George" last="Velmahos">George Velmahos</name>
<affiliation><nlm:affiliation>Harvard Medical School, Division of Trauma, Emergency Surgery and Surgical Critical Care Massachusetts General Hospital, Boston, MA USA.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Balogh, Zsolt" sort="Balogh, Zsolt" uniqKey="Balogh Z" first="Zsolt" last="Balogh">Zsolt Balogh</name>
<affiliation><nlm:affiliation>Department of Traumatology, John Hunter Hospital and University of Newcastle, Newcastle, NSW Australia.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Naidoo, Noel" sort="Naidoo, Noel" uniqKey="Naidoo N" first="Noel" last="Naidoo">Noel Naidoo</name>
<affiliation><nlm:affiliation>Department of Surgery, University of KwaZulu-Natal, Durban, South Africa.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Weber, Dieter" sort="Weber, Dieter" uniqKey="Weber D" first="Dieter" last="Weber">Dieter Weber</name>
<affiliation><nlm:affiliation>Department of General Surgery, Royal Perth Hospital, Perth, Australia.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Abu Zidan, Fikri" sort="Abu Zidan, Fikri" uniqKey="Abu Zidan F" first="Fikri" last="Abu-Zidan">Fikri Abu-Zidan</name>
<affiliation><nlm:affiliation>Department of Surgery, College of Medicine and Health Sciences, UAE University, Al-Ain, United Arab Emirates.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Sartelli, Massimo" sort="Sartelli, Massimo" uniqKey="Sartelli M" first="Massimo" last="Sartelli">Massimo Sartelli</name>
<affiliation><nlm:affiliation>General and Emergency Surgery, Macerata Hospital, Macerata, Italy.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Ansaloni, Luca" sort="Ansaloni, Luca" uniqKey="Ansaloni L" first="Luca" last="Ansaloni">Luca Ansaloni</name>
<affiliation><nlm:affiliation>General, Emergency and Trauma Surgery, Papa Giovanni XXIII Hospital, P.zza OMS 1, 24128 Bergamo, Italy.</nlm:affiliation>
</affiliation>
</author>
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<sourceDesc><biblStruct><analytic><title xml:lang="en">Pelvic trauma: WSES classification and guidelines.</title>
<author><name sortKey="Coccolini, Federico" sort="Coccolini, Federico" uniqKey="Coccolini F" first="Federico" last="Coccolini">Federico Coccolini</name>
<affiliation><nlm:affiliation>General, Emergency and Trauma Surgery, Papa Giovanni XXIII Hospital, P.zza OMS 1, 24128 Bergamo, Italy.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Stahel, Philip F" sort="Stahel, Philip F" uniqKey="Stahel P" first="Philip F" last="Stahel">Philip F. Stahel</name>
<affiliation><nlm:affiliation>Department of Orthopedic Surgery and Department of Neurosurgery, Denver Health Medical Center and University of Colorado School of Medicine, Denver, CO USA.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Montori, Giulia" sort="Montori, Giulia" uniqKey="Montori G" first="Giulia" last="Montori">Giulia Montori</name>
<affiliation><nlm:affiliation>General, Emergency and Trauma Surgery, Papa Giovanni XXIII Hospital, P.zza OMS 1, 24128 Bergamo, Italy.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Biffl, Walter" sort="Biffl, Walter" uniqKey="Biffl W" first="Walter" last="Biffl">Walter Biffl</name>
<affiliation><nlm:affiliation>Acute Care Surgery, The Queen's Medical Center, Honolulu, HI USA.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Horer, Tal M" sort="Horer, Tal M" uniqKey="Horer T" first="Tal M" last="Horer">Tal M. Horer</name>
<affiliation><nlm:affiliation>Dept. of Cardiothoracic and Vascular Surgery & Dept. Of Surgery Örebro University Hospital and Örebro University, Örebro, Sweden.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Catena, Fausto" sort="Catena, Fausto" uniqKey="Catena F" first="Fausto" last="Catena">Fausto Catena</name>
<affiliation><nlm:affiliation>Emergency and Trauma Surgery, Maggiore Hospital, Parma, Italy.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Kluger, Yoram" sort="Kluger, Yoram" uniqKey="Kluger Y" first="Yoram" last="Kluger">Yoram Kluger</name>
<affiliation><nlm:affiliation>Division of General Surgery Rambam Health Care Campus Haifa, Haifa, Israel.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Moore, Ernest E" sort="Moore, Ernest E" uniqKey="Moore E" first="Ernest E" last="Moore">Ernest E. Moore</name>
<affiliation><nlm:affiliation>Trauma Surgery, Denver Health, Denver, CO USA.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Peitzman, Andrew B" sort="Peitzman, Andrew B" uniqKey="Peitzman A" first="Andrew B" last="Peitzman">Andrew B. Peitzman</name>
<affiliation><nlm:affiliation>Surgery Department, University of Pittsburgh, Pittsburgh, Pensylvania USA.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Ivatury, Rao" sort="Ivatury, Rao" uniqKey="Ivatury R" first="Rao" last="Ivatury">Rao Ivatury</name>
<affiliation><nlm:affiliation>Virginia Commonwealth University, Richmond, VA USA.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Coimbra, Raul" sort="Coimbra, Raul" uniqKey="Coimbra R" first="Raul" last="Coimbra">Raul Coimbra</name>
<affiliation><nlm:affiliation>Department of Surgery, UC San Diego Health System, San Diego, USA.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Fraga, Gustavo Pereira" sort="Fraga, Gustavo Pereira" uniqKey="Fraga G" first="Gustavo Pereira" last="Fraga">Gustavo Pereira Fraga</name>
<affiliation><nlm:affiliation>Faculdade de Ciências Médicas (FCM) - Unicamp, Campinas, SP Brazil.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Pereira, Bruno" sort="Pereira, Bruno" uniqKey="Pereira B" first="Bruno" last="Pereira">Bruno Pereira</name>
<affiliation><nlm:affiliation>Faculdade de Ciências Médicas (FCM) - Unicamp, Campinas, SP Brazil.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Rizoli, Sandro" sort="Rizoli, Sandro" uniqKey="Rizoli S" first="Sandro" last="Rizoli">Sandro Rizoli</name>
<affiliation><nlm:affiliation>Trauma & Acute Care Service, St Michael's Hospital, Toronto, ON Canada.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Kirkpatrick, Andrew" sort="Kirkpatrick, Andrew" uniqKey="Kirkpatrick A" first="Andrew" last="Kirkpatrick">Andrew Kirkpatrick</name>
<affiliation><nlm:affiliation>General, Acute Care, Abdominal Wall Reconstruction, and Trauma Surgery Foothills Medical Centre, Calgary, AB Canada.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Leppaniemi, Ari" sort="Leppaniemi, Ari" uniqKey="Leppaniemi A" first="Ari" last="Leppaniemi">Ari Leppaniemi</name>
<affiliation><nlm:affiliation>Abdominal Center, University Hospital Meilahti, Helsinki, Finland.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Manfredi, Roberto" sort="Manfredi, Roberto" uniqKey="Manfredi R" first="Roberto" last="Manfredi">Roberto Manfredi</name>
<affiliation><nlm:affiliation>General, Emergency and Trauma Surgery, Papa Giovanni XXIII Hospital, P.zza OMS 1, 24128 Bergamo, Italy.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Magnone, Stefano" sort="Magnone, Stefano" uniqKey="Magnone S" first="Stefano" last="Magnone">Stefano Magnone</name>
<affiliation><nlm:affiliation>General, Emergency and Trauma Surgery, Papa Giovanni XXIII Hospital, P.zza OMS 1, 24128 Bergamo, Italy.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Chiara, Osvaldo" sort="Chiara, Osvaldo" uniqKey="Chiara O" first="Osvaldo" last="Chiara">Osvaldo Chiara</name>
<affiliation><nlm:affiliation>Emergency and Trauma Surgery, Niguarda Hospital, Milan, Italy.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Solaini, Leonardo" sort="Solaini, Leonardo" uniqKey="Solaini L" first="Leonardo" last="Solaini">Leonardo Solaini</name>
<affiliation><nlm:affiliation>General, Emergency and Trauma Surgery, Papa Giovanni XXIII Hospital, P.zza OMS 1, 24128 Bergamo, Italy.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Ceresoli, Marco" sort="Ceresoli, Marco" uniqKey="Ceresoli M" first="Marco" last="Ceresoli">Marco Ceresoli</name>
<affiliation><nlm:affiliation>General, Emergency and Trauma Surgery, Papa Giovanni XXIII Hospital, P.zza OMS 1, 24128 Bergamo, Italy.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Allievi, Niccol" sort="Allievi, Niccol" uniqKey="Allievi N" first="Niccol" last="Allievi">Niccol Allievi</name>
<affiliation><nlm:affiliation>General, Emergency and Trauma Surgery, Papa Giovanni XXIII Hospital, P.zza OMS 1, 24128 Bergamo, Italy.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Arvieux, Catherine" sort="Arvieux, Catherine" uniqKey="Arvieux C" first="Catherine" last="Arvieux">Catherine Arvieux</name>
<affiliation><nlm:affiliation>Digestive and Emergency Surgery, UGA-Université Grenoble Alpes, Grenoble, France.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Velmahos, George" sort="Velmahos, George" uniqKey="Velmahos G" first="George" last="Velmahos">George Velmahos</name>
<affiliation><nlm:affiliation>Harvard Medical School, Division of Trauma, Emergency Surgery and Surgical Critical Care Massachusetts General Hospital, Boston, MA USA.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Balogh, Zsolt" sort="Balogh, Zsolt" uniqKey="Balogh Z" first="Zsolt" last="Balogh">Zsolt Balogh</name>
<affiliation><nlm:affiliation>Department of Traumatology, John Hunter Hospital and University of Newcastle, Newcastle, NSW Australia.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Naidoo, Noel" sort="Naidoo, Noel" uniqKey="Naidoo N" first="Noel" last="Naidoo">Noel Naidoo</name>
<affiliation><nlm:affiliation>Department of Surgery, University of KwaZulu-Natal, Durban, South Africa.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Weber, Dieter" sort="Weber, Dieter" uniqKey="Weber D" first="Dieter" last="Weber">Dieter Weber</name>
<affiliation><nlm:affiliation>Department of General Surgery, Royal Perth Hospital, Perth, Australia.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Abu Zidan, Fikri" sort="Abu Zidan, Fikri" uniqKey="Abu Zidan F" first="Fikri" last="Abu-Zidan">Fikri Abu-Zidan</name>
<affiliation><nlm:affiliation>Department of Surgery, College of Medicine and Health Sciences, UAE University, Al-Ain, United Arab Emirates.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Sartelli, Massimo" sort="Sartelli, Massimo" uniqKey="Sartelli M" first="Massimo" last="Sartelli">Massimo Sartelli</name>
<affiliation><nlm:affiliation>General and Emergency Surgery, Macerata Hospital, Macerata, Italy.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Ansaloni, Luca" sort="Ansaloni, Luca" uniqKey="Ansaloni L" first="Luca" last="Ansaloni">Luca Ansaloni</name>
<affiliation><nlm:affiliation>General, Emergency and Trauma Surgery, Papa Giovanni XXIII Hospital, P.zza OMS 1, 24128 Bergamo, Italy.</nlm:affiliation>
</affiliation>
</author>
</analytic>
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<front><div type="abstract" xml:lang="en">Complex pelvic injuries are among the most dangerous and deadly trauma related lesions. Different classification systems exist, some are based on the mechanism of injury, some on anatomic patterns and some are focusing on the resulting instability requiring operative fixation. The optimal treatment strategy, however, should keep into consideration the hemodynamic status, the anatomic impairment of pelvic ring function and the associated injuries. The management of pelvic trauma patients aims definitively to restore the homeostasis and the normal physiopathology associated to the mechanical stability of the pelvic ring. Thus the management of pelvic trauma must be multidisciplinary and should be ultimately based on the physiology of the patient and the anatomy of the injury. This paper presents the World Society of Emergency Surgery (WSES) classification of pelvic trauma and the management Guidelines.</div>
</front>
</TEI>
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<DateCreated><Year>2017</Year>
<Month>01</Month>
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<Month>04</Month>
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<PubDate><Year>2017</Year>
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<Title>World journal of emergency surgery : WJES</Title>
<ISOAbbreviation>World J Emerg Surg</ISOAbbreviation>
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<ArticleTitle>Pelvic trauma: WSES classification and guidelines.</ArticleTitle>
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<Abstract><AbstractText>Complex pelvic injuries are among the most dangerous and deadly trauma related lesions. Different classification systems exist, some are based on the mechanism of injury, some on anatomic patterns and some are focusing on the resulting instability requiring operative fixation. The optimal treatment strategy, however, should keep into consideration the hemodynamic status, the anatomic impairment of pelvic ring function and the associated injuries. The management of pelvic trauma patients aims definitively to restore the homeostasis and the normal physiopathology associated to the mechanical stability of the pelvic ring. Thus the management of pelvic trauma must be multidisciplinary and should be ultimately based on the physiology of the patient and the anatomy of the injury. This paper presents the World Society of Emergency Surgery (WSES) classification of pelvic trauma and the management Guidelines.</AbstractText>
</Abstract>
<AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Coccolini</LastName>
<ForeName>Federico</ForeName>
<Initials>F</Initials>
<AffiliationInfo><Affiliation>General, Emergency and Trauma Surgery, Papa Giovanni XXIII Hospital, P.zza OMS 1, 24128 Bergamo, Italy.</Affiliation>
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<Author ValidYN="Y"><LastName>Stahel</LastName>
<ForeName>Philip F</ForeName>
<Initials>PF</Initials>
<AffiliationInfo><Affiliation>Department of Orthopedic Surgery and Department of Neurosurgery, Denver Health Medical Center and University of Colorado School of Medicine, Denver, CO USA.</Affiliation>
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<Author ValidYN="Y"><LastName>Montori</LastName>
<ForeName>Giulia</ForeName>
<Initials>G</Initials>
<AffiliationInfo><Affiliation>General, Emergency and Trauma Surgery, Papa Giovanni XXIII Hospital, P.zza OMS 1, 24128 Bergamo, Italy.</Affiliation>
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<Author ValidYN="Y"><LastName>Biffl</LastName>
<ForeName>Walter</ForeName>
<Initials>W</Initials>
<AffiliationInfo><Affiliation>Acute Care Surgery, The Queen's Medical Center, Honolulu, HI USA.</Affiliation>
<Identifier Source="GRID">grid.415594.8</Identifier>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Horer</LastName>
<ForeName>Tal M</ForeName>
<Initials>TM</Initials>
<AffiliationInfo><Affiliation>Dept. of Cardiothoracic and Vascular Surgery & Dept. Of Surgery Örebro University Hospital and Örebro University, Örebro, Sweden.</Affiliation>
<Identifier Source="ISNI">0000 0001 0738 8966</Identifier>
<Identifier Source="GRID">grid.15895.30</Identifier>
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<Identifier Source="ISNI">0000 0001 0369 638X</Identifier>
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<Identifier Source="ISNI">0000 0004 1936 9000</Identifier>
<Identifier Source="GRID">grid.21925.3d</Identifier>
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</Author>
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<Identifier Source="ISNI">0000 0004 0458 8737</Identifier>
<Identifier Source="GRID">grid.224260.0</Identifier>
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<Identifier Source="GRID">grid.420234.3</Identifier>
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<Identifier Source="ISNI">0000 0001 0723 2494</Identifier>
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<Identifier Source="ISNI">0000 0004 1757 8431</Identifier>
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<Identifier Source="GRID">grid.460094.f</Identifier>
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<AffiliationInfo><Affiliation>Harvard Medical School, Division of Trauma, Emergency Surgery and Surgical Critical Care Massachusetts General Hospital, Boston, MA USA.</Affiliation>
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<Identifier Source="ISNI">0000 0004 0577 6676</Identifier>
<Identifier Source="GRID">grid.414724.0</Identifier>
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<AffiliationInfo><Affiliation>Department of Surgery, University of KwaZulu-Natal, Durban, South Africa.</Affiliation>
<Identifier Source="ISNI">0000 0001 0723 4123</Identifier>
<Identifier Source="GRID">grid.16463.36</Identifier>
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<Initials>D</Initials>
<AffiliationInfo><Affiliation>Department of General Surgery, Royal Perth Hospital, Perth, Australia.</Affiliation>
<Identifier Source="ISNI">0000 0004 0453 3875</Identifier>
<Identifier Source="GRID">grid.416195.e</Identifier>
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</Author>
<Author ValidYN="Y"><LastName>Abu-Zidan</LastName>
<ForeName>Fikri</ForeName>
<Initials>F</Initials>
<AffiliationInfo><Affiliation>Department of Surgery, College of Medicine and Health Sciences, UAE University, Al-Ain, United Arab Emirates.</Affiliation>
<Identifier Source="ISNI">0000 0001 2193 6666</Identifier>
<Identifier Source="GRID">grid.43519.3a</Identifier>
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<ForeName>Massimo</ForeName>
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<AffiliationInfo><Affiliation>General, Emergency and Trauma Surgery, Papa Giovanni XXIII Hospital, P.zza OMS 1, 24128 Bergamo, Italy.</Affiliation>
<Identifier Source="ISNI">0000 0004 1757 8431</Identifier>
<Identifier Source="GRID">grid.460094.f</Identifier>
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<Language>eng</Language>
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<PublicationType UI="D016454">Review</PublicationType>
</PublicationTypeList>
<ArticleDate DateType="Electronic"><Year>2017</Year>
<Month>01</Month>
<Day>18</Day>
</ArticleDate>
</Article>
<MedlineJournalInfo><Country>England</Country>
<MedlineTA>World J Emerg Surg</MedlineTA>
<NlmUniqueID>101266603</NlmUniqueID>
<ISSNLinking>1749-7922</ISSNLinking>
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<KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">ABO</Keyword>
<Keyword MajorTopicYN="N">Angiography</Keyword>
<Keyword MajorTopicYN="N">External fixation</Keyword>
<Keyword MajorTopicYN="N">Guidelines</Keyword>
<Keyword MajorTopicYN="N">Injury</Keyword>
<Keyword MajorTopicYN="N">Internal fixation</Keyword>
<Keyword MajorTopicYN="N">Management</Keyword>
<Keyword MajorTopicYN="N">Mechanic</Keyword>
<Keyword MajorTopicYN="N">Pelvic</Keyword>
<Keyword MajorTopicYN="N">Pelvic ring fractures</Keyword>
<Keyword MajorTopicYN="N">Preperitoneal pelvic packing</Keyword>
<Keyword MajorTopicYN="N">REBOA</Keyword>
<Keyword MajorTopicYN="N">Trauma</Keyword>
<Keyword MajorTopicYN="N">X-ray</Keyword>
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