Preperitoneal packing

Preperitoneal packing is a surgical procedure used to control hemorrhage in the pelvis. It is often used in cases of severe trauma where other methods of hemorrhage control have failed or are not possible. The procedure involves the placement of packs in the preperitoneal space to apply pressure and control bleeding.

Indications

Preperitoneal packing is indicated in cases of severe pelvic trauma with ongoing hemorrhage that is not responsive to other methods of hemorrhage control. This can include cases where angiography and embolization are not available or have failed. It may also be used in cases where there is a delay in getting the patient to a facility where definitive surgical repair can be performed.

Procedure

The procedure is performed under general anesthesia. A midline incision is made and the peritoneum is opened. The preperitoneal space is then packed with surgical packs. The packs apply pressure to the bleeding vessels, helping to control the hemorrhage.

Complications

As with any surgical procedure, there are risks associated with preperitoneal packing. These can include infection, damage to surrounding structures, and continued bleeding. There is also the risk of reperfusion injury when the packs are removed and blood flow is restored.

See also

• Pelvic trauma
• Hemorrhage
• Angiography
• Embolization

References

Preperitoneal packing Resources
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