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

作者机构：Department of Trauma SurgeryChongqing University Central HospitalChongqing Emergency Medical CenterChongqing400014China 

出 版 物：《Chinese Journal of Traumatology》 (中华创伤杂志（英文版）)

年 卷 期：2024年第27卷第5期

页      面：288-294页

核心收录：

学科分类：1002[医学-临床医学] 100214[医学-肿瘤学] 10[医学] 

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) 

主　　题：Internal iliac artery Ligation Embolization Pelvic fracture Laparotomy 

摘      要：Purpose:Internal iliac artery ligation(IIAL)has been used as a damage control procedure to treat hemodynamically unstable pelvic fracture for many ***,there is ongoing debate regarding the effectiveness and safety of this hemostatic ***,we performed a systematic literature review to assess the efficacy and safety of IIAL for pelvic fracture ***:Three major databases,PubMed,Embase,and Google Scholar,were searched to screen eligible original studies published in English *** reviewers independently read the titles,abstracts,and full texts of all *** were included if they reported the use and effects of ***:A total of 171 articles were initially identified,with 22 fully meeting the inclusion *** 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 *** 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 ***,no reports of ischemic complications involving the pelvic organs due to IIAL were ***:IIAL has a good effect in treating hemodynamically unstable pelvic fracture without the risk of pelvic organ *** procedure should be considered a priority for hemodynamically unstable pelvic fracture patients with abdominal organ injuries.