Management of pelvic fracture associated with viscera injuries

Pelvic fracture associated with viscera injuries accompanies with a notable increase of morbidity and mortality.Damage control surgery principle is stressed in the management of severe pelvic fracture associated with viscera injuries.To deal with such patients,a wise sequence is as follows:controlling massive hemorrhage from pelvis by devascularization of internal iliac arteries and external fixation,and treating associated viscera injuries by emergent laparotomy;improving hemodynamics and ventilation as well as correcting lethal triad in ICU;and finally performing a definitive reconstruction of the pelvis and certain injured viscera.