Preperitoneal packing

Preperitoneal Packing

Preperitoneal packing (pronunciation: pre-per-i-to-ne-al pack-ing) is a surgical procedure used in the management of pelvic fractures and associated hemorrhage.

Etymology

The term originates from the Latin pre meaning "before", peritoneum referring to the membrane lining the abdominal cavity, and packing, an English term for filling or stuffing.

Procedure

Preperitoneal packing involves the placement of surgical packs in the preperitoneal space, a potential space between the peritoneum and the transversalis fascia. This is done to exert pressure and control bleeding from injured pelvic vessels. The procedure is often performed in conjunction with angiography and pelvic fixation to manage unstable pelvic fractures.

Indications

Preperitoneal packing is indicated in patients with severe pelvic fractures and ongoing hemorrhage that is unresponsive to initial resuscitation efforts. It may also be used in patients who are hemodynamically unstable and cannot be stabilized for angiography.

Complications

Potential complications of preperitoneal packing include infection, fascial dehiscence, and bowel obstruction. Long-term complications may include chronic pelvic pain and hernia formation.

Related Terms

• Pelvic fracture
• Hemorrhage
• Preperitoneal space
• Peritoneum
• Angiography
• Pelvic fixation
• Fascial dehiscence
• Bowel obstruction
• Hernia

External links

• Medical encyclopedia article on Preperitoneal packing
• Wikipedia's article - Preperitoneal packing

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