Journal of Orthopaedics Trauma Surgery and Related Research

Journal of Orthopaedics Trauma Surgery and Related Research

An Official Journal of Polish Society of Orthopaedics and Traumatology

e-ISSN: 2449-9145

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The management of the combined injuries of pelvis and lower urinary tracts treatment

Author(s): Tilyakov A. B., Valiev E. Y., Akhmedov R. N

Introduction. The analysis of the cure of 638 patients with pelvic injuries has been done. Combined injuries of urinary bladder and pelvis were diagnosed in 58 (9,1%) patients. Medical assistance for those patients was done according to the worked-out standards of our hospital. Material and methods. 20 (34%) patients were performed laparotomy with inspection of abdominal cavity organs and closuring of urinary bladder’s rupture with extraperitonization and epycystomy. In other 38 (66%) cases the patients were done extra-peritoneal closure of urinary bladder’s wall with epycystomy. 32 (55,2%) patients with combined injuries of urinary bladder and pelvis were performed the operative interventions – osteosynthesis of pelvic bones. 24 (20%) patients had also the fractures of extremity bones and they were done 29 operative interventions. Results. At the non-stable injuries of pelvic ring we have worked-out and applied into clinical practice the small-invasive method of stabilizing operations on the base of device of external fixation. Conclusions. This method was applied in 190 (29,8%) patients. The worked-out treatment tactics of patients with pelvic bones fractures at the isolated and combined type allowed to get the positive out-come in 91,9% of cases at the decreasing mortality till 5,6%.

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Annals of Medical and Health Sciences Research Journal of Orthopaedics Trauma Surgery and Related Research a publication of Polish Society, is a peer-reviewed online journal with quaterly print on demand compilation of issues published.
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