Trauma Pélvico: Classificação e Diretrizes da Sociedade Mundial de Cirurgia de Urgência [Translation of Pelvic trauma: WSES classification and guidelines]
Keywords:
Pélvico, Trauma, Tratamento, Diretrizes, Mecânico, Lesão, Angiografia, REBOA, ABO, Tamponamento Pré-peritoneal Pélvico, Fixação Externa, Fixação Interna, Raio-X, Fraturas de Anel Pélvico.Abstract
Trauma Pélvico: Classificação e Diretrizes da Sociedade Mundial de Cirurgia de Urgência
As lesões pélvicas complexas estão entre as situações mais letais relacionados ao trauma. Existem diferentes classificações com base no mecanismo da lesão, algumas com referência a padrões anatômicos e outras com foco na instabilidade resultante do trauma, requerendo fixação cirúrgica. A estratégia de tratamento ideal, no entanto, deve considerar o estado hemodinâmico, o dano funcional do anel pélvico e as lesões associadas. O tratamento de pacientes com trauma pélvico, portanto, visa restaurar de maneira definitiva, a homeostase e a fisiopatologia condicionada à estabilidade mecânica do anel pélvico. Assim, a condução do trauma pélvico deve ser multidisciplinar, com destaque para fisiologia do paciente, avaliação anatômica das lesões e medidas terapêuticas, em consonância com atuais diretrizes. Este documento apresenta a classificação e as recomendações de tratamento do trauma pélvico, segundo a Sociedade Mundial de Cirurgia de Emergência.
Source: this paper is an abridged translation of: Ansaloni L, Pisano M, Coccolini F, et al. Pelvic trauma: WSES classification and guidelines. World J Emerg Surg 2017;12:5, DOI 10.1186/s13017-017-0117-6.
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