The first use of laparoscopy to treat pelvic ring fractures: A case report. (2020)

• Record Type: Journal Article
• Authors: Di Francia, Rémi; Tanner, Jean-Loup; Marolleau, Julien
• Is Part Of: International journal of surgery case reports. Volume 76(2020)
• Page Start: 60
• Page End: 63
• Publication Date: 2020
• Subjects: Laparoscopy -- Pelvic ring fracture -- Plate fixation; Surgery -- Periodicals; Surgical Procedures, Operative -- Periodicals; Surgery; Electronic journals; Periodicals; 617.005
• DOI: 10.1016/j.ijscr.2020.09.162
• Languages: English
• ISSNs: 2210-2612

Abstract

Highlights: The first use of laparoscopy to treat pelvic ring fractures: a case report. We describe the first use of laparoscopy to treat pelvic ring fracture. This "laparoscopic internal fixation" delivered an in situ result as good as that of open surgery. Despite a long operating time, the blood loss was very low. This technique opens a new approach to treatment of pelvic fractures. Abstract: Introduction: Pelvic ring injuries pose major challenges for the trauma surgeon. Given the complications of open surgeries, percutaneous techniques have become increasingly popular, but laparoscopy has never been employed for internal osteosynthesis of the pelvic ring. Presentation of case: We describe a 34-year-old male with a pelvic ring fracture (grade AO/OTA 61B2.1b). The anterior pelvic arch was successfully plate-fixed using a laparoscopic technique. This is the first report of such an approach to treat pelvic ring fractures. Discussion: Our principal point is that "laparoscopic internal fixation" delivered an in situ result as good as that of open surgery, but we required only four trocar portals. Conclusion: We describe a novel laparoscopic approach to treatment of pelvic ring fractures.