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Abstract
Operative techniques for control of massive extraperitoneal bleeding after pelvic
trauma have been disappointing. Extensive blood supply by ample collaterals alledgedly
is responsible for the failure of proximal ligation of hypogastric arteries. Angiography
has proved to be a valuable technique in the diagnosis and treatment of pelvic vascular
injuries. Three patients are reported in which the diagnostic and therapeutic applications
of angiography with subsequent embolization enabled the surgeon to avoid a difficult
and possibly frustrating exploration. In addition, it provided an accurate indication
for surgical intervention in one patient.
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Article info
Publication history
Accepted:
March 22,
1977
Identification
Copyright
© 1978 Published by Elsevier Inc.