Bilateral internal iliac artery ligation in trauma patients with severe pelvic hemorrhage: A systematic review.

ABSTRACT:

Introduction

Severe pelvic hemorrhage significantly contributes to mortality in trauma patients, yet the most effective treatment for severe pelvic injuries remains unclear. This systematic review evaluates the mortality and morbidity associated with bilateral internal iliac artery ligation (BIIAL) in patients experiencing severe hemorrhage from traumatic pelvic fractures.

Methods

Comprehensive searches were conducted in MEDLINE PubMed, EMBASE, and Cochrane databases until February 7, 2024, to identify relevant articles. The risk of bias in observational studies was assessed using the ROBINS-I tool, which evaluates bias risk in nonrandomized intervention studies. The primary outcome was mortality following BIIAL, with the secondary outcome being complications related to the

SUBMITTER: Jeong ST 

PROVIDER: S-EPMC11801638 | biostudies-literature | 2025

REPOSITORIES: biostudies-literature