Background: The cesarean section rate following a pelvic fracture is more than double the standard norms. This results from residual deformity and a lack of knowledge among obstetricians regarding the ability to deliver vaginally after a pelvic fracture. Aim: To present a case of pelvic fracture that delivered vaginally indicating vaginal delivery is possible even after pelvic fractures that ar...

Pelvic ring disruptions in the polytraumatized patient are associated with a mortality rate of up to 25%.1 Acute uncontrolled hemorrhage and its complications are the leading causes of death in these patients.2 Treatment algorithms for resuscitation and control of hemorrhage are aimed at reducing morbidity and mortality. Although variations exist among these algorithms, essentially all include ...

BACKGROUND Pelvic fractures are often associated with major intraabdominal injuries or severe bleeding from the fracture site. OBJECTIVE To study the epidemiology of pelvic fractures and identify important risk factors for associated abdominal injuries, bleeding, need for angiographic embolization, and death. METHODS Trauma registry study on pelvic fractures from blunt trauma. Stepwise logi...

Pelvic fractures range in severity from low-energy, generally benign lateral compression injuries to life-threatening, unstable fracture patterns. Initial management of severe pelvic fractures should follow Advanced Trauma Life Support protocols. Initial reduction of pelvic blood loss can be provided by binders, sheets, or some form of external fixation, which serve to reduce pelvic volume, sta...

The majority of childbirth injuries to the pelvic floor occur after the first vaginal delivery. Cesarean sections performed after the onset of labor may not protect the pelvic floor. Elective cesarean section is the only true primary prevention strategy for childbirth injuries to the pelvic floor. Alternative primary prevention strategies include elective cesarean section for women with nonmodi...

The authors performed a retrospective review of pelvic rotation in 59 children with cerebral palsy who underwent lower extremity surgery and pre- and postoperative gait analysis. Two groups were studied: a femoral derotation osteotomy (FDRO) group and a soft tissue surgery only (no FDRO) group. Both groups exhibited abnormal pelvic rotation preoperatively and normalization of this abnormal pelv...

Pelvic lymphocele is an infrequent complication of pelvic surgery, usually presenting shortly after surgery. We report 2 cases with a delayed infected pelvic lymphocele presenting after transperitoneal pelvic lymphadenectomy and robotic radical prostatectomy for adenocarcinoma of the prostate. These cases illustrate that late infection of pelvic lymphoceles may occur following radical prostatec...

PURPOSE We compared sexual function in women with pelvic organ prolapse to that in women without prolapse. MATERIALS AND METHODS We collected sexual function data using a standardized, validated, condition specific questionnaire. The study group consisted of 30 women with pelvic organ prolapse and it was compared with 30 unmatched controls without evidence of prolapse. RESULTS The 2 groups ...

OBJECTIVE To assess the cause of pain on diagnostic laparoscopy in women with chronic pelvic pain and equivocal clinical and ultrasound examination. STUDY DESIGN Cross-sectional observational study. PLACE AND DURATION OF STUDY Red Crescent General Hospital, Hyderabad, Sindh, from January 2007 to December 2009. METHODOLOGY All the women presenting with chronic pelvic pain for more than 6 m...

BACKGROUND: Pregnancy-related pelvic pain is a common condition, and use of hormonal contraceptives before pregnancy has been proposed as a risk factor. We used data from a sub-sample of women participating in the "Norwegian Women and Cancer study" (NOWAC) to assess the association between hormonal contraceptive use and pelvic pain in pregnancy. METHODS: From a sub-group of 2078 parous women pa...