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Lesions Associated with Pelvic Fracture: An Integrating Literature Review

Nauã Rodrigues de Souza, Daniela de Aquino Freire, Clarissa Mourão Pinho, Gabriela Lopes de Almeida, Franciene Marilia Elias dos Santos, Katiane Santana dos Santos, Eudanusia Guilherme de Figueiredo, Maria do Bom Parto de Oliveira, Marcos Antônio de Oliveira Souza, Igor Cavalcanti Ferraz, Magaly Bushatsy, Isabel Cristina Ramos Vieira Santos

Objective: To review in the scientific literature the main lesions associated with pelvic fractures.

Methods and Results: An integrative review was carried out in the databases: LILACS, MEDLINE, SciELO and BDENF, including national and international publications, from 2006 to 2016, obtaining a sample for analysis of nineteen articles. Pelvic fractures can have a significant impact on the genitourinary system, with some patients having a direct lesion concomitant with the urethra or bladder. The thoracic trauma resulting from pelvic fracture, among them, rib fractures, accompanied by pneumothorax and pulmonary contusion, are often associated with abdominal injuries, the organs most affected are thoracic/abdominal organs, especially bladder, spleen, liver, urethra and kidneys. Bone lesions, including fractures of the upper and lower limbs, cranial fractures are also frequently associated with pelvic trauma, as well as hematological complications, mainly thromboembolism, deep vein thrombosis and hemorrhage.

Conclusion: This study made it possible to analyze the production of lesions associated with pelvic fractures. In this context, we emphasize the need for studies that also emphasize care for these patients through humanized care, in order to minimize physical discomforts and social, psychic and emotional problems that can be generated by these injuries.