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2023 WSES guidelines for the prevention, detection, and management of iatrogenic urinary tract injuries (IUTIs) during emergency digestive surgery World J. Emerg. Surg. (IF 8.0) Pub Date : 2023-09-09 Nicola de’Angelis, Carlo Alberto Schena, Francesco Marchegiani, Elisa Reitano, Belinda De Simone, Geoffrey Yuet Mun Wong, Aleix Martínez-Pérez, Fikri M. Abu-Zidan, Vanni Agnoletti, Filippo Aisoni, Michele Ammendola, Luca Ansaloni, Miklosh Bala, Walter Biffl, Graziano Ceccarelli, Marco Ceresoli, Osvaldo Chiara, Massimo Chiarugi, Stefania Cimbanassi, Federico Coccolini, Raul Coimbra, Salomone Di Saverio
Iatrogenic urinary tract injury (IUTI) is a severe complication of emergency digestive surgery. It can lead to increased postoperative morbidity and mortality and have a long-term impact on the quality of life. The reported incidence of IUTIs varies greatly among the studies, ranging from 0.3 to 1.5%. Given the high volume of emergency digestive surgery performed worldwide, there is a need for well-defined
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Diagnostic accuracy of biomarkers to detect acute mesenteric ischaemia in adult patients: a systematic review and meta-analysis World J. Emerg. Surg. (IF 8.0) Pub Date : 2023-09-01 Annika Reintam Blaser, Joel Starkopf, Martin Björck, Alastair Forbes, Karri Kase, Ele Kiisk, Kaja-Triin Laisaar, Vladislav Mihnovits, Marko Murruste, Merli Mändul, Anna-Liisa Voomets, Kadri Tamme
Acute mesenteric ischaemia (AMI) is a disease with different pathophysiological mechanisms, leading to a life-threatening condition that is difficult to diagnose based solely on clinical signs. Despite widely acknowledged need for biomarkers in diagnosis of AMI, a broad systematic review on all studied biomarkers in different types of AMI is currently lacking. The aim of this study was to estimate
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Management of complicated diaphragmatic hernia in the acute setting: a WSES position paper World J. Emerg. Surg. (IF 8.0) Pub Date : 2023-07-26 Mario Giuffrida, Gennaro Perrone, Fikri Abu-Zidan, Vanni Agnoletti, Luca Ansaloni, Gian Luca Baiocchi, Cino Bendinelli, Walter L. Biffl, Luigi Bonavina, Francesca Bravi, Paolo Carcoforo, Marco Ceresoli, Alain Chichom-Mefire, Federico Coccolini, Raul Coimbra, Nicola de’Angelis, Marc de Moya, Belinda De Simone, Salomone Di Saverio, Gustavo Pereira Fraga, Joseph Galante, Rao Ivatury, Jeffry Kashuk, Michael
Diaphragmatic hernia (DH) presenting acutely can be a potentially life-threatening condition. Its management continues to be debatable. A bibliographic search using major databases was performed using the terms “emergency surgery” “diaphragmatic hernia,” “traumatic diaphragmatic rupture” and “congenital diaphragmatic hernia.” GRADE methodology was used to evaluate the evidence and give recommendations
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ECLAPTE: Effective Closure of LAParoTomy in Emergency—2023 World Society of Emergency Surgery guidelines for the closure of laparotomy in emergency settings World J. Emerg. Surg. (IF 8.0) Pub Date : 2023-07-26 Simone Frassini, Lorenzo Cobianchi, Paola Fugazzola, Walter L. Biffl, Federico Coccolini, Dimitrios Damaskos, Ernest E. Moore, Yoram Kluger, Marco Ceresoli, Raul Coimbra, Justin Davies, Andrew Kirkpatrick, Isidoro Di Carlo, Timothy C. Hardcastle, Arda Isik, Massimo Chiarugi, Kurinchi Gurusamy, Ronald V. Maier, Helmut A. Segovia Lohse, Hans Jeekel, Marja A. Boermeester, Fikri Abu-Zidan, Kenji Inaba
Laparotomy incisions provide easy and rapid access to the peritoneal cavity in case of emergency surgery. Incisional hernia (IH) is a late manifestation of the failure of abdominal wall closure and represents frequent complication of any abdominal incision: IHs can cause pain and discomfort to the patients but also clinical serious sequelae like bowel obstruction, incarceration, strangulation, and
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Source control in emergency general surgery: WSES, GAIS, SIS-E, SIS-A guidelines World J. Emerg. Surg. (IF 8.0) Pub Date : 2023-07-21 Federico Coccolini, Massimo Sartelli, Robert Sawyer, Kemal Rasa, Bruno Viaggi, Fikri Abu-Zidan, Kjetil Soreide, Timothy Hardcastle, Deepak Gupta, Cino Bendinelli, Marco Ceresoli, Vishal G. Shelat, Richard ten Broek, Gian Luca Baiocchi, Ernest E. Moore, Ibrahima Sall, Mauro Podda, Luigi Bonavina, Igor A. Kryvoruchko, Philip Stahel, Kenji Inaba, Philippe Montravers, Boris Sakakushev, Gabriele Sganga
Intra-abdominal infections (IAI) are among the most common global healthcare challenges and they are usually precipitated by disruption to the gastrointestinal (GI) tract. Their successful management typically requires intensive resource utilization, and despite the best therapies, morbidity and mortality remain high. One of the main issues required to appropriately treat IAI that differs from the
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Guided blood transfusion of trauma patients with rotational thromboelastometry: a single-center cohort study World J. Emerg. Surg. (IF 8.0) Pub Date : 2023-07-01 Mina Salehi, Rajan Bola, Nenke de Jong, Andrew W. Shih, Naisan Garraway, Philip Dawe
Rotational thromboelastometry (ROTEM) is a blood test used to measure in vitro clot strength as a surrogate for a patient’s ability to form clots in vivo. This provides information about induction, formation, and clot lysis, allowing goal-directed transfusion therapy for specific hemostatic needs. We sought to evaluate the effect of ROTEM-guided transfusion on blood product usage and in-hospital mortality
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Advantages of using a polymeric clip versus an endoloop during laparoscopic appendectomy in uncomplicated appendicitis: a randomized controlled study World J. Emerg. Surg. (IF 8.0) Pub Date : 2023-06-29 Kil-yong Lee, Jaeim Lee, Youn Young Park, Seong Taek Oh
Polymeric clips are easy to apply, but whether they present more advantages than endoloops is unclear. This single-center, open-label, randomized controlled trial study was conducted to compare the advantages of using a polymeric clip versus an endoloop in terms of the surgical time. Adult patients who were diagnosed with acute appendicitis without perforation on preoperative abdominal computed tomography
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Assessing and managing frailty in emergency laparotomy: a WSES position paper World J. Emerg. Surg. (IF 8.0) Pub Date : 2023-06-24 Brian W. C. A. Tian, Philip F. Stahel, Edoardo Picetti, Giampiero Campanelli, Salomone Di Saverio, Ernest Moore, Denis Bensard, Boris Sakakushev, Joseph Galante, Gustavo P. Fraga, Kaoru Koike, Isidoro Di Carlo, Giovanni D. Tebala, Ari Leppaniemi, Edward Tan, Dimitris Damaskos, Nicola De’Angelis, Andreas Hecker, Michele Pisano, YunfengCui, Ron V. Maier, Belinda De Simone, Francesco Amico, Marco Ceresoli
Many countries are facing an aging population. As people live longer, surgeons face the prospect of operating on increasingly older patients. Traditional teaching is that with older age, these patients face an increased risk of mortality and morbidity, even to a level deemed too prohibitive for surgery. However, this is not always true. An active 90-year-old patient can be much fitter than an overweight
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Improving clinical suspicion of acute mesenteric ischemia among patients with acute abdomen: a cross-sectional study from an intestinal stroke center World J. Emerg. Surg. (IF 8.0) Pub Date : 2023-06-07 Alexandre Nuzzo, Katell Peoc’h, Prabakar Vaittinada Ayar, Alexy Tran-Dinh, Emmanuel Weiss, Yves Panis, Maxime Ronot, Lorenzo Garzelli, Philippine Eloy, Iannis Ben Abdallah, Yves Castier, Olivier Corcos
Early diagnosis of acute mesenteric ischemia (AMI) is essential for a favorable outcome. Selection of patients requiring a dedicated multiphasic computed tomography (CT) scan remains a clinical challenge. In this cross-sectional diagnostic study conducted from 2016 to 2018, we compared the presentation of AMI patients admitted to an intestinal stroke center to patients with acute abdominal pain of
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Accuracy of diagnostic tests in cardiac injury after blunt chest trauma: a systematic review and meta-analysis World J. Emerg. Surg. (IF 8.0) Pub Date : 2023-05-27 Ioannis Panagiotis Kyriazidis, Dominik A. Jakob, Juliana Alexandra Hernández Vargas, Oscar H. Franco, Elias Degiannis, Patrick Dorn, Sjaak Pouwels, Bijendra Patel, Ian Johnson, Christopher John Houdlen, Graham S. Whiteley, Marion Head, Anil Lala, Haroon Mumtaz, J. Agustin Soler, Katie Mellor, David Rawaf, Ahmed R. Ahmed, Suhaib J. S. Ahmad, Aristomenis Exadaktylos
The diagnosis of cardiac contusion, caused by blunt chest trauma, remains a challenge due to the non-specific symptoms it causes and the lack of ideal tests to diagnose myocardial damage. A cardiac contusion can be life-threatening if not diagnosed and treated promptly. Several diagnostic tests have been used to evaluate the risk of cardiac complications, but the challenge of identifying patients with
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Complex duodenal fistulae: a surgical nightmare World J. Emerg. Surg. (IF 8.0) Pub Date : 2023-05-19 Ari Leppäniemi, Matti Tolonen, Panu Mentula
A common feature of external duodenal fistulae is the devastating effect of the duodenal content rich in bile and pancreatic juice on nearby tissues with therapy-resistant local and systemic complications. This study analyzes the results of different management options with emphasis on successful fistula closure rates. A retrospective single academic center study of adult patients treated for complex
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WSES consensus guidelines on sigmoid volvulus management World J. Emerg. Surg. (IF 8.0) Pub Date : 2023-05-15 Brian W. C. A. Tian, Gabriele Vigutto, Edward Tan, Harry van Goor, Cino Bendinelli, Fikri Abu-Zidan, Rao Ivatury, Boris Sakakushev, Isidoro Di Carlo, Gabriele Sganga, Ronald V. Maier, Raul Coimbra, Ari Leppäniemi, Andrey Litvin, Dimitrios Damaskos, Richard Ten Broek, Walter Biffl, Salomone Di Saverio, Belinda De Simone, Marco Ceresoli, Edoardo Picetti, Joseph Galante, Giovanni D. Tebala, Solomon Gurmu
Sigmoid volvulus is a common surgical emergency, especially in elderly patients. Patients can present with a wide range of clinical states: from asymptomatic, to frank peritonitis secondary to colonic perforation. These patients generally need urgent treatment, be it endoscopic decompression of the colon or an upfront colectomy. The World Society of Emergency Surgery united a worldwide group of international
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The unrestricted global effort to complete the COOL trial World J. Emerg. Surg. (IF 8.0) Pub Date : 2023-05-11 Andrew W. Kirkpatrick, Federico Coccolini, Matti Tolonen, Samuel Minor, Fausto Catena, Emanuel Gois, Christopher J. Doig, Michael D. Hill, Luca Ansaloni, Massimo Chiarugi, Dario Tartaglia, Orestis Ioannidis, Michael Sugrue, Elif Colak, S. Morad Hameed, Hanna Lampela, Vanni Agnoletti, Jessica L. McKee, Naisan Garraway, Massimo Sartelli, Chad G. Ball, Neil G. Parry, Kelly Voght, Lisa Julien, Jenna Kroeker
Severe complicated intra-abdominal sepsis (SCIAS) has an increasing incidence with mortality rates over 80% in some settings. Mortality typically results from disruption of the gastrointestinal tract, progressive and self-perpetuating bio-mediator generation, systemic inflammation, and multiple organ failure. A further therapeutic option may be open abdomen (OA) management with negative peritoneal
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The new timing in acute care surgery (new TACS) classification: a WSES Delphi consensus study World J. Emerg. Surg. (IF 8.0) Pub Date : 2023-04-28 Belinda De Simone, Yoram Kluger, Ernest E. Moore, Massimo Sartelli, Fikri M. Abu-Zidan, Federico Coccolini, Luca Ansaloni, Giovanni D. Tebala, Salomone Di Saverio, Isidoro Di Carlo, Boris E. Sakakushev, Luigi Bonavina, Michael Sugrue, Joseph M. Galante, Rao Ivatury, Edoardo Picetti, Mircea Chirica, Imtiaz Wani, Miklosh Bala, Ibrahima Sall, Andrew W. Kirkpatrick, Vishal G. Shelat, Emmanouil Pikoulis
Timely access to the operating room for emergency general surgery (EGS) indications remains a challenge across the globe, largely driven by operating room availability and staffing constraints. The “timing in acute care surgery” (TACS) classification was previously published to introduce a new tool to triage the timely and appropriate access of EGS patients to the operating room. However, the clinical
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Trauma deaths of hospitalized patients in Abu Dhabi Emirate: a retrospective descriptive study World J. Emerg. Surg. (IF 8.0) Pub Date : 2023-04-28 David O. Alao, Arif Alper Cevik, Fikri M. Abu-Zidan
To study the epidemiology and pattern of trauma-related deaths of hospitalized patients in Abu Dhabi Emirate, United Arab Emirates, in order to improve trauma management and injury prevention. The Abu Dhabi Trauma Registry prospectively collects data of all hospitalized trauma patients from seven major trauma centres in Abu Dhabi Emirate. We studied all patients who died on arrival or after admission
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Unlocking the potential of TIPS placement as a bridge to elective and emergency surgery in cirrhotic patients: a meta-analysis and future directions for endovascular resuscitation in acute care surgery World J. Emerg. Surg. (IF 8.0) Pub Date : 2023-04-17 Ramiro Manzano-Nunez, Alba Jimenez-Masip, Julian Chica-Yanten, Abdelaziz Ibn-Abdelouahab, Massimo Sartelli, Nicola de’Angelis, Ernest E. Moore, Alberto F. García
In this systematic review and meta-analysis, we examined the evidence on transjugular intrahepatic portosystemic shunt (TIPS) as a bridge to elective and emergency surgery in cirrhotic patients. We aimed to assess the perioperative characteristics, management approaches, and outcomes of this intervention, which is used to achieve portal decompression and enable the safe performance of elective and
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Correction: Early management of isolated severe traumatic brain injury patients in a hospital without neurosurgical capabilities: a consensus and clinical recommendations of the World Society of Emergency Surgery (WSES) World J. Emerg. Surg. (IF 8.0) Pub Date : 2023-04-06 Edoardo Picetti, Fausto Catena, Fikri Abu-Zidan, Luca Ansaloni, Rocco A. Armonda, Miklosh Bala, Zsolt J. Balogh, Alessandro Bertuccio, Walt L. Biffl, Pierre Bouzat, Andras Buki, Davide Cerasti, Randall M. Chesnut, Giuseppe Citerio, Federico Coccolini, Raul Coimbra, Carlo Coniglio, Enrico Fainardi, Deepak Gupta, Jennifer M. Gurney, Gregory W. J. Hawryluk, Raimund Helbok, Peter J. A. Hutchinson, Corrado
Correction to: World Journal of Emergency Surgery (2023) 18:5 https://doi.org/10.1186/s13017-022-00468-2 Following publication of the original article [1], in this article the author name Gregory W. J. Hawryluk was incorrectly written as Gregory W. J. Hawrylux. The original article has been corrected. Picetti E, et al. Early management of isolated severe traumatic brain injury patients in a hospital
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Risk factors for the leakage of the repair of duodenal wounds: a secondary analysis of the Panamerican Trauma Society multicenter retrospective review World J. Emerg. Surg. (IF 8.0) Pub Date : 2023-04-04 Alberto García, Alvaro I. Sanchez, Paula Ferrada, Luke Wolfe, Juan Duchesne, Gustavo P. Fraga, Elizabeth Benjamin, Andre Campbell, Carlos Morales, Bruno M. Pereira, Marcelo Ribeiro, Martha Quiodettis, Gregory Peck, Juan C. Salamea, Vitor F. Kruger, Rao Ivatury, Thomas Scalea
Duodenal injury (DI) is infrequent. It has been reported in 0.003% to 0.5% of trauma admissions [1,2,3] and has been found in 3.1% to 5% trauma laparotomies [2, 4]. Most of the mortality occurs early and is related to associated lesions. Late deaths are associated with infections and multiple organ failure. Among late morbidity, duodenal leakage (DL) and fistula have been reported in a wide range from
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Emergency administration of fibrinogen concentrate for haemorrhage: systematic review and meta-analysis World J. Emerg. Surg. (IF 8.0) Pub Date : 2023-03-30 Yuki Itagaki, Mineji Hayakawa, Yuki Takahashi, Satoshi Hirano, Kazuma Yamakawa
The occurrence of massive haemorrhages in various emergency situations increases the need for blood transfusions and increases the risk of mortality. Fibrinogen concentrate (FC) use may increase plasma fibrinogen levels more rapidly than fresh-frozen product or cryoprecipitate use. Previous several systematic reviews and meta-analyses have not effectively demonstrated FC efficacy in significantly improving
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Hospital mortality of blunt abdominal aortic injury (BAAI): a systematic review and meta-analysis World J. Emerg. Surg. (IF 8.0) Pub Date : 2023-03-29 Mingxuan Li, Yu Yan, Chaonan Wang, Haixia Tu
Studies on the mortality of blunt abdominal aortic injury (BAAI) are rare and have yielded inconsistent results. In the present study, we aimed to quantitatively analyse the retrieved data to more accurately determine the hospital mortality of BAAI. The Excerpta Medica Database, PubMed, Web of Science and Cochrane Library databases were searched to identify relevant publications without date restrictions
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The changing epidemiology of trauma in child-bearing age women World J. Emerg. Surg. (IF 8.0) Pub Date : 2023-03-29 Fikri M. Abu-Zidan, Hani O. Eid, David O. Alao, Hassan Elbiss
In the last two decades, there have been major improvements in the trauma system in the United Arab Emirates (UAE). We aimed to study the changes in the incidence, type, severity, and outcome of trauma of hospitalized child-bearing age women in Al-Ain City, UAE, during that time. Data from two separate trauma registries of Al-Ain Hospital, which were prospectively collected from March 2003 to March
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Effectiveness of intraoperative peritoneal lavage with saline in patient with intra-abdominal infections: a systematic review and meta-analysis World J. Emerg. Surg. (IF 8.0) Pub Date : 2023-03-29 Qi Zhou, Wenbo Meng, Yanhan Ren, Qinyuan Li, Marja A. Boermeester, Peter Muli Nthumba, Jennifer Rickard, Bobo Zheng, Hui Liu, Qianling Shi, Siya Zhao, Zijun Wang, Xiao Liu, Zhengxiu Luo, Kehu Yang, Yaolong Chen, Robert G. Sawyer
Intraoperative peritoneal lavage (IOPL) with saline has been widely used in surgical practice. However, the effectiveness of IOPL with saline in patients with intra-abdominal infections (IAIs) remains controversial. This study aims to systematically review randomized controlled trials (RCTs) evaluating the effectiveness of IOPL in patients with IAIs. The databases of PubMed, Embase, Web of Science
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The effect of hyperbaric oxygen therapy on the clinical outcomes of necrotizing soft tissue infections: a systematic review and meta-analysis World J. Emerg. Surg. (IF 8.0) Pub Date : 2023-03-25 Chengzi Huang, Yilian Zhong, Chaochi Yue, Bin He, Yaling Li, Jun Li
To determine the efficacy of hyperbaric oxygen therapy (HBO) in the treatment of necrotizing soft tissue infections (NSTI), we conducted a meta-analysis of the available evidence. Data sources were PubMed, Embase, Web of Science, Cochrane Library, and reference lists. The study included observational trials that compared HBO with non-HBO, or standard care. The primary outcome was the mortality rate
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Correction: Surgeons’ perspectives on artificial intelligence to support clinical decision-making in trauma and emergency contexts: results from an international survey World J. Emerg. Surg. (IF 8.0) Pub Date : 2023-03-23 Lorenzo Cobianchi, Daniele Piccolo, Francesca Dal Mas, Vanni Agnoletti, Luca Ansaloni, Jeremy Balch, Walter Biffl, Giovanni Butturini, Fausto Catena, Federico Coccolini, Stefano Denicolai, Belinda De Simone, Isabella Frigerio, Paola Fugazzola, Gianluigi Marseglia, Giuseppe Roberto Marseglia, Jacopo Martellucci, Mirko Modenese, Pietro Previtali, Federico Ruta, Alessandro Venturi, Haytham M. Kaafarani
Correction: World Journal of Emergency Surgery (2023) 18:1 https://doi.org/10.1186/s13017-022-00467-3 Following publication of the original article [1], in PubMed the author name Daniele Bissacco under Team Dynamics Study Group has not been tagged and now it has been rectified. The original article has been corrected.Author notes Lorenzo Cobianchi, Daniele Piccolo, and Francesca Dal Mas share the first
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Survival and neurologic outcomes following aortic occlusion for trauma and hemorrhagic shock in a hybrid operating room World J. Emerg. Surg. (IF 8.0) Pub Date : 2023-03-23 Jeremy A. Balch, Tyler J. Loftus, Philip A. Efron, Alicia M. Mohr, Gilbert R. Upchurch, R. Stephen Smith
Outcomes following aortic occlusion for trauma and hemorrhagic shock are poor, leading some to question the clinical utility of aortic occlusion in this setting. This study evaluates neurologically intact survival following resuscitative endovascular balloon occlusion of the aorta (REBOA) versus resuscitative thoracotomy at a center with a dedicated trauma hybrid operating room with angiographic capabilities
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Prediction of morbidity and mortality after early cholecystectomy for acute calculous cholecystitis: results of the S.P.Ri.M.A.C.C. study World J. Emerg. Surg. (IF 8.0) Pub Date : 2023-03-18 Paola Fugazzola, Lorenzo Cobianchi, Marcello Di Martino, Matteo Tomasoni, Francesca Dal Mas, Fikri M. Abu-Zidan, Vanni Agnoletti, Marco Ceresoli, Federico Coccolini, Salomone Di Saverio, Tommaso Dominioni, Camilla Nikita Farè, Simone Frassini, Giulia Gambini, Ari Leppäniemi, Marcello Maestri, Elena Martín-Pérez, Ernest E. Moore, Valeria Musella, Andrew B. Peitzman, Ángela de la Hoz Rodríguez, Benedetta
Less invasive alternatives than early cholecystectomy (EC) for acute calculous cholecystitis (ACC) treatment have been spreading in recent years. We still lack a reliable tool to select high-risk patients who could benefit from these alternatives. Our study aimed to prospectively validate the Chole-risk score in predicting postoperative complications in patients undergoing EC for ACC compared with
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Efficacy of a novel polyoxazoline-based hemostatic patch in liver and spleen surgery World J. Emerg. Surg. (IF 8.0) Pub Date : 2023-03-14 Edwin A. Roozen, Roger M. L. M. Lomme, Nicole U. B. Calon, Richard P. G. ten Broek, Harry van Goor
A new hemostatic sealant based on a N-hydroxy-succinimide polyoxazoline (NHS-POx) polymer was evaluated to determine hemostatic efficacy and long-term wound healing and adverse effects in a large animal model of parenchymal organ surgical bleeds. Experiment 1 included 20 pigs that were treated with two NHS-POx patch prototypes [a gelatin fibrous carrier (GFC) with NHS-POx and an oxidized regenerated
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Retrospective cohort study of the impact of faecoliths on the natural history of acute appendicitis World J. Emerg. Surg. (IF 8.0) Pub Date : 2023-03-14 Mei Sze Lee, Rachel Purcell, Andrew McCombie, Frank Frizelle, Timothy Eglinton
Despite acute appendicitis is one of the most common surgical emergencies, its aetiology remains incompletely understood. This study aimed to assess the rate at which faecoliths were present in acute appendicitis treated with appendicectomy and whether their presence was associated with complicated appendicitis. All adult patients who underwent appendicectomy for acute appendicitis in a 2 years period
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Efficacy of intraosseous access for trauma resuscitation: a systematic review and meta-analysis World J. Emerg. Surg. (IF 8.0) Pub Date : 2023-03-14 Dong Wang, Lei Deng, Ruipeng Zhang, Yiyue Zhou, Jun Zeng, Hua Jiang
During medical emergencies, intraosseous (IO) access and intravenous (IV) access are methods of administering therapies and medications to patients. Treating patients in emergency medical situations is a highly time sensitive practice; however, research into the optimal access method is limited and existing systematic reviews have only considered out-of-hospital cardiac arrest (OHCA) patients. We focused
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Science fiction or clinical reality: a review of the applications of artificial intelligence along the continuum of trauma care World J. Emerg. Surg. (IF 8.0) Pub Date : 2023-03-06 Olivia F. Hunter, Frances Perry, Mina Salehi, Hubert Bandurski, Alan Hubbard, Chad G. Ball, S. Morad Hameed
Artificial intelligence (AI) and machine learning describe a broad range of algorithm types that can be trained based on datasets to make predictions. The increasing sophistication of AI has created new opportunities to apply these algorithms within within trauma care. Our paper overviews the current uses of AI along the continuum of trauma care, including injury prediction, triage, emergency department volume
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A prospective multicentre study evaluating the outcomes of the abdominal wall dehiscence repair using posterior component separation with transversus abdominis muscle release reinforced by a retro-muscular mesh: filling a step World J. Emerg. Surg. (IF 8.0) Pub Date : 2023-03-03 Tamer A. A. M. Habeeb, Abdulzahra Hussain, Vishal Shelat, Massimo Chiaretti, Jose Bueno-Lledó, Alfonso García Fadrique , Abd-Elfattah Kalmoush, Mohamed Elnemr, Khaled Safwat, Ahmed Raafat, Tamer Wasefy, Ibrahim A. Heggy, Gamal Osman, Waleed A. Abdelhady, Walid A. Mawla, Alaa A. Fiad, Mostafa M. Elaidy, Wessam Amr, Mohamed I. Abdelhamid, Ahmed Mahmoud Abdou, Abdelaziz I. A. Ibrahim, Muhammad Ali Baghdadi
This study aimed to evaluate the results of posterior component separation (CS) and transversus abdominis muscle release (TAR) with retro-muscular mesh reinforcement in patients with primary abdominal wall dehiscence (AWD). The secondary aims were to detect the incidence of postoperative surgical site occurrence and risk factors of incisional hernia (IH) development following AWD repair with posterior
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Time for a paradigm shift in shared decision-making in trauma and emergency surgery? Results from an international survey World J. Emerg. Surg. (IF 8.0) Pub Date : 2023-02-17 Lorenzo Cobianchi, Francesca Dal Mas, Vanni Agnoletti, Luca Ansaloni, Walter Biffl, Giovanni Butturini, Stefano Campostrini, Fausto Catena, Stefano Denicolai, Paola Fugazzola, Jacopo Martellucci, Maurizio Massaro, Pietro Previtali, Federico Ruta, Alessandro Venturi, Sarah Woltz, Haytham M. Kaafarani, Tyler J. Loftus
Shared decision-making (SDM) between clinicians and patients is one of the pillars of the modern patient-centric philosophy of care. This study aims to explore SDM in the discipline of trauma and emergency surgery, investigating its interpretation as well as the barriers and facilitators for its implementation among surgeons. Grounding on the literature on the topics of the understanding, barriers
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Surgical resident experience with common bile duct exploration and assessment of performance and autonomy with formative feedback World J. Emerg. Surg. (IF 8.0) Pub Date : 2023-02-06 Molly Q. Nyren, Amanda C. Filiberto, Patrick W. Underwood, Kenneth L. Abbott, Jeremy A. Balch, Francesca Dal Mas, Lorenzo Cobianchi, Philip A. Efron, Brian C. George, Benjamin Shickel, Gilbert R. Upchurch, George A. Sarosi, Tyler J. Loftus
Common bile duct exploration (CBDE) is safe and effective for managing choledocholithiasis, but most US general surgeons have limited experience with CBDE and are uncomfortable performing this procedure in practice. Surgical trainee exposure to CBDE is limited, and their learning curve for achieving autonomous, practice-ready performance has not been previously described. This study tests the hypothesis
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Abdominal emergency surgery in patients with hematological malignancies: a retrospective single-center analysis World J. Emerg. Surg. (IF 8.0) Pub Date : 2023-02-06 Philipp H. von Kroge, Anna Duprée, Oliver Mann, Jakob R. Izbicki, Jonas Wagner, Paymon Ahmadi, Sören Weidemann, Raissa Adjallé, Nicolaus Kröger, Carsten Bokemeyer, Walter Fiedler, Franziska Modemann, Susanne Ghandili
Hematologic patients requiring abdominal emergency surgery are considered to be a high-risk population based on disease- and treatment-related immunosuppression. However, the optimal surgical therapy and perioperative management of patients with abdominal emergency surgery in patients with coexisting hematological malignancies remain unclear. We here report a single-center retrospective analysis aimed
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Training curriculum in minimally invasive emergency digestive surgery: 2022 WSES position paper World J. Emerg. Surg. (IF 8.0) Pub Date : 2023-01-27 Nicola de’Angelis, Francesco Marchegiani, Carlo Alberto Schena, Jim Khan, Vanni Agnoletti, Luca Ansaloni, Ana Gabriela Barría Rodríguez, Paolo Pietro Bianchi, Walter Biffl, Francesca Bravi, Graziano Ceccarelli, Marco Ceresoli, Osvaldo Chiara, Mircea Chirica, Lorenzo Cobianchi, Federico Coccolini, Raul Coimbra, Christian Cotsoglou, Mathieu D’Hondt, Dimitris Damaskos, Belinda De Simone, Salomone Di Saverio
Minimally invasive surgery (MIS), including laparoscopic and robotic approaches, is widely adopted in elective digestive surgery, but selectively used for surgical emergencies. The present position paper summarizes the available evidence concerning the learning curve to achieve proficiency in emergency MIS and provides five expert opinion statements, which may form the basis for developing standardized
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Is it possible to predict the severity of acute appendicitis? Reliability of predictive models based on easily available blood variables World J. Emerg. Surg. (IF 8.0) Pub Date : 2023-01-27 Barza Afzal, Roberto Cirocchi, Aruna Dawani, Jacopo Desiderio, Antonio Di Cintio, Domenico Di Nardo, Federico Farinacci, James Fung, Alessandro Gemini, Lorenzo Guerci, Sen Yin Melina Kam, Svetlana Lakunina, Lee Madi, Stefano Mazzetti, Bakhtiar Nadyrshine, Ola Shams, Maria Chiara Ranucci, Francesco Ricci, Afroza Sharmin, Stefano Trastulli, Tanzela Yasin, Giles Bond-Smith, Giovanni D. Tebala
Recent evidence confirms that the treatment of acute appendicitis is not necessarily surgical, and selected patients with uncomplicated appendicitis can benefit from a non-operative management. Unfortunately, no cost-effective test has been proven to be able to effectively predict the degree of appendicular inflammation as yet, therefore, patient selection is too often left to the personal choice of
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The optimal timing and intervention to reduce mortality for necrotizing pancreatitis: a systematic review and network meta-analysis World J. Emerg. Surg. (IF 8.0) Pub Date : 2023-01-27 Yang Yang, Yu Zhang, Shuaiyong Wen, Yunfeng Cui
A series of randomized controlled trials have investigated the efficacy and safety of different timings of interventions and methods of intervention. However, the optimal treatment strategy is not yet clear. We searched PubMed, EMBASE, ClinicalTrials.gov and the Cochrane Library until November 30, 2022. A systematic review and Bayesian network meta-analysis were performed following the Preferred Reporting
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Elective adhesiolysis for chronic abdominal pain reduces long-term risk of adhesive small bowel obstruction World J. Emerg. Surg. (IF 8.0) Pub Date : 2023-01-23 Barend A. W. van den Beukel, Masja K. Toneman, Fleur van Veelen, Marjolein Blusse van Oud-Alblas, Koen van Dongen, Martijn W. J. Stommel, Harry van Goor, Richard P. G. ten Broek
Selected patients with adhesion-related chronic abdominal pain can be treated effectively by adhesiolysis with the application of adhesion barriers. These patients might also have an increased risk to develop adhesive small bowel obstruction (ASBO). It is unknown how frequently these patients develop ASBO, and how elective adhesiolysis for pain impacts the risk of ASBO. Patients with adhesion-related
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Perceptions and practices surrounding the perioperative management of frail emergency surgery patients: a WSES-endorsed cross-sectional qualitative survey World J. Emerg. Surg. (IF 8.0) Pub Date : 2023-01-18 Mallaika Viswanath, Darja Clinch, Marco Ceresoli, Jugdeep Dhesi, Mario D’Oria, Belinda De Simone, Mauro Podda, Salomone Di Saverio, Federico Coccolini, Massimo Sartelli, Fausto Catena, Ernest Moore, Deepa Rangar, Walter L. Biffl, Dimitrios Damaskos
Frailty is associated with poor post-operative outcomes in emergency surgical patients. Shared multidisciplinary models have been developed to provide a holistic, reactive model of care to improve outcomes for older people living with frailty. We aimed to describe current perioperative practices, and surgeons’ awareness and perception of perioperative frailty management, and barriers to its implementation
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Pediatric trauma and emergency surgery: an international cross-sectional survey among WSES members World J. Emerg. Surg. (IF 8.0) Pub Date : 2023-01-13 Reichert, Martin, Sartelli, Massimo, Askevold, Ingolf H., Braun, Jaqueline, Weigand, Markus A., Hecker, Matthias, Agnoletti, Vanni, Coccolini, Federico, Catena, Fausto, Padberg, Winfried, Riedel, Jens G., Hecker, Andreas
In contrast to adults, the situation for pediatric trauma care from an international point of view and the global management of severely injured children remain rather unclear. The current study investigates structural management of pediatric trauma in centers of different trauma levels as well as experiences with pediatric trauma management around the world. A web-survey had been distributed to the
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Early management of isolated severe traumatic brain injury patients in a hospital without neurosurgical capabilities: a consensus and clinical recommendations of the World Society of Emergency Surgery (WSES) World J. Emerg. Surg. (IF 8.0) Pub Date : 2023-01-09 Picetti, Edoardo, Catena, Fausto, Abu-Zidan, Fikri, Ansaloni, Luca, Armonda, Rocco A., Bala, Miklosh, Balogh, Zsolt J., Bertuccio, Alessandro, Biffl, Walt L., Bouzat, Pierre, Buki, Andras, Cerasti, Davide, Chesnut, Randall M., Citerio, Giuseppe, Coccolini, Federico, Coimbra, Raul, Coniglio, Carlo, Fainardi, Enrico, Gupta, Deepak, Gurney, Jennifer M., Hawrylux, Gregory W. J., Helbok, Raimund, Hutchinson
Severe traumatic brain-injured (TBI) patients should be primarily admitted to a hub trauma center (hospital with neurosurgical capabilities) to allow immediate delivery of appropriate care in a specialized environment. Sometimes, severe TBI patients are admitted to a spoke hospital (hospital without neurosurgical capabilities), and scarce data are available regarding the optimal management of severe
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Hypertonic saline infusion does not improve the chance of primary fascial closure after damage control laparotomy: a randomized controlled trial World J. Emerg. Surg. (IF 8.0) Pub Date : 2023-01-09 García, Alberto F., Manzano-Nunez, Ramiro, Carrillo, Diana Cristina, Chica-Yanten, Julian, Naranjo, María Paula, Sánchez, Álvaro I., Mejía, Jorge Humberto, Ospina-Tascón, Gustavo Adolfo, Ordoñez, Carlos A., Bayona, Juan Gabriel, Puyana, Juan Carlos
Previous observational studies showed higher rates of abdominal wall closure with the use of hypertonic saline in trauma patients with abdominal injuries. However, no randomized controlled trials have been performed on this matter. This double-blind randomized clinical trial assessed the effect of 3% hypertonic saline (HS) solution on primary fascial closure and the timing of abdominal wall closure
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Who should operate patients presenting with emergent colon cancer? A comparison of short- and long-term outcome depending on surgical sub-specialization World J. Emerg. Surg. (IF 8.0) Pub Date : 2023-01-09 Arnarson, Örvar, Syk, Ingvar, Butt, Salma Tunå
Colorectal cancer presents as emergencies in 20% of the cases. Emergency resection is associated with high postoperative morbidity and mortality. The specialization of the operating team in the emergency settings differs from the elective setting, which may have an impact on outcome. The aim of this study was to evaluate short- and long-term outcomes following emergent colon cancer surgery depending
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Structured approach with primary and secondary survey for major trauma care: an overview of reviews World J. Emerg. Surg. (IF 8.0) Pub Date : 2023-01-04 Gianola, Silvia, Bargeri, Silvia, Biffi, Annalisa, Cimbanassi, Stefania, D’Angelo, Daniela, Coclite, Daniela, Facchinetti, Gabriella, Fauci, Alice Josephine, Ferrara, Carla, Di Nitto, Marco, Napoletano, Antonello, Punzo, Ornella, Ranzato, Katya, Tratsevich, Alina, Iannone, Primiano, Castellini, Greta, Chiara, Osvaldo
A structured approach involves systematic management of trauma patients. We aim to conduct an overview of reviews about the clinical efficacy and safety of structured approach (i.e., primary and secondary survey) by guideline checklist compared to non-structured approach (i.e. clinical examination); moreover, routine screening whole-body computer tomography (WBCT) was compared to non-routine WBCT in
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Surgeons’ perspectives on artificial intelligence to support clinical decision-making in trauma and emergency contexts: results from an international survey World J. Emerg. Surg. (IF 8.0) Pub Date : 2023-01-03 Cobianchi, Lorenzo, Piccolo, Daniele, Dal Mas, Francesca, Agnoletti, Vanni, Ansaloni, Luca, Balch, Jeremy, Biffl, Walter, Butturini, Giovanni, Catena, Fausto, Coccolini, Federico, Denicolai, Stefano, De Simone, Belinda, Frigerio, Isabella, Fugazzola, Paola, Marseglia, Gianluigi, Marseglia, Giuseppe Roberto, Martellucci, Jacopo, Modenese, Mirko, Previtali, Pietro, Ruta, Federico, Venturi, Alessandro
Artificial intelligence (AI) is gaining traction in medicine and surgery. AI-based applications can offer tools to examine high-volume data to inform predictive analytics that supports complex decision-making processes. Time-sensitive trauma and emergency contexts are often challenging. The study aims to investigate trauma and emergency surgeons’ knowledge and perception of using AI-based tools in
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The ChoCO-W prospective observational global study: Does COVID-19 increase gangrenous cholecystitis? World J. Emerg. Surg. (IF 8.0) Pub Date : 2022-12-16 De Simone, Belinda, Abu-Zidan, Fikri M., Chouillard, Elie, Di Saverio, Salomone, Sartelli, Massimo, Podda, Mauro, Gomes, Carlos Augusto, Moore, Ernest E., Moug, Susan J., Ansaloni, Luca, Kluger, Yoram, Coccolini, Federico, Landaluce-Olavarria, Aitor, Estraviz-Mateos, Begoña, Uriguen-Etxeberria, Ana, Giordano, Alessio, Luna, Alfonso Palmieri, Amín, Luz Adriana Hernández, Hernández, Adriana María Palmieri
The incidence of the highly morbid and potentially lethal gangrenous cholecystitis was reportedly increased during the COVID-19 pandemic. The aim of the ChoCO-W study was to compare the clinical findings and outcomes of acute cholecystitis in patients who had COVID-19 disease with those who did not. Data were prospectively collected over 6 months (October 1, 2020, to April 30, 2021) with 1-month follow-up
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Decreasing use of pancreatic necrosectomy and NSQIP predictors of complications and mortality World J. Emerg. Surg. (IF 8.0) Pub Date : 2022-12-12 Liepert, Amy E., Ventro, George, Weaver, Jessica L., Berndtson, Allison E., Godat, Laura N., Adams, Laura M., Santorelli, Jarrett, Costantini, Todd W., Doucet, Jay J.
Surgical pancreatic necrosectomy (SPN) is an option for the management of infected pancreatic necrosis. The literature indicates that an escalating, combined endoscopic, interventional radiology and minimally invasive surgery “step-up” approach, such as video-assisted retroperitoneal debridement, may reduce the number of required SPNs and ICU complications, such as multiple organ failure. We hypothesized
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Outpatient management of acute uncomplicated appendicitis after laparoscopic appendectomy: a randomized controlled trial World J. Emerg. Surg. (IF 8.0) Pub Date : 2022-11-23 Elvira López, Jordi, Sales Mallafré, Ricard, Padilla Zegarra, Erlinda, Carrillo Luna, Luis, Ferreres Serafini, Joan, Tully, Roisin, Memba Ikuga, Robert, Jorba Martin, Rosa
To confirm the safety and efficacy of outpatient management of laparoscopic appendectomy, with an enhanced recovery after surgery (ERAS) protocol, in adult patients with uncomplicated acute appendicitis. Outpatient laparoscopic appendectomy is feasible and secure in selected patients in observational studies. The benefits include reduced length of stay (LOS) and postoperative complications. This is
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Correction: Operative management of acute abdomen after bariatric surgery in the emergency setting: the OBA guidelines World J. Emerg. Surg. (IF 8.0) Pub Date : 2022-11-07 De Simone, Belinda, Chouillard, Elie, Ramos, Almino C., Donatelli, Gianfranco, Pintar, Tadeja, Gupta, Rahul, Renzi, Federica, Mahawar, Kamal, Madhok, Brijesh, Maccatrozzo, Stefano, Abu-Zidan, Fikri M., Moore, Ernest E., Weber, Dieter G., Coccolini, Federico, Di Saverio, Salomone, Kirkpatrick, Andrew, Shelat, Vishal G., Amico, Francesco, Pikoulis, Emmanouil, Ceresoli, Marco, Galante, Joseph M., Wani
De Simone B, et al. Operative management of acute abdomen after bariatric surgery in the emergency setting: the OBA guidelines. World J Emerg Surg. 2022;17:51. https://doi.org/10.1186/s13017-022-00452-w. Article PubMed PubMed Central Google Scholar Download references Authors and Affiliations Department of Emergency, Digestive and Metabolic Minimally Invasive Surgery, Poissy and Saint Germain en Laye
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Consequences of the spilled gallstones during laparoscopic cholecystectomy: a systematic review World J. Emerg. Surg. (IF 8.0) Pub Date : 2022-11-02 Gavriilidis, Paschalis, Catena, Fausto, de’Angelis, Gianluigi, de’Angelis, Nicola
Complications secondary to spilled gallstones can be classified in the category of disease of medical progress because prior to advent of laparoscopic cholecystectomy very few reports published on the topic. The aim of the present study was to investigate the predisposing factors and the complication rate of spilled gallstones during laparoscopic cholecystectomy over the past 21 years. Embase, Pubmed
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The outcomes of right-sided and left-sided colonic diverticulitis following non-operative management: a systematic review and meta-analysis World J. Emerg. Surg. (IF 8.0) Pub Date : 2022-11-01 Huang, Sih-Shiang, Sung, Chih-Wei, Wang, Hsiu-Po, Lien, Wan-Ching
There is no sufficient overview of outcomes in right-sided and left-sided colonic diverticulitis (CD) following non-operative management. This systematic review was conducted to evaluate the recurrence/treatment failure in right-sided and left-sided CD. A systematic review was conducted following PRISMA guidelines. MEDLINE, Embase, and Cochrane Library from inception to Dec 2021 were searched. The
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Predictors of morbidity in revisional bariatric surgery and bariatric emergencies at an MBSAQIP-accredited community hospital World J. Emerg. Surg. (IF 8.0) Pub Date : 2022-10-29 Tomey, Daniel, Martinino, Alessandro, Nguyen-Lee, Joseph, Lopez, Alfred, Shenwai, Priya, Long, Zhuoxin, Chai, Jichong, Nayak, Tapan, Wiseman, James, Oviedo, Rodolfo
Bariatric surgery revisions and emergencies are associated with higher morbidity and mortality compared to primary bariatric surgery. No formal outcome benchmarks exist that distinguish MBSAQIP-accredited centers in the community from unaccredited institutions. A retrospective chart review was conducted on 53 bariatric surgery revisions and 61 bariatric surgical emergencies by a single surgeon at a
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Acute mesenteric ischemia: updated guidelines of the World Society of Emergency Surgery World J. Emerg. Surg. (IF 8.0) Pub Date : 2022-10-19 Bala, Miklosh, Catena, Fausto, Kashuk, Jeffry, De Simone, Belinda, Gomes, Carlos Augusto, Weber, Dieter, Sartelli, Massimo, Coccolini, Federico, Kluger, Yoram, Abu-Zidan, Fikri M., Picetti, Edoardo, Ansaloni, Luca, Augustin, Goran, Biffl, Walter L., Ceresoli, Marco, Chiara, Osvaldo, Chiarugi, Massimo, Coimbra, Raul, Cui, Yunfeng, Damaskos, Dimitris, Di Saverio, Salomone, Galante, Joseph M., Khokha
Acute mesenteric ischemia (AMI) is a group of diseases characterized by an interruption of the blood supply to varying portions of the intestine, leading to ischemia and secondary inflammatory changes. If untreated, this process may progress to life-threatening intestinal necrosis. The incidence is low, estimated at 0.09–0.2% of all acute surgical admissions, but increases with age. Although the entity
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Laparoscopic versus open emergent colectomy for ischemic colitis: a propensity score-matched comparison World J. Emerg. Surg. (IF 8.0) Pub Date : 2022-10-13 Chen, Yi-Chang, Tsai, Yuan-Yao, Chang, Sheng-Chi, Chen, Hung-Chang, Ke, Tao-Wei, Fingerhut, Abe, Chen, William Tzu-Liang
Laparoscopic colectomy is rarely performed for ischemic colitis. The aim of this propensity score-matched study was to compare preoperative characteristics, intraoperative details and short-term outcomes for emergent laparoscopic colectomy versus the traditional open approach for patients with ischemic colitis. Retrospective review of 96 patients who underwent emergent colectomy for ischemic colitis
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Follow-up strategies for patients with splenic trauma managed non-operatively: the 2022 World Society of Emergency Surgery consensus document World J. Emerg. Surg. (IF 8.0) Pub Date : 2022-10-12 Podda, Mauro, De Simone, Belinda, Ceresoli, Marco, Virdis, Francesco, Favi, Francesco, Wiik Larsen, Johannes, Coccolini, Federico, Sartelli, Massimo, Pararas, Nikolaos, Beka, Solomon Gurmu, Bonavina, Luigi, Bova, Raffaele, Pisanu, Adolfo, Abu-Zidan, Fikri, Balogh, Zsolt, Chiara, Osvaldo, Wani, Imtiaz, Stahel, Philip, Di Saverio, Salomone, Scalea, Thomas, Soreide, Kjetil, Sakakushev, Boris, Amico, Francesco
In 2017, the World Society of Emergency Surgery published its guidelines for the management of adult and pediatric patients with splenic trauma. Several issues regarding the follow-up of patients with splenic injuries treated with NOM remained unsolved. Using a modified Delphi method, we sought to explore ongoing areas of controversy in the NOM of splenic trauma and reach a consensus among a group
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Operative management of acute abdomen after bariatric surgery in the emergency setting: the OBA guidelines World J. Emerg. Surg. (IF 8.0) Pub Date : 2022-09-27 De Simone, Belinda, Chouillard, Elie, Ramos, Almino C., Donatelli, Gianfranco, Pintar, Tadeja, Gupta, Rahul, Renzi, Federica, Mahawar, Kamal, Madhok, Brijesh, Maccatrozzo, Stefano, Abu-Zidan, Fikri M., E. Moore, Ernest, Weber, Dieter G., Coccolini, Federico, Di Saverio, Salomone, Kirkpatrick, Andrew, Shelat, Vishal G., Amico, Francesco, Pikoulis, Emmanouil, Ceresoli, Marco, Galante, Joseph M., Wani
Patients presenting with acute abdominal pain that occurs after months or years following bariatric surgery may present for assessment and management in the local emergency units. Due to the large variety of surgical bariatric techniques, emergency surgeons have to be aware of the main functional outcomes and long-term surgical complications following the most performed bariatric surgical procedures
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Postoperative pain management in non-traumatic emergency general surgery: WSES-GAIS-SIAARTI-AAST guidelines World J. Emerg. Surg. (IF 8.0) Pub Date : 2022-09-21 Coccolini, Federico, Corradi, Francesco, Sartelli, Massimo, Coimbra, Raul, Kryvoruchko, Igor A., Leppaniemi, Ari, Doklestic, Krstina, Bignami, Elena, Biancofiore, Giandomenico, Bala, Miklosh, Marco, Ceresoli, Damaskos, Dimitris, Biffl, Walt L., Fugazzola, Paola, Santonastaso, Domenico, Agnoletti, Vanni, Sbarbaro, Catia, Nacoti, Mirco, Hardcastle, Timothy C., Mariani, Diego, De Simone, Belinda, Tolonen
Non-traumatic emergency general surgery involves a heterogeneous population that may present with several underlying diseases. Timeous emergency surgical treatment should be supplemented with high-quality perioperative care, ideally performed by multidisciplinary teams trained to identify and handle complex postoperative courses. Uncontrolled or poorly controlled acute postoperative pain may result
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Correction: Utility of modified Laboratory Risk Indicator for Necrotizing Fasciitis (MLRINEC) score in distinguishing necrotizing from non-necrotizing soft tissue infections World J. Emerg. Surg. (IF 8.0) Pub Date : 2022-09-17 Wu, Po-Han, Wu, Kai-Hsiang, Hsiao, Cheng-Ting, Wu, Shu-Ruei, Chang, Chia-Peng
Following the publication of the original article [1], the text under "Ethics approval and consent to participate" has to be changed from The institutional review board of Chia-yi Chang Gung Memorial Hospital approved this retrospective study (100-4178B) and (201900447B0C601). Consent to participate was not applicable. to The institutional review board of Chia-yi Chang Gung Memorial Hospital (IRB number:
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Utility of viscoelastic hemostatic assay to guide hemostatic resuscitation in trauma patients: a systematic review World J. Emerg. Surg. (IF 8.0) Pub Date : 2022-09-13 Zhu, Zhe, Yu, Yong, Hong, Kairui, Luo, Mengqin, Ke, Yefang
Viscoelastic hemostatic assay (VHA) provides a graphical representation of a clot’s lifespan and reflects the real time of coagulation. It has been used to guide trauma resuscitation; however, evidence of the effectiveness of VHAs is still limited. This systematic review aims to summarize the published evidence to evaluate the VHA-guided strategy in resuscitating trauma patients. The PubMed, Embase
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Risk factors for posttraumatic empyema in diaphragmatic injuries World J. Emerg. Surg. (IF 8.0) Pub Date : 2022-09-13 García, Alberto Federico, Rodríguez, Fernando, Sánchez, Álvaro, Caicedo-Holguín, Isabella, Gallego-Navarro, Carlos, Naranjo, María Paula, Caicedo, Yaset, Burbano, Daniela, Currea-Perdomo, Diana Felisa, Ordoñez, Carlos A., Puyana, Juan Carlos
Penetrating diaphragmatic injuries are associated with a high incidence of posttraumatic empyema. We analyzed the contribution of trauma severity, specific organ injury, contamination severity, and surgical management to the risk of posttraumatic empyema in patients who underwent surgical repair of diaphragmatic injuries at a level 1 trauma center. This is a retrospective review of the patients who