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Diversity and ethics in trauma and acute care surgery teams: results from an international survey World J. Emerg. Surg. (IF 8.165) Pub Date : 2022-08-10 Cobianchi, Lorenzo, Dal Mas, Francesca, Massaro, Maurizio, Biffl, Walter, Catena, Fausto, Coccolini, Federico, Dionigi, Beatrice, Dionigi, Paolo, Di Saverio, Salomone, Fugazzola, Paola, Kluger, Yoram, Leppäniemi, Ari, Moore, Ernest E., Sartelli, Massimo, Velmahos, George, Woltz, Sarah, Angelos, Peter, Ansaloni, Luca
Investigating the context of trauma and acute care surgery, the article aims at understanding the factors that can enhance some ethical aspects, namely the importance of patient consent, the perceptiveness of the ethical role of the trauma leader, and the perceived importance of ethics as an educational subject. The article employs an international questionnaire promoted by the World Society of Emergency
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Outcome of necrotizing fasciitis and Fournier's gangrene with and without hyperbaric oxygen therapy: a retrospective analysis over 10 years World J. Emerg. Surg. (IF 8.165) Pub Date : 2022-08-05 Mladenov, Assen, Diehl, Katharina, Müller, Oliver, von Heymann, Christian, Kopp, Susanne, Peitsch, Wiebke K.
Necrotizing soft tissue infections (NSTI) require immediate radical debridement, broad-spectrum antibiotics and intensive care. Hyperbaric oxygen therapy (HBOT) may be performed adjunctively, but unequivocal evidence for its benefits is still lacking. We performed a retrospective single-center study including 192 patients with necrotizing fasciitis or Fournier's gangrene to assess in-hospital mortality
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Machine learning-based prediction of emergency neurosurgery within 24 h after moderate to severe traumatic brain injury World J. Emerg. Surg. (IF 8.165) Pub Date : 2022-08-03 Moyer, Jean-Denis, Lee, Patrick, Bernard, Charles, Henry, Lois, Lang, Elodie, Cook, Fabrice, Planquart, Fanny, Boutonnet, Mathieu, Harrois, Anatole, Gauss, Tobias
Rapid referral of traumatic brain injury (TBI) patients requiring emergency neurosurgery to a specialized trauma center can significantly reduce morbidity and mortality. Currently, no model has been reported to predict the need for acute neurosurgery in severe to moderate TBI patients. This study aims to evaluate the performance of Machine Learning-based models to establish to predict the need for
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The LIFE TRIAD of emergency general surgery World J. Emerg. Surg. (IF 8.165) Pub Date : 2022-07-25 Coccolini, Federico, Sartelli, Massimo, Kluger, Yoram, Osipov, Aleksei, Cui, Yunfeng, Beka, Solomon Gurmu, Kirkpatrick, Andrew, Sall, Ibrahima, Moore, Ernest E., Biffl, Walter L., Litvin, Andrey, Pisano, Michele, Magnone, Stefano, Picetti, Edoardo, de Angelis, Nicola, Stahel, Philip, Ansaloni, Luca, Tan, Edward, Abu-Zidan, Fikri, Ceresoli, Marco, Hecker, Andreas, Chiara, Osvaldo, Sganga, Gabriele,
Emergency General Surgery (EGS) was identified as multidisciplinary surgery performed for traumatic and non-traumatic acute conditions during the same admission in the hospital by general emergency surgeons and other specialists. It is the most diffused surgical discipline in the world. To live and grow strong EGS necessitates three fundamental parts: emergency and elective continuous surgical practice
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Hypertensive disorders in pregnancy complicated by liver rupture or hematoma: a systematic review of 391 reported cases World J. Emerg. Surg. (IF 8.165) Pub Date : 2022-07-08 Augustin, Goran, Hadzic, Matija, Juras, Josip, Oreskovic, Slavko
Spontaneous liver rupture in pregnancy is often unrecognized, highly lethal, and not completely understood. The goal was to summarize and define the etiology, risk factors, clinical presentation, appropriate diagnostic methods, and therapeutic options for spontaneous hepatic rupture during pregnancy/puerperium (SHRP) complicated by the hypertensive disorder. Literature search of all full-text articles
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Correction to: Two years later: Is the SARS-CoV-2 pandemic still having an impact on emergency surgery? An international cross-sectional survey among WSES members World J. Emerg. Surg. (IF 8.165) Pub Date : 2022-07-08 Reichert, Martin, Sartelli, Massimo, Weigand, Markus A., Hecker, Matthias, Oppelt, Philip U., Noll, Julia, Askevold, Ingolf H., Liese, Juliane, Padberg, Winfried, Coccolini, Federico, Catena, Fausto, Hecker, Andreas
Following the publication of the original article [1], the author name “Dragos Serban” under The WSES COVID-19 emergency surgery survey collaboration group was incorrectly written as “Dragos Seban” instead of “Dragos Serban”. The original article has been corrected. Reichert M, Sartelli M, Weigand MA, et al. Two years later: Is the SARS-CoV-2 pandemic still having an impact on emergency surgery? An
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Do we need repeated CT imaging in uncomplicated blunt renal injuries? Experiences of a high-volume urological trauma centre World J. Emerg. Surg. (IF 8.165) Pub Date : 2022-07-07 Lindner, Andrea Katharina, Luger, Anna Katharina, Fritz, Josef, Stäblein, Johannes, Radmayr, Christian, Aigner, Friedrich, Rehder, Peter, Tulchiner, Gennadi, Horninger, Wolfgang, Pichler, Renate
Current guidelines recommend repeat computed tomography (CT) imaging in high-grade blunt renal injury within 48–96 h, yet diagnostic value and clinical significance remain controversial. The aim of this work was to determine the possible gain of CT re-imaging in uncomplicated patients with blunt renal trauma at 48 h after injury, presenting one of the largest case series. A retrospective database of
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Delayed laparoscopic peritoneal washout in non-operative management of blunt abdominal trauma: a scoping review World J. Emerg. Surg. (IF 8.165) Pub Date : 2022-07-02 Chu, Megan, How, Nathan, Laviolette, Alysha, Bilic, Monika, Tang, Jennifer, Khalid, Maham, Bos, Cecily, Rice, Timothy J., Engels, Paul T.
Non-operative management (NOM) of blunt abdominal trauma has become increasingly common in hemodynamically stable patients. There are known complications of NOM from undrained intra-abdominal fluid accumulations including hemorrhage and peritonitis that require delayed operation. Thus, delayed operation can be considered as part of the overall management plan, instead of failure, of NOM. The aim of
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Effect of sarcopenia in predicting postoperative mortality in emergency laparotomy: a systematic review and meta-analysis World J. Emerg. Surg. (IF 8.165) Pub Date : 2022-06-25 Yang, Tao-ran, Luo, Kai, Deng, Xiao, Xu, Le, Wang, Ru-rong, Ji, Peng
While emergency laparotomy has been associated with high rates of postoperative mortality and adverse events, preoperative systematic evaluation of patients may improve perioperative outcomes. However, due to the critical condition of the patient and the limited operation time, it is challenging to conduct a comprehensive evaluation. In recent years, sarcopenia is considered a health problem associated
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Penetrating renal injuries: an observational study of non-operative management and the impact of opening Gerota’s fascia World J. Emerg. Surg. (IF 8.165) Pub Date : 2022-06-20 Clements, Thomas W., Ball, Chad G., Nicol, Andrew J., Edu, Sorin, Kirkpatrick, Andrew W., Navsaria, Pradeep
Non-operative management has become increasingly popular in the treatment of renal trauma. While data are robust in blunt mechanisms, the role of non-operative management in penetrating trauma is less clear. Additionally, there is a paucity of data comparing gunshot and stab wounds. A retrospective review of patients admitted to a high-volume level 1 trauma center (Groote Schuur Hospital, Cape Town)
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Two years later: Is the SARS-CoV-2 pandemic still having an impact on emergency surgery? An international cross-sectional survey among WSES members World J. Emerg. Surg. (IF 8.165) Pub Date : 2022-06-16 Reichert, Martin, Sartelli, Massimo, Weigand, Markus A., Hecker, Matthias, Oppelt, Philip U., Noll, Julia, Askevold, Ingolf H., Liese, Juliane, Padberg, Winfried, Coccolini, Federico, Catena, Fausto, Hecker, Andreas
The SARS-CoV-2 pandemic is still ongoing and a major challenge for health care services worldwide. In the first WSES COVID-19 emergency surgery survey, a strong negative impact on emergency surgery (ES) had been described already early in the pandemic situation. However, the knowledge is limited about current effects of the pandemic on patient flow through emergency rooms, daily routine and decision
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Research priorities in emergency general surgery (EGS): a modified Delphi approach World J. Emerg. Surg. (IF 8.165) Pub Date : 2022-06-16 Vaughan, Elizabeth Mary, Pearson, Robert, Wohlgemut, Jared Mark, Knight, Stephen Richard, Spiers, Harry, Damaskos, Dimitrios, Cornish, Julie, Parmar, Chetan, Mahawar, Kamal, Moug, Susan, Baiocchi, Gian Luca, Catena, Fausto, Tierney, Gillian, Wilson, Michael Samuel James
Emergency general surgery (EGS) patients account for more than one-third of admissions to hospitals in the National Health Service (NHS) in England. The associated mortality of these patients has been quoted as approximately eight times higher than that of elective surgical admissions. This study used a modified Delphi approach to identify research priorities in EGS. The aim was to establish a research
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Prognostic factors for the successful conservative management of nonocclusive mesenteric ischemia World J. Emerg. Surg. (IF 8.165) Pub Date : 2022-06-03 Toda, Yoko, Komatsu, Shunichiro, Fukami, Yasuyuki, Saito, Takuya, Matsumura, Tatsuki, Osawa, Takaaki, Kurahashi, Shintaro, Uchino, Tairin, Kato, Shoko, Yasui, Kohei, Hanazawa, Takaaki, Kaneko, Kenitiro, Sano, Tsuyoshi
The criteria for deciding upon non-operative management for nonocclusive mesenteric ischemia (NOMI) are poorly defined. The aim of this study is to determine the prognostic factors for survival in conservative treatment of NOMI. Patients with bowel ischemia were identified by searching for “ICD-10 code K550” in the Diagnosis Procedure Combination database between June 2015 and May 2020. A total of
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CT psoas calculations on the prognosis prediction of emergency laparotomy: a single-center, retrospective cohort study in eastern Asian population World J. Emerg. Surg. (IF 8.165) Pub Date : 2022-06-03 Wu, Xiao-Lin, Shen, Jie, Danzeng, Ci-Dian, Xu, Xiang-Shang, Cao, Zhi-Xin, Jiang, Wei
Emergency laparotomy (EL) has a high mortality rate. Clinically, frail patients have a poor tolerance for EL. In recent years, sarcopenia has been used as an important indicator of frailty and has received much attention. There have been five different calculation methods of psoas for computed tomography (CT) to measure sarcopenia, but lack of assessment of these calculation methods in Eastern Asian
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Periappendiceal fluid collection on preoperative computed tomography can be an indication for interval appendectomy: a retrospective study World J. Emerg. Surg. (IF 8.165) Pub Date : 2022-05-31 Kanaka, Shintaro, Mizutani, Satoshi, Yokoyama, Yasuyuki, Matsutani, Takeshi, Chihara, Naoto, Katsuno, Akira, Takata, Hideyuki, Nakata, Ryosuke, Mishima, Keisuke, Wada, Yudai, Shimizu, Takao, Yamagiwa, Ryo, Haruna, Takahiro, Nakamura, Yuka, Hamaguchi, Akira, Taniai, Nobuhiko, Yoshida, Hiroshi
The treatment strategies for acute appendicitis, such as emergency appendectomy (EA), interval appendectomy (IA), and repeating nonoperative management (NOM), are controversial. In this study, we examined the preoperative factors that can be used to distinguish which patients should undergo IA. We retrospectively identified 902 patients who underwent surgery for appendicitis in our hospital from January
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The application of the WSES classification system for open pelvic fractures—validation and supplement from a nationwide data bank World J. Emerg. Surg. (IF 8.165) Pub Date : 2022-05-27 Li, Pei-Hua, Hsu, Ting-An, Kuo, Yu-Chi, Fu, Chih-Yuan, Bajani, Francesco, Bokhari, Marissa, Mis, Justin, Poulakidas, Stathis, Bokhari, Faran
Open pelvic fractures are rare but complex injuries. Concomitant external and internal hemorrhage and wound infection-related sepsis result in a high mortality rate and treatment challenges. Here, we validated the World Society Emergency Society (WSES) classification system for pelvic injuries in open pelvic fractures, which are quite different from closed fractures, using the National Trauma Data
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In-hospital mortality associated with necrotizing soft tissue infection due to Vibrio vulnificus: a matched-pair cohort study World J. Emerg. Surg. (IF 8.165) Pub Date : 2022-05-27 Chang, Chih-Yao, Wu, Kai-Hsiang, Wu, Po-Han, Hung, Shang-Kai, Hsiao, Cheng-Ting, Wu, Shu-Ruei, Chang, Chia-Peng
It remains unclear whether Vibrio vulnificus necrotizing soft tissue infection (NSTI) is associated with higher mortality compared with non-Vibrio NSTI. This study’s objective was to compare outcomes including in-hospital mortality and prognosis between patients with V. vulnificus NSTI and those with non-Vibrio NSTI. A retrospective 1:2 matched-pair cohort study of hospitalized patients with NSTI diagnosed
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Risk factors associated with quadbike crashes: a systematic review World J. Emerg. Surg. (IF 8.165) Pub Date : 2022-05-26 Menon, Preetha, El-Deyarbi, Marwan, Khan, Moien AB., Al-Rifai, Rami H., Grivna, Michal, Östlundh, Linda, EI-Sadig, Mohamed
Quadbikes or all-terrain vehicles are known for their propensity for crashes resulting in injury, disability, and death. The control of these needless losses resulting from quadbike crashes has become an essential contributor to sustainable development goals. Understanding the risk factors for such injuries is essential for developing preventive policies and strategies. The aim of this review was to
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Meta-analysis of the clinical efficacy of laparoscopic appendectomy in the treatment of acute appendicitis World J. Emerg. Surg. (IF 8.165) Pub Date : 2022-05-26 Zhang, Guangzhe, Wu, Bo
This paper compares the postoperative recovery of patients with acute appendicitis (AA) after laparoscopic appendectomy (LA) and open appendectomy (OA), aiming to determine the optimal diagnosis and treatment plan for appendectomy. Related literature was retrieved from PubMed, Web of Science, Embase, CNKI and Wanfang databases. Articles on LA and OA for AA published between 2010 and 2021 were selected
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Vacuum-assisted closure versus on-demand relaparotomy in patients with secondary peritonitis—the VACOR trial: protocol for a randomised controlled trial World J. Emerg. Surg. (IF 8.165) Pub Date : 2022-05-26 Rajabaleyan, Pooya, Michelsen, Jens, Tange Holst, Uffe, Möller, Sören, Toft, Palle, Luxhøi, Jan, Buyukuslu, Musa, Bohm, Aske Mathias, Borly, Lars, Sandblom, Gabriel, Kobborg, Martin, Aagaard Poulsen, Kristian, Schou Løve, Uffe, Ovesen, Sophie, Grant Sølling, Christoffer, Mørch Søndergaard, Birgitte, Lund Lomholt, Marianne, Ritz Møller, Dorthe, Qvist, Niels, Bremholm Ellebæk, Mark
Secondary peritonitis is a severe condition with a 20–32% reported mortality. The accepted treatment modalities are vacuum-assisted closure (VAC) or primary closure with relaparotomy on-demand (ROD). However, no randomised controlled trial has been completed to compare the two methods potential benefits and disadvantages. This study will be a randomised controlled multicentre trial, including patients
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Combined endoscopic and radiologic intervention for management of acute perforated peptic ulcer: a randomized controlled trial World J. Emerg. Surg. (IF 8.165) Pub Date : 2022-05-24 Negm, Said, Mohamed, Hatem, Shafiq, Ahmed, AbdelKader, Taha, Ismail, Adel, Yassin, Mahmoud, Mousa, Bassam, Abozaid, Mohamed, Orban, Yasser A., Al Alawi, Mazoun, Farag, Ahmed
Peptic ulcer perforation is a common life-threatening surgical emergency. Graham omental patch is performed for plugging of perforated peptic ulcer. Many endoscopic methods have been used to treat acute perforated peptic ulcer such as over the scope clips, standard endoscopic clips, endoscopic sewing and metallic stents. The main idea in endoscopic management of acute perforated peptic ulcer is early
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Clinical presentation and surgical management of perforated peptic ulcer in a tertiary hospital in Mogadishu, Somalia: a 5-year retrospective study World J. Emerg. Surg. (IF 8.165) Pub Date : 2022-05-16 Ali, Abdihamid Mohamed, Mohamed, Abdulkadir Nor, Mohamed, Yahye Garad, Keleşoğlu, Salim İdris
Perforated peptic ulcer is a common surgical emergency condition worldwide, which is associated with significant morbidity and mortality if early diagnosis and immediate surgical management were not carried out. Perforation occurs in roughly 5% of PUD patients during their lifetime; this study aimed to explore the wide range of clinical presentations, associated risk factors, complications, and surgical
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The weekend effect on the provision of Emergency Surgery before and during the COVID-19 pandemic: case–control analysis of a retrospective multicentre database World J. Emerg. Surg. (IF 8.165) Pub Date : 2022-04-29 Tebala, Giovanni D., Milani, Marika S., Cirocchi, Roberto, Bignell, Mark, Bond-Smith, Giles, Lewis, Christopher, Agnoletti, Vanni, Catarci, Marco, Di Saverio, Salomone, Luridiana, Gianluigi, Catena, Fausto, Scatizzi, Marco, Marini, Pierluigi
The concept of “weekend effect”, that is, substandard healthcare during weekends, has never been fully demonstrated, and the different outcomes of emergency surgical patients admitted during weekends may be due to different conditions at admission and/or different therapeutic approaches. Aim of this international audit was to identify any change of pattern of emergency surgical admissions and treatments
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Reduction of motorcycle-related deaths over 15 years in a developing country World J. Emerg. Surg. (IF 8.165) Pub Date : 2022-04-29 Yasin, Yasin J., Eid, Hani O., Alao, David O., Grivna, Michal, Abu-Zidan, Fikri M.
There have been major improvements in the trauma system and injury prevention in Al-Ain City. We aimed to study the impact of these changes on the incidence, pattern, injury severity, and outcome of hospitalized motorcycle-related injured patients in Al-Ain City, United Arab Emirates. This is a retrospective analysis of two separate periods of prospectively collected data which were retrieved from
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The acute phase management of spinal cord injury affecting polytrauma patients: the ASAP study World J. Emerg. Surg. (IF 8.165) Pub Date : 2022-04-25 Picetti, Edoardo, Iaccarino, Corrado, Coimbra, Raul, Abu-Zidan, Fikri, Tebala, Giovanni D., Balogh, Zsolt J., Biffl, Walter L., Coccolini, Federico, Gupta, Deepak, Maier, Ronald V., Marzi, Ingo, Robba, Chiara, Sartelli, Massimo, Servadei, Franco, Stahel, Philip F., Taccone, Fabio S., Unterberg, Andreas W., Antonini, Marta Velia, Galante, Joseph M., Ansaloni, Luca, Kirkpatrick, Andrew W., Rizoli, Sandro
Few data on the management of acute phase of traumatic spinal cord injury (tSCI) in patients suffering polytrauma are available. As the therapeutic choices in the first hours may have a deep impact on outcome of tSCI patients, we conducted an international survey investigating this topic. The survey was composed of 29 items. The main endpoints of the survey were to examine: (1) the hemodynamic and
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Timing of pharmacologic venous thromboembolism prophylaxis initiation for trauma patients with nonoperatively managed blunt abdominal solid organ injury: a systematic review and meta-analysis World J. Emerg. Surg. (IF 8.165) Pub Date : 2022-04-25 Lamb, Tyler, Lenet, Tori, Zahrai, Amin, Shaw, Joseph R., McLarty, Ryan, Shorr, Risa, Le Gal, Grégoire, Glen, Peter
Blunt abdominal solid organ injury is common and is often managed nonoperatively. Clinicians must balance risk of both hemorrhage and thrombosis. The optimal timing of pharmacologic venous thromboembolism prophylaxis (VTEp) initiation in this population is unclear. The objective was to evaluate early (< 48 h) compared to late initiation of VTEp in adult trauma patients with blunt abdominal solid organ
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Minimally invasive surgery in emergency surgery: a WSES survey World J. Emerg. Surg. (IF 8.165) Pub Date : 2022-03-18 Ceresoli, Marco, Pisano, Michele, Abu-Zidan, Fikri, Allievi, Niccolò, Gurusamy, Kurinchi, Biffl, Walt L., Tebala, Giovanni D., Catena, Fausto, Ansaloni, Luca, Sartelli, Massimo, Kluger, Yoram, Baiocchi, Gianluca, Coccolini, Federico
The diffusion of minimally invasive surgery in emergency surgery still represents a developing challenge. Evidence about the use of minimally invasive surgery shows its feasibility and safety; however, the diffusion of these techniques is still poor. The aims of the present survey were to explore the diffusion and variations in the use of minimally invasive surgery among surgeons in the emergency setting
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It is time to define an organizational model for the prevention and management of infections along the surgical pathway: a worldwide cross-sectional survey World J. Emerg. Surg. (IF 8.165) Pub Date : 2022-03-17 Sartelli, Massimo, Labricciosa, Francesco M., Coccolini, Federico, Coimbra, Raul, Abu-Zidan, Fikri M., Ansaloni, Luca, Al-Hasan, Majdi N., Ansari, Shamshul, Barie, Philip S., Caínzos, Miguel Angel, Ceresoli, Marco, Chiarugi, Massimo, Claridge, Jeffrey A., Cicuttin, Enrico, Dellinger, Evan Patchen, Fry, Donald E., Guirao, Xavier, Hardcastle, Timothy Craig, Hecker, Andreas, Leppäniemi, Ari K., Litvin
The objectives of the study were to investigate the organizational characteristics of acute care facilities worldwide in preventing and managing infections in surgery; assess participants’ perception regarding infection prevention and control (IPC) measures, antibiotic prescribing practices, and source control; describe awareness about the global burden of antimicrobial resistance (AMR) and IPC measures;
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The necessity of abdominal drainage for patients with complicated appendicitis undergoing laparoscopic appendectomy: a retrospective cohort study World J. Emerg. Surg. (IF 8.165) Pub Date : 2022-03-17 Liao, Yu-Tso, Huang, John, Wu, Chia-Tung, Chen, Pei-Chen, Hsieh, Tsung-Ting, Lai, Feipei, Chen, Tzu-Chun, Liang, Jin-Tung
This study aimed to evaluate the necessity of abdominal drainage after laparoscopic appendectomy in patients with complicated appendicitis. Patients with acute appendicitis undergoing laparoscopic appendectomy at two hospitals between January 2014 and December 2018 were retrospectively included. Complicated appendicitis was defined as the American Association for the Surgery of Trauma (AAST) grade ≥ II
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It’s time for a minimum synoptic operation template in patients undergoing laparoscopic cholecystectomy: a systematic review World J. Emerg. Surg. (IF 8.165) Pub Date : 2022-03-17 O’Connor, Niall, Sugrue, Michael, Melly, Conor, McGeehan, Gearoid, Bucholc, Magda, Crawford, Aileen, O’Connor, Paul, Abu-Zidan, Fikri, Wani, Imtiaz, Balogh, Zsolt J., Shelat, Vishal G., Tebala, Giovanni D., De Simone, Belinda, Eid, Hani O., Chirica, Mircea, Fraga, Gustavo P., Di Saverio, Salomone, Picetti, Edoardo, Bonavina, Luigi, Ceresoli, Marco, Fette, Andreas, Sakakushe, Boris, Pikoulis, Emmanouil
Despite the call to enhance accuracy and value of operation records few international recommended minimal standards for operative notes documentation have been described. This study undertook a systematic review of existing operative reporting systems for laparoscopic cholecystectomy (LC) to fashion a comprehensive, synoptic operative reporting template for the future. A search for all relevant articles
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Self-perceived preparedness and training needs of healthcare personnel on humanitarian mission: a pre- and post-deployment survey World J. Emerg. Surg. (IF 8.165) Pub Date : 2022-03-05 Haverkamp, Frederike J. C., van Leest, Tristan A. J., Muhrbeck, Måns, Hoencamp, Rigo, Wladis, Andreas, Tan, Edward C. T. H.
Humanitarian healthcare workers are indispensable for treating weapon-wounded patients in armed conflict, and the international humanitarian community should ensure adequate preparedness for this task. This study aims to assess deployed humanitarian healthcare workers’ self-perceived preparedness, training requirements and mental support needs. Medical professionals deployed with the International
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WSES guidelines on blunt and penetrating bowel injury: diagnosis, investigations, and treatment World J. Emerg. Surg. (IF 8.165) Pub Date : 2022-03-04 Smyth, Luke, Bendinelli, Cino, Lee, Nicholas, Reeds, Matthew G., Loh, Eu Jhin, Amico, Francesco, Balogh, Zsolt J., Di Saverio, Salomone, Weber, Dieter, ten Broek, Richard Peter, Abu-Zidan, Fikri M., Campanelli, Giampiero, Beka, Solomon Gurmu, Chiarugi, Massimo, Shelat, Vishal G., Tan, Edward, Moore, Ernest, Bonavina, Luigi, Latifi, Rifat, Hecker, Andreas, Khan, Jim, Coimbra, Raul, Tebala, Giovanni
The aim of this paper was to review the recent literature to create recommendations for the day-to-day diagnosis and surgical management of small bowel and colon injuries. Where knowledge gaps were identified, expert consensus was pursued during the 8th International Congress of the World Society of Emergency Surgery Annual (September 2021, Edinburgh). This process also aimed to guide future research
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Lung failure after polytrauma with concomitant thoracic trauma in the elderly: an analysis from the TraumaRegister DGU® World J. Emerg. Surg. (IF 8.165) Pub Date : 2022-02-23 Vollrath, Jan Tilmann, Schindler, Cora Rebecca, Marzi, Ingo, Lefering, Rolf, Störmann, Philipp
In developed countries worldwide, the number of older patients is increasing. Pulmonary complications are common in multiple injured patients with chest injuries. We assessed whether geriatric patients develop lung failure following multiple trauma with concomitant thoracic trauma more often than younger patients. A retrospective analysis of severely injured patients with concomitant blunt thoracic
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Outcomes of total versus partial colectomy in fulminant Clostridium difficile colitis: a propensity matched analysis World J. Emerg. Surg. (IF 8.165) Pub Date : 2022-02-13 Ahmed, Nasim, Kuo, Yen-Hong
The Total Abdominal Colectomy (TAC) is the recommended procedure for Fulminant Clostridium Difficile Colitis (FCDC), however, occasionally, FCDC is also treated with partial colectomies. The purpose of the study was to identify the outcomes of partial colectomy in FCDC cases. The National Surgical Quality Improvement Program database was accessed and eligible patients from 2012 through 2016 were reviewed
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Knowledge, attitude, and practice of artificial intelligence in emergency and trauma surgery, the ARIES project: an international web-based survey World J. Emerg. Surg. (IF 8.165) Pub Date : 2022-02-10 De Simone, Belinda, Abu-Zidan, Fikri M., Gumbs, Andrew A., Chouillard, Elie, Di Saverio, Salomone, Sartelli, Massimo, Coccolini, Federico, Ansaloni, Luca, Collins, Toby, Kluger, Yoram, Moore, Ernest E., Litvin, Andrej, Leppaniemi, Ari, Mascagni, Pietro, Milone, Luca, Piccoli, Micaela, Abu-Hilal, Mohamed, Sugrue, Michael, Biffl, Walter L., Catena, Fausto
We aimed to evaluate the knowledge, attitude, and practices in the application of AI in the emergency setting among international acute care and emergency surgeons. An online questionnaire composed of 30 multiple choice and open-ended questions was sent to the members of the World Society of Emergency Surgery between 29th May and 28th August 2021. The questionnaire was developed by a panel of 11 international
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Cost analysis of negative-pressure wound therapy versus standard treatment of acute conflict-related extremity wounds within a randomized controlled trial World J. Emerg. Surg. (IF 8.165) Pub Date : 2022-02-10 Älgå, Andreas, Löfgren, Jenny, Haweizy, Rawand, Bashaireh, Khaldoon, Wong, Sidney, Forsberg, Birger C., von Schreeb, Johan, Malmstedt, Jonas
Clinical outcomes after negative-pressure wound therapy (NPWT) and standard treatment of conflict-related extremity wounds are similar. In resource-limited settings, cost affects the choice of treatment. We aimed to estimate treatment-related costs of NPWT in comparison with standard treatment for conflict-related extremity wounds. We derived outcome data from a randomized, controlled superiority trial
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Emergency surgery admissions and the COVID-19 pandemic: did the first wave really change our practice? Results of an ACOI/WSES international retrospective cohort audit on 6263 patients World J. Emerg. Surg. (IF 8.165) Pub Date : 2022-01-28 Tebala, Giovanni D., Milani, Marika S., Bignell, Mark, Bond-Smith, Giles, Lewis, Christopher, Cirocchi, Roberto, Di Saverio, Salomone, Catena, Fausto, Scatizzi, Marco, Marini, Pierluigi
The COVID-19 pandemic is having a deep impact on emergency surgical services, with a significant reduction of patients admitted into emergency surgical units world widely. Reliable figures of this reduction have not been produced yet. Our international audit aimed at giving a precise snapshot of the absolute and relative changes of emergency surgical admissions at the outbreak of the pandemic. Datasets
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Motorized 2–3 wheelers death rates over a decade: a global study World J. Emerg. Surg. (IF 8.165) Pub Date : 2022-01-26 Yasin, Yasin J., Grivna, Michal, Abu-Zidan, Fikri M.
Motorized 2–3-wheelers-related death is high due to the exposed body of the driver/passenger and the high speed. The United Nation (UN) Decade of Action for road safety aimed to reduce road traffic deaths by 50% by the year 2020. We aimed to study the factors affecting the death rates of motorized 2–3 wheelers injured victims and whether the reduction in the death rates has met the UN target. Data
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Hybrid gastroenterostomy using a lumen-apposing metal stent: a case report focusing on misdeployment and systematic review of the current literature World J. Emerg. Surg. (IF 8.165) Pub Date : 2022-01-22 Fabbri, Carlo, Binda, Cecilia, Fugazzola, Paola, Sbrancia, Monica, Tomasoni, Matteo, Coluccio, Chiara, Jung, Carlo Felix Maria, Prosperi, Enrico, Agnoletti, Vanni, Ansaloni, Luca
Gastric outlet obstruction can result from several benign and malignant diseases, in particular gastric, duodenal or pancreatic tumors. Surgical gastroenterostomy and enteral endoscopic stenting have represented effective therapeutic options, although recently endoscopic ultrasound-guided gastroenterostomy using lumen-apposing metal stent (LAMS) is spreading improving the outcome of this condition
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The WSES/SICG/ACOI/SICUT/AcEMC/SIFIPAC guidelines for diagnosis and treatment of acute left colonic diverticulitis in the elderly World J. Emerg. Surg. (IF 8.165) Pub Date : 2022-01-21 Fugazzola, Paola, Ceresoli, Marco, Coccolini, Federico, Gabrielli, Francesco, Puzziello, Alessandro, Monzani, Fabio, Amato, Bruno, Sganga, Gabriele, Sartelli, Massimo, Menichetti, Francesco, Puglisi, Gabriele Adolfo, Tartaglia, Dario, Carcoforo, Paolo, Avenia, Nicola, Kluger, Yoram, Paolillo, Ciro, Zago, Mauro, Leppäniemi, Ari, Tomasoni, Matteo, Cobianchi, Lorenzo, Dal Mas, Francesca, Improta, Mario
Acute left colonic diverticulitis (ALCD) in the elderly presents with unique epidemiological features when compared with younger patients. The clinical presentation is more nuanced in the elderly population, having higher in-hospital and postoperative mortality. Furthermore, geriatric comorbidities are a risk factor for complicated diverticulitis. Finally, elderly patients have a lower risk of recurrent
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Robotic surgery in emergency setting: 2021 WSES position paper World J. Emerg. Surg. (IF 8.165) Pub Date : 2022-01-20 de’Angelis, Nicola, Khan, Jim, Marchegiani, Francesco, Bianchi, Giorgio, Aisoni, Filippo, Alberti, Daniele, Ansaloni, Luca, Biffl, Walter, Chiara, Osvaldo, Ceccarelli, Graziano, Coccolini, Federico, Cicuttin, Enrico, D’Hondt, Mathieu, Di Saverio, Salomone, Diana, Michele, De Simone, Belinda, Espin-Basany, Eloy, Fichtner-Feigl, Stefan, Kashuk, Jeffry, Kouwenhoven, Ewout, Leppaniemi, Ari, Beghdadi, Nassiba
Robotics represents the most technologically advanced approach in minimally invasive surgery (MIS). Its application in general surgery has increased progressively, with some early experience reported in emergency settings. The present position paper, supported by the World Society of Emergency Surgery (WSES), aims to provide a systematic review of the literature to develop consensus statements about
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WSES/GAIS/WSIS/SIS-E/AAST global clinical pathways for patients with skin and soft tissue infections World J. Emerg. Surg. (IF 8.165) Pub Date : 2022-01-15 Sartelli, Massimo, Coccolini, Federico, Kluger, Yoram, Agastra, Ervis, Abu-Zidan, Fikri M., Abbas, Ashraf El Sayed, Ansaloni, Luca, Adesunkanmi, Abdulrashid Kayode, Augustin, Goran, Bala, Miklosh, Baraket, Oussama, Biffl, Walter L., Ceresoli, Marco, Cerutti, Elisabetta, Chiara, Osvaldo, Cicuttin, Enrico, Chiarugi, Massimo, Coimbra, Raul, Corsi, Daniela, Cortese, Francesco, Cui, Yunfeng, Damaskos, Dimitris
Skin and soft-tissue infections (SSTIs) encompass a variety of pathological conditions that involve the skin and underlying subcutaneous tissue, fascia, or muscle, ranging from simple superficial infections to severe necrotizing infections. Together, the World Society of Emergency Surgery, the Global Alliance for Infections in Surgery, the Surgical Infection Society-Europe, The World Surgical Infection
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Kuala Lumpur train collision during the COVID-19 pandemic World J. Emerg. Surg. (IF 8.165) Pub Date : 2022-01-11 Idrose, Alzamani M., Abu-Zidan, Fikri M., Roslan, Nurul Liana, Hashim, Khairul Izwan M., Mohd Adibi, Saiyidi Mohd Azizi, Abd. Wahab, Mahathar
Two city trains collided in an underground tunnel on 24 May 2021 at the height of COVID-19 pandemic near the Petronas Towers, Kuala Lumpur, Malaysia, immediately after the evening rush hours. We aim to evaluate the management of this mass casualty incident highlighting the lessons learned to be used in preparedness for similar incidents that may occur in other major cities worldwide. Information regarding
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Differentiating necrotizing soft tissue infections from cellulitis by soft tissue infectious fluid analysis: a pilot study World J. Emerg. Surg. (IF 8.165) Pub Date : 2022-01-08 Wu, Kai-Hsiang, Wu, Po-Han, Chang, Chih-Yao, Kuo, Yen-Ting, Hsiao, Kuang-Yu, Hsiao, Cheng-Ting, Hung, Shang-Kai, Chang, Chia-Peng
We conducted this study to evaluate the characteristics of the infectious fluid in soft tissue infection and investigate the utility of the biochemical tests and Gram stain smear of the infectious fluid in distinguishing necrotizing soft tissue infection (NSTI) from cellulitis. This retrospective cohort study was conducted in a tertiary care hospital in Taiwan. From April 2019 to October 2020, patients
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Rethinking preparedness planning in disaster emergency care: lessons from a beyond-surge-capacity event World J. Emerg. Surg. (IF 8.165) Pub Date : 2021-11-29 Chuang, Sheuwen, Woods, David D., Reynolds, Morgan, Ting, Hsien-Wei, Balkin, Asher, Hsu, Chin-Wang
Large-scale burn disasters can produce casualties that threaten medical care systems. This study proposes a new approach for developing hospital readiness and preparedness plan for these challenging beyond-surge-capacity events. The Formosa Fun Coast Dust Explosion (FFCDE) was studied. Data collection consisted of in-depth interviews with clinicians from four initial receiving hospitals and their relevant
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A clinical predictive model for risk stratification of patients with severe acute lower gastrointestinal bleeding World J. Emerg. Surg. (IF 8.165) Pub Date : 2021-11-22 Singh, Manraj, Chiang, Jayne, Seah, Andre, Liu, Nan, Mathew, Ronnie, Mathur, Sachin
Lower gastrointestinal bleeding (LGIB) is a common presentation of surgical admissions, imposing a significant burden on healthcare costs and resources. There is a paucity of standardised clinical predictive tools available for the initial assessment and risk stratification of patients with LGIB. We propose a simple clinical scoring model to prognosticate patients at risk of severe LGIB and an algorithm
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Impact of the COVID-19 Pandemic on road traffic collision injury patterns and severity in Al-Ain City, United Arab Emirates World J. Emerg. Surg. (IF 8.165) Pub Date : 2021-11-19 Yasin, Yasin J., Alao, David O., Grivna, Michal, Abu-Zidan, Fikri M.
The COVID-19 Pandemic lockdowns restricted human and traffic mobility impacting the patterns and severity of road traffic collisions (RTCs). We aimed to study the effects of the COVID-19 Pandemic on incidence, patterns, severity of the injury, and outcomes of hospitalized RTCs trauma patients in Al-Ain City, United Arab Emirates. We compared the data of two cohorts of patients which were collected
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Emergency angiography for trauma patients and potential association with acute kidney injury World J. Emerg. Surg. (IF 8.165) Pub Date : 2021-11-04 Yamamoto, Ryo, Cestero, Ramon F., Yoshizawa, Jo, Maeshima, Katsuya, Sasaki, Junichi
Angiography has been conducted as a hemostatic procedure for trauma patients. While several complications, such as tissue necrosis after embolization, have been reported, little is known regarding subsequent acute kidney injury (AKI) due to contrast media. To elucidate whether emergency angiography would introduce kidney dysfunction in trauma victims, we compared the incidence of AKI between patients
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Correction to: Team dynamics in emergency surgery teams: results from a first international survey World J. Emerg. Surg. (IF 8.165) Pub Date : 2021-11-01 Cobianchi, Lorenzo, Dal Mas, Francesca, Massaro, Maurizio, Fugazzola, Paola, Coccolini, Federico, Kluger, Yoram, Leppäniemi, Ari, Moore, Ernest E., Sartelli, Massimo, Angelos, Peter, Catena, Fausto, Ansaloni, Luca
The original article [1] has been corrected to restore Fausto Catena to the main authorship after having been mistakenly removed during production. 1. Cobianchi L, et al. Team dynamics in emergency surgery teams: results from a frst international survey. World J Emerg Surg. 2021;16:47. https://doi.org/10.1186/s13017-021-00389-6. Article PubMed PubMed Central Google Scholar Download referencesAuthor
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Accuracy of the WSES classification system for pelvic ring disruptions: an international validation study World J. Emerg. Surg. (IF 8.165) Pub Date : 2021-10-16 Wang, Szu-Han, Fu, Chih-Yuan, Bajani, Francesco, Bokhari, Marissa, Mis, Justin, Poulakidas, Stathis, Bokhari, Faran
In 2017, a novel classification for pelvic injuries was established by the World Society of Emergency Surgery (WSES). We validated its effectiveness using nationwide real-world data. The roles of associated vascular injury and open fracture in this system were also evaluated. Patients with pelvic fractures in the National Trauma Data Bank 2015 dataset were retrospectively studied. First, the mortality
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Variation in use of damage control laparotomy for trauma by trauma centers in the United States, Canada, and Australasia World J. Emerg. Surg. (IF 8.165) Pub Date : 2021-10-14 Roberts, Derek J., Faris, Peter D., Ball, Chad G., Kirkpatrick, Andrew W., Moore, Ernest E., Feliciano, David V., Rhee, Peter, D’Amours, Scott, Stelfox, Henry T.
It is unknown how frequently damage control (DC) laparotomy is used across trauma centers in different countries. We conducted a cross-sectional survey of trauma centers in the United States, Canada, and Australasia to study variations in use of the procedure and predictors of more frequent use of DC laparotomy. A self-administered, electronic, cross-sectional survey of trauma centers in the United
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Periappendiceal fat-stranding models for discriminating between complicated and uncomplicated acute appendicitis: a diagnostic and validation study World J. Emerg. Surg. (IF 8.165) Pub Date : 2021-10-13 Lin, Hui-An, Tsai, Hung-Wei, Chao, Chun-Chieh, Lin, Sheng-Feng
Recent studies have reported promising outcomes of non-operative treatment for uncomplicated appendicitis; however, the preoperative prediction of complicated appendicitis is challenging. We developed models by incorporating fat stranding (FS), which is commonly observed in perforated appendicitis. We reviewed the data of 402 consecutive patients with confirmed acute appendicitis from our prospective
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Global impact of COVID-19 pandemic on road traffic collisions World J. Emerg. Surg. (IF 8.165) Pub Date : 2021-09-28 Yasin, Yasin J., Grivna, Michal, Abu-Zidan, Fikri M.
Various strategies to reduce the spread of COVID-19 including lockdown and stay-at-home order are expected to reduce road traffic characteristics and consequently road traffic collisions (RTCs). We aimed to review the effects of the COVID-19 pandemic on the incidence, patterns, and severity of the injury, management, and outcomes of RTCs and give recommendations on improving road safety during this
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WSES project on decision support systems based on artificial neural networks in emergency surgery World J. Emerg. Surg. (IF 8.165) Pub Date : 2021-09-26 Litvin, Andrey, Korenev, Sergey, Rumovskaya, Sophiya, Sartelli, Massimo, Baiocchi, Gianluca, Biffl, Walter L., Coccolini, Federico, Di Saverio, Salomone, Kelly, Michael Denis, Kluger, Yoram, Leppäniemi, Ari, Sugrue, Michael, Catena, Fausto
The article is a scoping review of the literature on the use of decision support systems based on artificial neural networks in emergency surgery. The authors present modern literature data on the effectiveness of artificial neural networks for predicting, diagnosing and treating abdominal emergency conditions: acute appendicitis, acute pancreatitis, acute cholecystitis, perforated gastric or duodenal
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WSES/GAIS/SIS-E/WSIS/AAST global clinical pathways for patients with intra-abdominal infections World J. Emerg. Surg. (IF 8.165) Pub Date : 2021-09-25 Sartelli, Massimo, Coccolini, Federico, Kluger, Yoram, Agastra, Ervis, Abu-Zidan, Fikri M., Abbas, Ashraf El Sayed, Ansaloni, Luca, Adesunkanmi, Abdulrashid Kayode, Atanasov, Boyko, Augustin, Goran, Bala, Miklosh, Baraket, Oussama, Baral, Suman, Biffl, Walter L., Boermeester, Marja A., Ceresoli, Marco, Cerutti, Elisabetta, Chiara, Osvaldo, Cicuttin, Enrico, Chiarugi, Massimo, Coimbra, Raul, Colak,
Intra-abdominal infections (IAIs) are common surgical emergencies and have been reported as major contributors to non-trauma deaths in hospitals worldwide. The cornerstones of effective treatment of IAIs include early recognition, adequate source control, appropriate antimicrobial therapy, and prompt physiologic stabilization using a critical care environment, combined with an optimal surgical approach
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WSES project on decision support systems based on artificial neural networks in emergency surgery. World J. Emerg. Surg. (IF 8.165) Pub Date : 2021-09-26 Andrey Litvin,Sergey Korenev,Sophiya Rumovskaya,Massimo Sartelli,Gianluca Baiocchi,Walter L Biffl,Federico Coccolini,Salomone Di Saverio,Michael Denis Kelly,Yoram Kluger,Ari Leppäniemi,Michael Sugrue,Fausto Catena
The article is a scoping review of the literature on the use of decision support systems based on artificial neural networks in emergency surgery. The authors present modern literature data on the effectiveness of artificial neural networks for predicting, diagnosing and treating abdominal emergency conditions: acute appendicitis, acute pancreatitis, acute cholecystitis, perforated gastric or duodenal
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WSES/GAIS/SIS-E/WSIS/AAST global clinical pathways for patients with intra-abdominal infections. World J. Emerg. Surg. (IF 8.165) Pub Date : 2021-09-25 Massimo Sartelli,Federico Coccolini,Yoram Kluger,Ervis Agastra,Fikri M Abu-Zidan,Ashraf El Sayed Abbas,Luca Ansaloni,Abdulrashid Kayode Adesunkanmi,Boyko Atanasov,Goran Augustin,Miklosh Bala,Oussama Baraket,Suman Baral,Walter L Biffl,Marja A Boermeester,Marco Ceresoli,Elisabetta Cerutti,Osvaldo Chiara,Enrico Cicuttin,Massimo Chiarugi,Raul Coimbra,Elif Colak,Daniela Corsi,Francesco Cortese,Yunfeng Cui
Intra-abdominal infections (IAIs) are common surgical emergencies and have been reported as major contributors to non-trauma deaths in hospitals worldwide. The cornerstones of effective treatment of IAIs include early recognition, adequate source control, appropriate antimicrobial therapy, and prompt physiologic stabilization using a critical care environment, combined with an optimal surgical approach
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Anorectal emergencies: WSES-AAST guidelines World J. Emerg. Surg. (IF 8.165) Pub Date : 2021-09-16 Tarasconi, Antonio, Perrone, Gennaro, Davies, Justin, Coimbra, Raul, Moore, Ernest, Azzaroli, Francesco, Abongwa, Hariscine, De Simone, Belinda, Gallo, Gaetano, Rossi, Giorgio, Abu-Zidan, Fikri, Agnoletti, Vanni, de’Angelis, Gianluigi, de’Angelis, Nicola, Ansaloni, Luca, Baiocchi, Gian Luca, Carcoforo, Paolo, Ceresoli, Marco, Chichom-Mefire, Alain, Di Saverio, Salomone, Gaiani, Federica, Giuffrida
Anorectal emergencies comprise a wide variety of diseases that share common symptoms, i.e., anorectal pain or bleeding and might require immediate management. While most of the underlying conditions do not need inpatient management, some of them could be life-threatening and need prompt recognition and treatment. It is well known that an incorrect diagnosis is frequent for anorectal diseases and that
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Team dynamics in emergency surgery teams: results from a first international survey World J. Emerg. Surg. (IF 8.165) Pub Date : 2021-09-16 Cobianchi, Lorenzo, Dal Mas, Francesca, Massaro, Maurizio, Fugazzola, Paola, Coccolini, Federico, Kluger, Yoram, Leppäniemi, Ari, Moore, Ernest E., Sartelli, Massimo, Angelos, Peter, Ansaloni, Luca
Emergency surgery represents a unique context. Trauma teams are often multidisciplinary and need to operate under extreme stress and time constraints, sometimes with no awareness of the trauma’s causes or the patient’s personal and clinical information. In this perspective, the dynamics of how trauma teams function is fundamental to ensuring the best performance and outcomes. An online survey was conducted
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A pandemic recap: lessons we have learned World J. Emerg. Surg. (IF 8.165) Pub Date : 2021-09-10 Coccolini, Federico, Cicuttin, Enrico, Cremonini, Camilla, Tartaglia, Dario, Viaggi, Bruno, Kuriyama, Akira, Picetti, Edoardo, Ball, Chad, Abu-Zidan, Fikri, Ceresoli, Marco, Turri, Bruno, Jain, Sumita, Palombo, Carlo, Guirao, Xavier, Rodrigues, Gabriel, Gachabayov, Mahir, Machado, Fernando, Eftychios, Lostoridis, Kanj, Souha S., Di Carlo, Isidoro, Di Saverio, Salomone, Khokha, Vladimir, Kirkpatrick
On January 2020, the WHO Director General declared that the outbreak constitutes a Public Health Emergency of International Concern. The world has faced a worldwide spread crisis and is still dealing with it. The present paper represents a white paper concerning the tough lessons we have learned from the COVID-19 pandemic. Thus, an international and heterogenous multidisciplinary panel of very differentiated