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6 results on '"Beka, S.G."'

1. WSES consensus guidelines on sigmoid volvulus management.

Author

Tian, B.W.C.A., Vigutto, G., Tan, E.C.T.H., Goor, H. van, Bendinelli, C., Abu-Zidan, F., Ivatury, R., Sakakushev, B., Carlo, I. Di, Sganga, G., Maier, R.V., Coimbra, R., Leppäniemi, A., Litvin, A., Damaskos, D., Broek, R.P.G ten, Biffl, W., Saverio, S. Di, Simone, B. De, Ceresoli, M., Picetti, E., Galante, J., Tebala, G.D., Beka, S.G., Bonavina, L., Cui, Y., Khan, J., Cicuttin, E., Amico, F., Kenji, I., Hecker, A., Ansaloni, L., Sartelli, M., Moore, E.E., Kluger, Y., Testini, M., Weber, D., Agnoletti, V., Angelis, N.D., Coccolini, F., Sall, I., Catena, F., Tian, B.W.C.A., Vigutto, G., Tan, E.C.T.H., Goor, H. van, Bendinelli, C., Abu-Zidan, F., Ivatury, R., Sakakushev, B., Carlo, I. Di, Sganga, G., Maier, R.V., Coimbra, R., Leppäniemi, A., Litvin, A., Damaskos, D., Broek, R.P.G ten, Biffl, W., Saverio, S. Di, Simone, B. De, Ceresoli, M., Picetti, E., Galante, J., Tebala, G.D., Beka, S.G., Bonavina, L., Cui, Y., Khan, J., Cicuttin, E., Amico, F., Kenji, I., Hecker, A., Ansaloni, L., Sartelli, M., Moore, E.E., Kluger, Y., Testini, M., Weber, D., Agnoletti, V., Angelis, N.D., Coccolini, F., Sall, I., and Catena, F.

Abstract

Item does not contain fulltext, 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 experts to review the current evidence and propose a consensus guidelines on the management of sigmoid volvulus.

Published
2023

2. Source control in emergency general surgery: WSES, GAIS, SIS-E, SIS-A guidelines.

Author

Coccolini, F., Sartelli, M., Sawyer, R., Rasa, K., Viaggi, B., Abu-Zidan, F., Soreide, K., Hardcastle, T., Gupta, D., Bendinelli, C., Ceresoli, M., Shelat, V.G., Broek, R.P. ten, Baiocchi, G.L., Moore, E.E., Sall, I., Podda, M., Bonavina, L., Kryvoruchko, I.A., Stahel, P., Inaba, K., Montravers, P., Sakakushev, B., Sganga, G., Ballestracci, P., Malbrain, M.L.N.G., Vincent, J.L., Pikoulis, M., Beka, S.G., Doklestic, K., Chiarugi, M., Falcone, M., Bignami, E., Reva, V., Demetrashvili, Z., Saverio, S. Di, Tolonen, M., Navsaria, P., Bala, M., Balogh, Z., Litvin, A., Hecker, A., Wani, I., Fette, A., Simone, B. De, Ivatury, R., Picetti, E., Khokha, V., Tan, E.C.T.H., Ball, C., Tascini, C., Cui, Y., Coimbra, R., Kelly, M., Martino, C., Agnoletti, V., Boermeester, M.A., De'Angelis, N., Chirica, M., Biffl, W.L., Ansaloni, L., Kluger, Y., Catena, F., Kirkpatrick, A.W., Coccolini, F., Sartelli, M., Sawyer, R., Rasa, K., Viaggi, B., Abu-Zidan, F., Soreide, K., Hardcastle, T., Gupta, D., Bendinelli, C., Ceresoli, M., Shelat, V.G., Broek, R.P. ten, Baiocchi, G.L., Moore, E.E., Sall, I., Podda, M., Bonavina, L., Kryvoruchko, I.A., Stahel, P., Inaba, K., Montravers, P., Sakakushev, B., Sganga, G., Ballestracci, P., Malbrain, M.L.N.G., Vincent, J.L., Pikoulis, M., Beka, S.G., Doklestic, K., Chiarugi, M., Falcone, M., Bignami, E., Reva, V., Demetrashvili, Z., Saverio, S. Di, Tolonen, M., Navsaria, P., Bala, M., Balogh, Z., Litvin, A., Hecker, A., Wani, I., Fette, A., Simone, B. De, Ivatury, R., Picetti, E., Khokha, V., Tan, E.C.T.H., Ball, C., Tascini, C., Cui, Y., Coimbra, R., Kelly, M., Martino, C., Agnoletti, V., Boermeester, M.A., De'Angelis, N., Chirica, M., Biffl, W.L., Ansaloni, L., Kluger, Y., Catena, F., and Kirkpatrick, A.W.

Abstract

Item does not contain fulltext, 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 other etiologies of sepsis is the frequent requirement to provide physical source control. Fortunately, dramatic advances have been made in this aspect of treatment. Historically, source control was left to surgeons only. With new technologies non-surgical less invasive interventional procedures have been introduced. Alternatively, in addition to formal surgery open abdomen techniques have long been proposed as aiding source control in severe intra-abdominal sepsis. It is ironic that while a lack or even delay regarding source control clearly associates with death, it is a concept that remains poorly described. For example, no conclusive definition of source control technique or even adequacy has been universally accepted. Practically, source control involves a complex definition encompassing several factors including the causative event, source of infection bacteria, local bacterial flora, patient condition, and his/her eventual comorbidities. With greater understanding of the systemic pathobiology of sepsis and the profound implications of the human microbiome, adequate source control is no longer only a surgical issue but one that requires a multidisciplinary, multimodality approach. Thus, while any breach in the GI tract must be controlled, source control should also attempt to control the generation and propagation of the systemic biomediators and dysbiotic influences on the microbiome that perpetuate multi-system organ failure and death. Given these increased complexities, the present paper represents the current opinions and recommendations for future research of th

Published
2023

3. Enhanced perioperative care in emergency general surgery: the WSES position paper.

Author

Ceresoli, M., Braga, M., Zanini, N., Abu-Zidan, F.M., Parini, D., Langer, T., Sartelli, M., Damaskos, D., Biffl, W.L., Amico, F., Ansaloni, L., Balogh, Z.J., Bonavina, L., Civil, I., Cicuttin, E., Chirica, M., Cui, Y., Simone, B. De, Carlo, I. Di, Fette, A., Foti, G., Fogliata, M., Fraga, G.P., Fugazzola, P., Galante, J.M., Beka, S.G., Hecker, A., Jeekel, J., Kirkpatrick, A.W., Koike, Kaoru, Leppäniemi, A., Marzi, I., Moore, E.E., Picetti, E., Pikoulis, E., Pisano, M., Podda, M., Sakakushev, B.E., Shelat, V.G., Tan, E.C.T.H., Tebala, G.D., Velmahos, G., Weber, D.G., Agnoletti, V., Kluger, Y., Baiocchi, G., Catena, F., Coccolini, F., Ceresoli, M., Braga, M., Zanini, N., Abu-Zidan, F.M., Parini, D., Langer, T., Sartelli, M., Damaskos, D., Biffl, W.L., Amico, F., Ansaloni, L., Balogh, Z.J., Bonavina, L., Civil, I., Cicuttin, E., Chirica, M., Cui, Y., Simone, B. De, Carlo, I. Di, Fette, A., Foti, G., Fogliata, M., Fraga, G.P., Fugazzola, P., Galante, J.M., Beka, S.G., Hecker, A., Jeekel, J., Kirkpatrick, A.W., Koike, Kaoru, Leppäniemi, A., Marzi, I., Moore, E.E., Picetti, E., Pikoulis, E., Pisano, M., Podda, M., Sakakushev, B.E., Shelat, V.G., Tan, E.C.T.H., Tebala, G.D., Velmahos, G., Weber, D.G., Agnoletti, V., Kluger, Y., Baiocchi, G., Catena, F., and Coccolini, F.

Abstract

Contains fulltext : 297347.pdf (Publisher’s version ) (Open Access), Enhanced perioperative care protocols become the standard of care in elective surgery with a significant improvement in patients' outcome. The key element of the enhanced perioperative care protocol is the multimodal and interdisciplinary approach targeted to the patient, focused on a holistic approach to reduce surgical stress and improve perioperative recovery. Enhanced perioperative care in emergency general surgery is still a debated topic with little evidence available. The present position paper illustrates the existing evidence about perioperative care in emergency surgery patients with a focus on each perioperative intervention in the preoperative, intraoperative and postoperative phase. For each item was proposed and approved a statement by the WSES collaborative group.

Published
2023

4. Cesena guidelines: WSES consensus statement on laparoscopic-first approach to general surgery emergencies and abdominal trauma.

Author

Sermonesi, G., Tian, B.W.C.A., Vallicelli, C., Abu-Zidan, F.M., Damaskos, D., Kelly, M.D., Leppäniemi, A., Galante, J.M., Tan, E.C.T.H., Kirkpatrick, A.W., Khokha, V., Romeo, O.M., Chirica, M., Pikoulis, M., Litvin, A., Shelat, V.G., Sakakushev, B., Wani, I., Sall, I., Fugazzola, P., Cicuttin, E., Toro, A., Amico, F., Mas, F.D., Simone, B. De, Sugrue, M., Bonavina, L., Campanelli, G., Carcoforo, P., Cobianchi, L., Coccolini, F., Chiarugi, M., Carlo, I. Di, Saverio, S. Di, Podda, M., Pisano, M., Sartelli, M., Testini, M., Fette, A., Rizoli, S., Picetti, E., Weber, D., Latifi, R., Kluger, Y., Balogh, Z.J., Biffl, W., Jeekel, H., Civil, I., Hecker, A., Ansaloni, L., Bravi, F., Agnoletti, V., Beka, S.G., Moore, E.E., Catena, F., Sermonesi, G., Tian, B.W.C.A., Vallicelli, C., Abu-Zidan, F.M., Damaskos, D., Kelly, M.D., Leppäniemi, A., Galante, J.M., Tan, E.C.T.H., Kirkpatrick, A.W., Khokha, V., Romeo, O.M., Chirica, M., Pikoulis, M., Litvin, A., Shelat, V.G., Sakakushev, B., Wani, I., Sall, I., Fugazzola, P., Cicuttin, E., Toro, A., Amico, F., Mas, F.D., Simone, B. De, Sugrue, M., Bonavina, L., Campanelli, G., Carcoforo, P., Cobianchi, L., Coccolini, F., Chiarugi, M., Carlo, I. Di, Saverio, S. Di, Podda, M., Pisano, M., Sartelli, M., Testini, M., Fette, A., Rizoli, S., Picetti, E., Weber, D., Latifi, R., Kluger, Y., Balogh, Z.J., Biffl, W., Jeekel, H., Civil, I., Hecker, A., Ansaloni, L., Bravi, F., Agnoletti, V., Beka, S.G., Moore, E.E., and Catena, F.

Abstract

Contains fulltext : 300061.pdf (Publisher’s version ) (Open Access), BACKGROUND: Laparoscopy is widely adopted across nearly all surgical subspecialties in the elective setting. Initially finding indication in minor abdominal emergencies, it has gradually become the standard approach in the majority of elective general surgery procedures. Despite many technological advances and increasing acceptance, the laparoscopic approach remains underutilized in emergency general surgery and in abdominal trauma. Emergency laparotomy continues to carry a high morbidity and mortality. In recent years, there has been a growing interest from emergency and trauma surgeons in adopting minimally invasive surgery approaches in the acute surgical setting. The present position paper, supported by the World Society of Emergency Surgery (WSES), aims to provide a review of the literature to reach a consensus on the indications and benefits of a laparoscopic-first approach in patients requiring emergency abdominal surgery for general surgery emergencies or abdominal trauma. METHODS: This position paper was developed according to the WSES methodology. A steering committee performed the literature review and drafted the position paper. An international panel of 54 experts then critically revised the manuscript and discussed it in detail, to develop a consensus on a position statement. RESULTS: A total of 323 studies (systematic review and meta-analysis, randomized clinical trial, retrospective comparative cohort studies, case series) have been selected from an initial pool of 7409 studies. Evidence demonstrates several benefits of the laparoscopic approach in stable patients undergoing emergency abdominal surgery for general surgical emergencies or abdominal trauma. The selection of a stable patient seems to be of paramount importance for a safe adoption of a laparoscopic approach. In hemodynamically stable patients, the laparoscopic approach was found to be safe, feasible and effective as a therapeutic tool or helpful to identify further management steps and n

Published
2023

5. Acute mesenteric ischemia: updated guidelines of the World Society of Emergency Surgery

Author

Bala, M., Catena, F., Kashuk, J., Simone, B. De, Gomes, C.A., Weber, D., Sartelli, M., Coccolini, F., Kluger, Y., Abu-Zidan, F.M., Picetti, E., Ansaloni, L., Augustin, G., Biffl, W.L., Ceresoli, M., Chiara, O., Chiarugi, M., Coimbra, R., Cui, Y., Damaskos, D., Saverio, S. Di, Galante, J.M., Khokha, V., Kirkpatrick, A.W., Inaba, K., Leppäniemi, A., Litvin, A., Peitzman, A.B., Shelat, V.G., Sugrue, M., Tolonen, M., Rizoli, S., Sall, I., Beka, S.G., Carlo, I. Di, Broek, R.P.G ten, Mircea, C., Tebala, G., Pisano, M., Goor, H. van, Maier, R.V., Jeekel, H., Civil, I., Hecker, A., Tan, E.C.T.H., Soreide, K., Lee, M.J., Wani, I., Bonavina, L., Malangoni, M.A., Koike, Kaoru, Velmahos, G.C., Fraga, G.P., Fette, A., De'Angelis, N., Balogh, Z.J., Scalea, T.M., Sganga, G., Kelly, M.D., Khan, J., Stahel, P.F., Moore, E.E., Bala, M., Catena, F., Kashuk, J., Simone, B. De, Gomes, C.A., Weber, D., Sartelli, M., Coccolini, F., Kluger, Y., Abu-Zidan, F.M., Picetti, E., Ansaloni, L., Augustin, G., Biffl, W.L., Ceresoli, M., Chiara, O., Chiarugi, M., Coimbra, R., Cui, Y., Damaskos, D., Saverio, S. Di, Galante, J.M., Khokha, V., Kirkpatrick, A.W., Inaba, K., Leppäniemi, A., Litvin, A., Peitzman, A.B., Shelat, V.G., Sugrue, M., Tolonen, M., Rizoli, S., Sall, I., Beka, S.G., Carlo, I. Di, Broek, R.P.G ten, Mircea, C., Tebala, G., Pisano, M., Goor, H. van, Maier, R.V., Jeekel, H., Civil, I., Hecker, A., Tan, E.C.T.H., Soreide, K., Lee, M.J., Wani, I., Bonavina, L., Malangoni, M.A., Koike, Kaoru, Velmahos, G.C., Fraga, G.P., Fette, A., De'Angelis, N., Balogh, Z.J., Scalea, T.M., Sganga, G., Kelly, M.D., Khan, J., Stahel, P.F., and Moore, E.E.

Abstract

Item does not contain fulltext, 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 is an uncommon cause of abdominal pain, diligence is required because if untreated, mortality remains in the range of 50%. Early diagnosis and timely surgical intervention are the cornerstones of modern treatment to reduce the high mortality associated with this entity. The advent of endovascular approaches in parallel with modern imaging techniques is evolving and provides new treatment options. Lastly, a focused multidisciplinary approach based on early diagnosis and individualized treatment is essential. Thus, we believe that updated guidelines from World Society of Emergency Surgery are warranted, in order to provide the most recent and practical recommendations for diagnosis and treatment of AMI.

Published
2022

6. Minimally invasive surgery in emergency surgery: a WSES survey

Author

Ceresoli, M. Pisano, M. Abu-Zidan, F. Allievi, N. Gurusamy, K. Biffl, W.L. Tebala, G.D. Catena, F. Ansaloni, L. Sartelli, M. Kluger, Y. Baiocchi, G. Fette, A. Hecker, A. Litvin, A. Forgione, A. Leppaniemi, A. De Simone, B. Sakakushev, B. Palmatier, C.R. Bendinelli, C. Damascos, D. Picetti, E. Tan, E. Poiasina, E. Pikoulis, E. Cicuttin, E. Moore, E.E. Velmahos, G. Fraga, G. Van Goor, H. Civil, I. Wani, I. Di Carlo, I. Galante, J. Søreide, K. Degrate, L. Zorcolo, L. De Moya, M. Braga, M. Cereda, M. Sugrue, M. Chirica, M. De Angelis, N. Stahel, P.F. Ivatury, R. Ten Broek, R. Di Saverio, S. Beka, S.G. Magnone, S. Cui, Y. Balogh, Z.J. Kelly, M.D. Inaba, K. Coccolini, F. WSES MIS working group WSES MIS consortia

Abstract

Background: 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. Methods: This is a web-based survey administered to all the WSES members investigating the diffusion of minimally invasive surgery in emergency. The survey investigated personal characteristics of participants, hospital characteristics, personal confidence in the use of minimally invasive surgery in emergency, limitations in the use of it and limitations to prosecute minimally invasive surgery in emergency surgery. Characteristics related to the use of minimally invasive surgery were studied with a multivariate ordinal regression. Results: The survey collected a total of 415 answers; 42.2% of participants declared a working experience > 15 years and 69.4% of responders worked in tertiary level center or academic hospital. In primary emergencies, only 28,7% of participants declared the use of laparoscopy in more than 50% of times. Personal confidence with minimally invasive techniques was the highest for appendectomy and cholecystectomy. At multivariate ordinal regression, a longer professional experience, the use of laparoscopy in major elective surgery and bariatric surgery expertise were related to a higher use of laparoscopy in emergency surgery. Conclusions: The survey shows that minimally invasive techniques in emergency surgery are still underutilized. Greater focus should be placed on the development of dedicated training in laparoscopy among emergency surgeons. © 2022, The Author(s).

Published
2022

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