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5 results on '"Sakakushev, Bori"'

1. Prospective Observational Study on acute Appendicitis Worldwide (POSAW)

Author

Massimo Sartelli, Gian L. Baiocchi, Salomone Di Saverio, Francesco Ferrara, Francesco M. Labricciosa, Luca Ansaloni, Federico Coccolini, Deepak Vijayan, Ashraf Abbas, Hariscine K. Abongwa, John Agboola, Adamu Ahmed, Lali Akhmeteli, Nezih Akkapulu, Seckin Akkucuk, Fatih Altintoprak, Aurelia L. Andreiev, Dimitrios Anyfantakis, Boiko Atanasov, Miklosh Bala, Dimitrios Balalis, Oussama Baraket, Giovanni Bellanova, Marcelo Beltran, Renato Bessa Melo, Roberto Bini, Konstantinos Bouliaris, Daniele Brunelli, Adrian Castillo, Marco Catani, Asri Che Jusoh, Alain Chichom-Mefire, Gianfranco Cocorullo, Raul Coimbra, Elif Colak, Silvia Costa, Koray Das, Samir Delibegovic, Zaza Demetrashvili, Isidoro Di Carlo, Nadezda Kiseleva, Tamer El Zalabany, Mario Faro, Margarida Ferreira, Gustavo P. Fraga, Mahir Gachabayov, Wagih M. Ghnnam, Teresa Giménez Maurel, Georgios Gkiokas, Carlos A. Gomes, Ewen Griffiths, Ali Guner, Sanjay Gupta, Andreas Hecker, Elcio S. Hirano, Adrien Hodonou, Martin Hutan, Orestis Ioannidis, Arda Isik, Georgy Ivakhov, Sumita Jain, Mantas Jokubauskas, Aleksandar Karamarkovic, Saila Kauhanen, Robin Kaushik, Alfie Kavalakat, Jakub Kenig, Vladimir Khokha, Desmond Khor, Dennis Kim, Jae I. Kim, Victor Kong, Konstantinos Lasithiotakis, Pedro Leão, Miguel Leon, Andrey Litvin, Varut Lohsiriwat, Eudaldo López-Tomassetti Fernandez, Eftychios Lostoridis, James Maciel, Piotr Major, Ana Dimova, Dimitrios Manatakis, Athanasio Marinis, Aleix Martinez-Perez, Sanjay Marwah, Michael McFarlane, Cristian Mesina, Michał Pędziwiatr, Nickos Michalopoulos, Evangelos Misiakos, Ali Mohamedahmed, Radu Moldovanu, Giulia Montori, Raghuveer Mysore Narayana, Ionut Negoi, Ioannis Nikolopoulos, Giuseppe Novelli, Viktors Novikovs, Iyiade Olaoye, Abdelkarim Omari, Carlos A. Ordoñez, Mouaqit Ouadii, Zeynep Ozkan, Ajay Pal, Gian M. Palini, Lars I. Partecke, Francesco Pata, Gerson A. Pereira Júnior, Tadeja Pintar, Magdalena Pisarska, Cesar F. Ploneda-Valencia, Konstantinos Pouggouras, Vinod Prabhu, Padmakumar Ramakrishnapillai, Jean-Marc Regimbeau, Marianne Reitz, Daniel Rios-Cruz, Sten Saar, Boris Sakakushev, Charalampos Seretis, Alexander Sazhin, Vishal Shelat, Matej Skrovina, Dmitry Smirnov, Charalampos Spyropoulos, Marcin Strzałka, Peep Talving, Ricardo A. Teixeira Gonsaga, George Theobald, Gia Tomadze, Myftar Torba, Cristian Tranà, Jan Ulrych, Mustafa Y. Uzunoğlu, Alin Vasilescu, Savino Occhionorelli, Aurélien Venara, Andras Vereczkei, Nereo Vettoretto, Nutu Vlad, Maciej Walędziak, Tonguç U. Yilmaz, Kuo-Ching Yuan, Cui Yunfeng, Justas Zilinskas, Gérard Grelpois, Fausto Catena, Universidade do Minho, Sartelli, Massimo, Baiocchi, Gian L., Di Saverio, Salomone, Ferrara, Francesco, Labricciosa, Francesco M., Ansaloni, Luca, Coccolini, Federico, Vijayan, Deepak, Abbas, Ashraf, Abongwa, Hariscine K., Agboola, John, Ahmed, Adamu, Akhmeteli, Lali, Akkapulu, Nezih, Akkucuk, Seckin, Altintoprak, Fatih, Andreiev, Aurelia L., Anyfantakis, Dimitrio, Atanasov, Boiko, Bala, Miklosh, Balalis, Dimitrio, Baraket, Oussama, Bellanova, Giovanni, Beltran, Marcelo, Melo, Renato Bessa, Bini, Roberto, Bouliaris, Konstantino, Brunelli, Daniele, Castillo, Adrian, Catani, Marco, Che Jusoh, Asri, Chichom-Mefire, Alain, Cocorullo, Gianfranco, Coimbra, Raul, Colak, Elif, Costa, Silvia, Das, Koray, Delibegovic, Samir, Demetrashvili, Zaza, Di Carlo, Isidoro, Kiseleva, Nadezda, El Zalabany, Tamer, Faro, Mario, Ferreira, Margarida, Fraga, Gustavo P., Gachabayov, Mahir, Ghnnam, Wagih M., Giménez Maurel, Teresa, Gkiokas, Georgio, Gomes, Carlos A., Griffiths, Ewen, Guner, Ali, Gupta, Sanjay, Hecker, Andrea, Hirano, Elcio S., Hodonou, Adrien, Hutan, Martin, Ioannidis, Oresti, Isik, Arda, Ivakhov, Georgy, Jain, Sumita, Jokubauskas, Manta, Karamarkovic, Aleksandar, Kauhanen, Saila, Kaushik, Robin, Kavalakat, Alfie, Kenig, Jakub, Khokha, Vladimir, Khor, Desmond, Kim, Denni, Kim, Jae I., Kong, Victor, Lasithiotakis, Konstantino, Leão, Pedro, Leon, Miguel, Litvin, Andrey, Lohsiriwat, Varut, López-Tomassetti Fernandez, Eudaldo, Lostoridis, Eftychio, Maciel, Jame, Major, Piotr, Dimova, Ana, Manatakis, Dimitrio, Marinis, Athanasio, Martinez-Perez, Aleix, Marwah, Sanjay, McFarlane, Michael, Mesina, Cristian, Pȩdziwiatr, Michał, Michalopoulos, Nicko, Misiakos, Evangelo, Mohamedahmed, Ali, Moldovanu, Radu, Montori, Giulia, Mysore Narayana, Raghuveer, Negoi, Ionut, Nikolopoulos, Ioanni, Novelli, Giuseppe, Novikovs, Viktor, Olaoye, Iyiade, Omari, Abdelkarim, Ordoñez, Carlos A., Ouadii, Mouaqit, Ozkan, Zeynep, Pal, Ajay, Palini, Gian M., Partecke, Lars I., Pata, Francesco, Pereira Júnior, Gerson A., Pintar, Tadeja, Pisarska, Magdalena, Ploneda-Valencia, Cesar F., Pouggouras, Konstantino, Prabhu, Vinod, Ramakrishnapillai, Padmakumar, Regimbeau, Jean-Marc, Reitz, Marianne, Rios-Cruz, Daniel, Saar, Sten, Sakakushev, Bori, Seretis, Charalampo, Sazhin, Alexander, Shelat, Vishal, Skrovina, Matej, Smirnov, Dmitry, Spyropoulos, Charalampo, Strzałka, Marcin, Talving, Peep, Teixeira Gonsaga, Ricardo A., Theobald, George, Tomadze, Gia, Torba, Myftar, Tranà, Cristian, Ulrych, Jan, Uzunoğlu, Mustafa Y., Vasilescu, Alin, Occhionorelli, Savino, Venara, Aurélien, Vereczkei, Andra, Vettoretto, Nereo, Vlad, Nutu, Walȩdziak, Maciej, Yilmaz, Tonguç U., Yuan, Kuo-Ching, Yunfeng, Cui, Zilinskas, Justa, Grelpois, Gérard, and Catena, Fausto

Subjects
Male, Medicina Básica [Ciências Médicas], Computed tomography, 030230 surgery, 0302 clinical medicine, Antibiotics, Diagnosis, Appendiciti, Prospective Studies, Laparoscopy, Prospective cohort study, Tomography, medicine.diagnostic_test, Acute appendicitis, Management, Surgery, Emergency Medicine, Acute Disease, Adult, Appendectomy, Appendicitis, Chi-Square Distribution, Female, Hospitalization, Humans, Length of Stay, Logistic Models, Tomography, X-Ray Computed, Treatment Outcome, Mortality rate, lcsh:Medical emergencies. Critical care. Intensive care. First aid, Apendicite, 3. Good health, X-Ray Computed, 030220 oncology & carcinogenesis, Ciências Médicas::Medicina Básica, Diagnosi, Human, Research Article, medicine.medical_specialty, Logistic Model, lcsh:Surgery, NO, 03 medical and health sciences, medicine, business.industry, General surgery, Antibiotic, lcsh:RD1-811, lcsh:RC86-88.9, medicine.disease, Prospective Studie, Observational study, Acute appendiciti, business, Chi-squared distribution
Abstract

Acute appendicitis (AA) is the most common surgical disease, and appendectomy is the treatment of choice in the majority of cases. A correct diagnosis is key for decreasing the negative appendectomy rate. The management can become difficult in case of complicated appendicitis. The aim of this study is to describe the worldwide clinical and diagnostic work-up and management of AA in surgical departments., info:eu-repo/semantics/publishedVersion

Published
2018
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2. The open abdomen in trauma and non-trauma patients: WSES guidelines

Author

Osvaldo Chiara, Matteo Tomasoni, Peter T. Masiakos, Marco Ceresoli, Tino Martino Valetti, Viktor Reva, Kaoru Kike, Mircea Chirica, Fausto Catena, Stefania Cimbanassi, Lena M. Napolitano, Gustavo Pereira Fraga, Carlos A. Ordoñez, Yuan Kuo-Ching, Ingo Martzi, Federico Coccolini, Marc de Moya, Emiliano Gamberini, Walter L. Biffl, Zaza Demetrashvili, Kenneth D. Boffard, Paola Fugazzola, Martha Larrea, Andrew B. Peitzman, Nicola de’Angelis, Ernest E. Moore, Giulia Montori, Miklosh Bala, Paula Ferrada, Neil Parry, Zsolt J. Balogh, Manu L N G Malbrain, Matti Tolonen, Catherine Arvieux, Yoram Kluger, Fikri M. Abu-Zidan, Salomone Di Saverio, Luca Ansaloni, Alain Chichom Mefire, Carlos Augusto Gomes, Vanni Agnoletti, Francesco Salvetti, Dieter G. Weber, Rifat Latifi, Massimo Sartelli, Camilla Bing, Philippe Montravers, R. V. Maier, Jeffry L. Kashuk, Rita Maria Melotti, Raul Coimbra, Joseph M. Galante, Kenji Inaba, Tal M. Hörer, Belinda De Simone, Andreas Hecker, Sandro Rizoli, Rao R. Ivatury, Juan Alberto Martinez Hernandez, Michael Sugrue, Thomas M. Scalea, Noel Naidoo, Heng Fu Lin, Ari Leppäniemi, Kjetil Søreide, Andrew W. Kirkpatrick, George C. Velmahos, Vladimir Khokha, Bruno M. Pereira, Imtiaz Wani, Derek J. Roberts, Boris Sakakushev, Tarek Razek, Lauri Handolin, Coccolini, F, Roberts, D, Ansaloni, L, Ivatury, R, Gamberini, E, Kluger, Y, Moore, E, Coimbra, R, Kirkpatrick, A, Pereira, B, Montori, G, Ceresoli, M, Abu-Zidan, F, Sartelli, M, Velmahos, G, Fraga, G, Leppaniemi, A, Tolonen, M, Galante, J, Razek, T, Maier, R, Bala, M, Sakakushev, B, Khokha, V, Malbrain, M, Agnoletti, V, Peitzman, A, Demetrashvili, Z, Sugrue, M, Di Saverio, S, Martzi, I, Soreide, K, Biffl, W, Ferrada, P, Parry, N, Montravers, P, Melotti, R, Salvetti, F, Valetti, T, Scalea, T, Chiara, O, Cimbanassi, S, Kashuk, J, Larrea, M, Hernandez, J, Lin, H, Chirica, M, Arvieux, C, Bing, C, Horer, T, De Simone, B, Masiakos, P, Reva, V, Deangelis, N, Kike, K, Balogh, Z, Fugazzola, P, Tomasoni, M, Latifi, R, Naidoo, N, Weber, D, Handolin, L, Inaba, K, Hecker, A, Kuo-Ching, Y, Ordonez, C, Rizoli, S, Gomes, C, De Moya, M, Wani, I, Mefire, A, Boffard, K, Napolitano, L, Catena, F, Coccolini, Federico, Roberts, Derek, Ansaloni, Luca, Ivatury, Rao, Gamberini, Emiliano, Kluger, Yoram, Moore, Ernest E., Coimbra, Raul, Kirkpatrick, Andrew W., Pereira, Bruno M., Montori, Giulia, Ceresoli, Marco, Abu-Zidan, Fikri M., Sartelli, Massimo, Velmahos, George, Fraga, Gustavo Pereira, Leppaniemi, Ari, Tolonen, Matti, Galante, Joseph, Razek, Tarek, Maier, Ron, Bala, Miklosh, Sakakushev, Bori, Khokha, Vladimir, Malbrain, Manu, Agnoletti, Vanni, Peitzman, Andrew, Demetrashvili, Zaza, Sugrue, Michael, Di Saverio, Salomone, Martzi, Ingo, Soreide, Kjetil, Biffl, Walter, Ferrada, Paula, Parry, Neil, Montravers, Philippe, Melotti, Rita Maria, Salvetti, Francesco, Valetti, Tino M., Scalea, Thoma, Chiara, Osvaldo, Cimbanassi, Stefania, Kashuk, Jeffry L., Larrea, Martha, Hernandez, Juan Alberto Martinez, Lin, Heng-Fu, Chirica, Mircea, Arvieux, Catherine, Bing, Camilla, Horer, Tal, De Simone, Belinda, Masiakos, Peter, Reva, Viktor, DeAngelis, Nicola, Kike, Kaoru, Balogh, Zsolt J., Fugazzola, Paola, Tomasoni, Matteo, Latifi, Rifat, Naidoo, Noel, Weber, Dieter, Handolin, Lauri, Inaba, Kenji, Hecker, Andrea, Kuo-Ching, Yuan, Ordoñez, Carlos A., Rizoli, Sandro, Gomes, Carlos Augusto, De Moya, Marc, Wani, Imtiaz, Mefire, Alain Chichom, Boffard, Ken, Napolitano, Lena, Catena, Fausto, Supporting clinical sciences, Intensive Care, II kirurgian klinikka, Clinicum, Department of Surgery, I kirurgian klinikka (Töölö), HUS Abdominal Center, and HUS Musculoskeletal and Plastic Surgery

Subjects
Fistula, Abdominal Wound Closure Techniques, Abdominal compartment syndrome, medicine.medical_treatment, SEVERE ACUTE-PANCREATITIS, Review, Guideline, 030230 surgery, Cardiovascular, Abdominal wall, Postoperative Complications, 0302 clinical medicine, ACELLULAR DERMAL MATRIX, Laparotomy, Abdomen, Open abdomen, NEGATIVE-PRESSURE THERAPY, Medicine(all), DAMAGE CONTROL SURGERY, Peritoniti, lcsh:Medical emergencies. Critical care. Intensive care. First aid, Abdominal Wound Closure Technique, Abdominal Cavity, VENTRAL HERNIA REPAIR, Prophylactic Surgical Procedures, 3. Good health, Vascular emergencie, medicine.anatomical_structure, Emergency Medicine, Technique, Re-exploration, ABDOMINAL COMPARTMENT SYNDROME, Intra-Abdominal Hypertension, ACUTE MESENTERIC ISCHEMIA, Human, medicine.medical_specialty, Physical Injury - Accidents and Adverse Effects, Closure, Resuscitation, PRIMARY FASCIAL CLOSURE, lcsh:Surgery, Non-trauma, Peritonitis, Guidelines as Topic, Reintervention, Guidelines, Trauma, Prophylactic Surgical Procedure, 03 medical and health sciences, LONG-TERM COMPLICATIONS, Intra-abdominal infection, Rare Diseases, Clinical Research, medicine, Humans, ddc:610, Timing, Intensive care medicine, Nutrition, Mesh, Pancreatiti, Laparostomy, business.industry, Synthetic, Vascular emergencies, 030208 emergency & critical care medicine, lcsh:RD1-811, lcsh:RC86-88.9, 3126 Surgery, anesthesiology, intensive care, radiology, Biological, medicine.disease, Pancreatitis, Negative-Pressure Wound Therapy, RANDOMIZED-CONTROLLED-TRIAL, Surgery, Postoperative Complication, business
Abstract

Damage control resuscitation may lead to postoperative intra-abdominal hypertension or abdominal compartment syndrome. These conditions may result in a vicious, self-perpetuating cycle leading to severe physiologic derangements and multiorgan failure unless interrupted by abdominal (surgical or other) decompression. Further, in some clinical situations, the abdomen cannot be closed due to the visceral edema, the inability to control the compelling source of infection or the necessity to re-explore (as a "planned second-look" laparotomy) or complete previously initiated damage control procedures or in cases of abdominal wall disruption. The open abdomen in trauma and non-trauma patients has been proposed to be effective in preventing or treating deranged physiology in patients with severe injuries or critical illness when no other perceived options exist. Its use, however, remains controversial as it is resource consuming and represents a non-anatomic situation with the potential for severe adverse effects. Its use, therefore, should only be considered in patients who would most benefit from it. Abdominal fascia-to-fascia closure should be done as soon as the patient can physiologically tolerate it. All precautions to minimize complications should be implemented.

Published
2018
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3. 2018 WSES/SIS-E consensus conference: Recommendations for the management of skin and soft-tissue infections

Author

Andrey Litvin, Maddalena Giannella, Antonio Tarasconi, Massimo Chiarugi, Luca Ansaloni, Raul Coimbra, Fikri M. Abu-Zidan, Michele Bartoletti, Xavier Guirao, Salomone Di Saverio, Fausto Catena, Federico Coccolini, Vishal G Shelat, Guntars Pupelis, Francesco M. Labricciosa, Gabriele Sganga, Helmut Segovia-Lohse, Timothy Craig Hardcastle, Kemal Rasa, Cristian Tranà, Belinda De Simone, Vladimir Khokha, Maddalena Peghin, Ionut Negoi, Ernest E. Moore, Yoram Kluger, Edoardo Picetti, Jan Ulrych, Massimo Sartelli, Ines Rubio-Perez, Philippe Montravers, Michael Sugrue, Osvaldo Chiara, Francesco Giuseppe De Rosa, Ari Leppäniemi, Walter L. Biffl, Pierluigi Viale, Marja A. Boermeester, Offir Ben-Ishay, Matteo Bassetti, Boris Sakakushev, Leonardo Pagani, George Gkiokas, Tadeja Pintar, Sartelli, Massimo, Guirao, Xavier, Hardcastle, Timothy C., Kluger, Yoram, Boermeester, Marja.A., Raşa, Kemal, Ansaloni, Luca, Coccolini, Federico, Montravers, Philippe, Abu-Zidan, Fikri M., Bartoletti, Michele, Bassetti, Matteo, Ben-Ishay, Offir, Biffl, Walter L., Chiara, Osvaldo, Chiarugi, Massimo, Coimbra, Raul, De Rosa, Francesco Giuseppe, De Simone, Belinda, Di Saverio, Salomone, Giannella, Maddalena, Gkiokas, George, Khokha, Vladimir, Labricciosa, Francesco M., Leppäniemi, Ari, Litvin, Andrey, Moore, Ernest E., Negoi, Ionut, Pagani, Leonardo, Peghin, Maddalena, Picetti, Edoardo, Pintar, Tadeja, Pupelis, Guntar, Rubio-Perez, Ine, Sakakushev, Bori, Segovia-Lohse, Helmut, Sganga, Gabriele, Shelat, Vishal, Sugrue, Michael, Tarasconi, Antonio, Tranà, Cristian, Ulrych, Jan, Viale, Pierluigi, and Catena, Fausto

Subjects
0301 basic medicine, medicine.medical_specialty, Consensus, Settore MED/18 - CHIRURGIA GENERALE, 030106 microbiology, lcsh:Surgery, Guidelines as Topic, Review, Key issues, 03 medical and health sciences, 0302 clinical medicine, Soft-tissue infection, Emergency surgery, medicine, Humans, 030212 general & internal medicine, Intensive care medicine, Soft-tissue infections, Necrotizing infection, Surgical site infection, Surgery, Emergency Medicine, business.industry, Task force, Soft Tissue Infections, lcsh:Medical emergencies. Critical care. Intensive care. First aid, Consensus conference, Soft tissue, Congresses as Topic, Italy, lcsh:RD1-811, lcsh:RC86-88.9, 3. Good health, Clinical Practice, Infectious disease (medical specialty), business, Surgical Infections
Abstract

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. SSTIs are a frequent clinical problem in surgical departments. In order to clarify key issues in the management of SSTIs, a task force of experts met in Bertinoro, Italy, on June 28, 2018, for a specialist multidisciplinary consensus conference under the auspices of the World Society of Emergency Surgery (WSES) and the Surgical Infection Society Europe (SIS-E). The multifaceted nature of these infections has led to a collaboration among general and emergency surgeons, intensivists, and infectious disease specialists, who have shared these clinical practice recommendations.

Published
2018

4. The role of open abdomen in non-trauma patient: WSES Consensus Paper

Author

Federico Coccolini, Fausto Catena, Manu L N G Malbrain, Giulia Montori, Vladimir Khokha, Salomone Di Saverio, Marja A. Boermeester, Boris Sakakushev, Ernest E. Moore, Ewen A. Griffiths, Ignacio Martin-Loeches, Michael Sugrue, George C. Velmahos, Gianmariano Marchesi, Marco Ceresoli, Andrew B. Peitzman, Gustavo Pereira Fraga, Kjetil Søreide, Andrew W. Kirkpatrick, Bruno M. Pereira, Osvaldo Chiara, Ari Leppäniemi, Vanni Agnoletti, Tino Martino Valetti, Addison K. May, Walter L. Biffl, Luca Ansaloni, Thomas M. Scalea, Fikri M. Abu-Zidan, Yoram Kluger, Francesco Salvetti, Jeffry L. Kashuk, Rita Maria Melotti, Miklosh Bala, Raul Coimbra, Michele Pisano, Massimo Sartelli, John E. Mazuski, Philippe Montravers, R. V. Maier, Rao R. Ivatury, Sandro Rizoli, Marc de Moya, Coccolini, Federico, Montori, Giulia, Ceresoli, Marco, Catena, Fausto, Moore, Ernest E, Ivatury, Rao, Biffl, Walter, Peitzman, Andrew, Coimbra, Raul, Rizoli, Sandro, Kluger, Yoram, Abu-Zidan, Fikri M, Sartelli, Massimo, De Moya, Marc, Velmahos, George, Fraga, Gustavo Pereira, Pereira, Bruno M, Leppaniemi, Ari, Boermeester, Marja A, Kirkpatrick, Andrew W, Maier, Ron, Bala, Miklosh, Sakakushev, Bori, Khokha, Vladimir, Malbrain, Manu, Agnoletti, Vanni, Martin-Loeches, Ignacio, Sugrue, Michael, Di Saverio, Salomone, Griffiths, Ewen, Soreide, Kjetil, Mazuski, John E, May, Addison K, Montravers, Philippe, Melotti, Rita Maria, Pisano, Michele, Salvetti, Francesco, Marchesi, Gianmariano, Valetti, Tino M, Scalea, Thoma, Chiara, Osvaldo, Kashuk, Jeffry L, Ansaloni, Luca, II kirurgian klinikka, University of Helsinki, Clinicum, Department of Surgery, HUS Abdominal Center, Coccolini, F, Montori, G, Ceresoli, M, Catena, F, Moore, E, Ivatury, R, Biffl, W, Peitzman, A, Coimbra, R, Rizoli, S, Kluger, Y, Abu-Zidan, F, Sartelli, M, Moya, M, Velmahos, G, Fraga, G, Pereira, B, Leppaniemi, A, Boermeester, M, Kirkpatrick, A, Maier, R, Bala, M, Sakakushev, B, Khokha, V, Malbrain, M, Agnoletti, V, Martin-Loeches, I, Sugrue, M, Saverio, S, Griffiths, E, Soreide, K, Mazuski, J, May, A, Montravers, P, Melotti, R, Pisano, M, Salvetti, F, Marchesi, G, Valetti, T, Scalea, T, Chiara, O, Kashuk, J, Ansaloni, L, Supporting clinical sciences, and Intensive Care

Subjects
Fistula, Abdominal Wound Closure Techniques, Abdominal compartment syndrome, Re-intervention, medicine.medical_treatment, TOPICAL NEGATIVE-PRESSURE, Review, 030230 surgery, VACUUM-ASSISTED CLOSURE, 0302 clinical medicine, ACELLULAR DERMAL MATRIX, Laparotomy, Medicine, Open abdomen, Biological Closure, Medicine(all), Trauma patient, Peritoniti, POSTOPERATIVE ENTEROCUTANEOUS FISTULAS, lcsh:Medical emergencies. Critical care. Intensive care. First aid, Consensus conference, VENTRAL HERNIA REPAIR, 3. Good health, medicine.anatomical_structure, 030220 oncology & carcinogenesis, Emergency Medicine, Technique, Re-exploration, ABDOMINAL COMPARTMENT SYNDROME, CRITICALLY-ILL PATIENTS, ACUTE MESENTERIC ISCHEMIA, medicine.medical_specialty, Consensus, Closure, Critical Illness, PRIMARY FASCIAL CLOSURE, lcsh:Surgery, Non-trauma, Peritonitis, Biological, Laparostomy, Mesh, Nutrition, Pancreatitis, Synthetic, Timing, Vascular emergencies, Humans, Lower Body Negative Pressure, 03 medical and health sciences, Intensive care medicine, DAMAGE-CONTROL LAPAROTOMY, Pancreatiti, business.industry, lcsh:RD1-811, lcsh:RC86-88.9, 3126 Surgery, anesthesiology, intensive care, radiology, medicine.disease, Abdomen, Surgery, business
Abstract

The open abdomen (OA) is defined as intentional decision to leave the fascial edges of the abdomen un-approximated after laparotomy (laparostomy). The abdominal contents are potentially exposed and therefore must be protected with a temporary coverage, which is referred to as temporal abdominal closure (TAC). OA use remains widely debated with many specific details deserving detailed assessment and clarification. To date, in patients with intra-abdominal emergencies, the OA has not been formally endorsed for routine utilization; although, utilization is seemingly increasing. Therefore, the World Society of Emergency Surgery (WSES), Abdominal Compartment Society (WSACS) and the Donegal Research Academy united a worldwide group of experts in an international consensus conference to review and thereafter propose the basis for evidence-directed utilization of OA management in non-trauma emergency surgery and critically ill patients. In addition to utilization recommendations, questions with insufficient evidence urgently requiring future study were identified.

Published
2017
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5. The Global Alliance for Infections in Surgery : defining a model for antimicrobial stewardship-results from an international cross-sectional survey

Author

Federico Coccolini, Leonel Lagunes, André Ricardo Araujo da Silva, Massimo Sartelli, Sara Al-Dahir, Young R. Lee, Mario Tumbarello, Faryal Khamis, Natalia Santos, Jean Carlet, Fausto Catena, Agron Dogjani, Jan Ulrych, Isidro Martinez Casas, András Vereczkei, Salomone Di Saverio, Sydney Malama, Harry van Goor, Garima Kapoor, Hong Bin Kim, Norio Sato, Gustavo M. Machain, Chinmay Gandhi, Iryna Kozlovska, Ramiro Manzano-Nunez, Katia Iskandar, Fikri M. Abu-Zidan, Sujith J Chandy, Rosio Isabel Guerra Gronerth, Therese M. Duane, Lena M. Napolitano, Carlos A. Ordoñez, Yonghong Xiao, Michael McFarlane, Cristian Mesina, Sanjay Marwah, Goran Augustin, Tatjana Goranovic, Bruno M. Pereira, Ivan Kerschaever, Timothy Craig Hardcastle, Marcelo A. Beltrán, Stephen Y. Liang, Julio C. Haidamus Monteiro, Vishalkumar G Shelat, Kuo Ching Yuan, Sandro Scarpelini, Narayan Dutt Pant, Martha Quiodettis, Carlos Alves, Mutasim M. Elmangory, Céline Pulcini, Addison K. May, Guntars Pupelis, Selman Uranues, Pamela Barbadoro, Sandro Rizoli, Ernest E. Moore, Rifat Latifi, Ashish Khanna, Hossein Samadi Kafil, Richard R. Watkins, Boonying Siribumrungwong, Abdelkarim H. Omari, Agnes Wechsler-Fördös, Lewis J. Kaplan, Nusrat Shafiq, Jason A. Roberts, Warren Lowman, Laurent Dortet, Stephen M. Brecher, Luca Ansaloni, Rodolfo Soto, Tanya L. Zakrison, Sameer Dhingra, Jacobus Preller, Eleftherios Mylonakis, Wagih Ghnnam, Asri Che Jusoh, Pierluigi Viale, Costi D. Sifri, Miklosh Bala, José Gustavo Parreira, Alfredo Ponce-de-León, Jae G. Lee, Jakub Kenig, Kjetil Søreide, Halil Alis, Lilian M. Abbo, Mahir Gachabayov, Marco Catani, Ronald Kiguba, Jean-Ralph Zahar, Wietse P. Zuidema, Robert G. Sawyer, Loredana Scoccia, Nuno Pereira, Vladimir Khokha, Ionut Negoi, Aneel Bhangu, Michał Pędziwiatr, Helen Giamarellou, Garyphallia Poulakou, Shyam Kumar Mishra, Francesco Di Marzo, Jeffrey M. Tessier, Boris Sakakushev, Milica D. Nestorovic, Hamilton Petry de Souza, Tarcisio Reis, Yousheng Li, Dominik Mertz, Andreas Hecker, Ngo Tat Trung, Anand Kumar, Belefquih Bouchra, Leonardo Pagani, James M. Sanders, AA Munyika, Brian S. Zuckerbraun, Souha S. Kanj, Arda Isik, Luigia Scudeller, Adrien Hodonou, Philip S. Barie, Marc Maegele, Jill R. Cherry-Bukowiec, Peep Talving, Orestis Ioannidis, Miran Rems, Oliver A. Cornely, Harumi Gomi, Ewen A. Griffiths, Mushira Enani, Zaza Demetrashvili, Gereltuya Dorj, Piotr Major, Miguel Caínzos, Ari Leppäniemi, Jesús Rodríguez-Baño, Wen Chien Ko, Ziad A. Memish, Osvaldo Chiara, Elif Colak, José Artur Paiva, A R K Adesunkanmi, Timothy M. Rawson, Georgios Gkiokas, Paula Ferrada, Francesco M. Labricciosa, Alain Chichom-Mefire, Jan J. De Waele, Yunfeng Cui, Adrián Camacho-Ortiz, J. Esteban Foianini, Majdi N. Al-Hasan, Belinda De Simone, David P. Nicolau, Kaoru Koike, Athanasios Marinis, Florian M.E. Wagenlehner, Aleksandar Karamarkovic, Adrian Brink, Emilio Maseda, II kirurgian klinikka, Department of Surgery, Clinicum, HUS Abdominal Center, Surgery, Other Research, Università degli Studi di Macerata = University of Macerata (UNIMC), Università Politecnica delle Marche [Ancona] (UNIVPM), Central Hospital [Bolzano, Italy], Hospital Papa Giovanni XXIII (Hosp P Giovanni XXIII), Milpark Hospital (Milpark Hospital), Milpark Hospital, University of Cape Town, World Alliance against Antibiotics Resistance, Cleveland Clinic, Regional Hospital, Limbe, Rimini Infermi Hospital, Maggiore Hospital, Vanderbilt University Medical Center [Nashville], Vanderbilt University [Nashville], University of Bologna, Northeastern Ohio Medical University (NEOMED), Foundation IRCCS Policlinico San Matteo, University of Miami Leonard M. Miller School of Medicine (UMMSM), United Arab Emirates University (UAEU), Obafemi Awolowo University (OAU), Xavier University of Louisiana, University of South Carolina School of Medicine, Columbia, South Carolina, Training Hospital Istanbul, Hospital de São João [Porto], Centro de Investigação em Estudos da Criança (CIEC), Universidade do Minho, University Hospital Center Zagreb, Hadassah Hebrew University Medical Center [Jerusalem], Weill Cornell Medicine [New York], Universidad de La Serena (USERENA), Queens Elizabeth Hospital [Birmingham], Université Internationale de Casablanca (UIC), VA Boston Healthcare System, Boston University School of Medicine (BUSM), Boston University [Boston] (BU), Natbrainlab, Department of Forensic and Neurodevelopmental Sciences, Institute of psychiatry-King‘s College London, University Hospital of Cologne [Cologne], 4th Department of Internal Medicine, University of Athens Medical School [Athens], Center for Visual Information Technology [Hyderabad] (CVIT), International Institute of Information Technology, Hyderabad [Hyderabad] (IIIT-H), Chonnam National University [Gwangju], Shanghai Jiaotong University, University of Houston, Centro Hospitalar Universitário São João - Faculty of Medicine - University of Porto - Grupo de Infecção e Sepsis, Porto, Unité de biostatistiques, CHU Clermont-Ferrand, ATTIKON University General Hospital, Maladies chroniques, santé perçue, et processus d'adaptation (APEMAC), Université de Lorraine (UL), Duke University Marine Laboratory, University Hospital Virgen Macarena, Service de bactériologie, virologie, parasitologie et hygiène, Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-CHU Necker - Enfants Malades [AP-HP], Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP), Sartelli, M, Labricciosa, FM, Barbadoro, P, Pagani, L, Dorj, G, Catena, Fausto, Sartelli, Massimo, Labricciosa, Francesco M., Barbadoro, Pamela, Pagani, Leonardo, Ansaloni, Luca, Brink, Adrian J., Carlet, Jean, Khanna, Ashish, Chichom-Mefire, Alain, Coccolini, Federico, Di Saverio, Salomone, May, Addison K., Viale, Pierluigi, Watkins, Richard R., Scudeller, Luigia, Abbo, Lilian M., Abu-Zidan, Fikri M., Adesunkanmi, Abdulrashid K., Al-Dahir, Sara, Al-Hasan, Majdi N., Alis, Halil, Alves, Carlo, Araujo da Silva, André R., Augustin, Goran, Bala, Miklosh, Barie, Philip S., Beltrán, Marcelo A., Bhangu, Aneel, Bouchra, Belefquih, Brecher, Stephen M., Caínzos, Miguel A., Camacho-Ortiz, Adrian, Catani, Marco, Chandy, Sujith J., Jusoh, Asri Che, Cherry-Bukowiec, Jill R., Chiara, Osvaldo, Colak, Elif, Cornely, Oliver A., Cui, Yunfeng, Demetrashvili, Zaza, De Simone, Belinda, De Waele, Jan J., Dhingra, Sameer, Di Marzo, Francesco, Dogjani, Agron, Dorj, Gereltuya, Dortet, Laurent, Duane, Therese M., Elmangory, Mutasim M., Enani, Mushira A., Ferrada, Paula, Esteban Foianini, J., Gachabayov, Mahir, Gandhi, Chinmay, Ghnnam, Wagih Mommtaz, Giamarellou, Helen, Gkiokas, Georgio, Gomi, Harumi, Goranovic, Tatjana, Griffiths, Ewen A., Guerra Gronerth, Rosio I., Haidamus Monteiro, Julio C., Hardcastle, Timothy C., Hecker, Andrea, Hodonou, Adrien M., Ioannidis, Oresti, Isik, Arda, Iskandar, Katia A., Kafil, Hossein S., Kanj, Souha S., Kaplan, Lewis J., Kapoor, Garima, Karamarkovic, Aleksandar R., Kenig, Jakub, Kerschaever, Ivan, Khamis, Faryal, Khokha, Vladimir, Kiguba, Ronald, Kim, Hong B., Ko, Wen-Chien, Koike, Kaoru, Kozlovska, Iryna, Kumar, Anand, Lagunes, Leonel, Latifi, Rifat, Lee, Jae G., Lee, Young R., Leppäniemi, Ari, Li, Yousheng, Liang, Stephen Y., Lowman, Warren, Machain, Gustavo M., Maegele, Marc, Major, Piotr, Malama, Sydney, Manzano-Nunez, Ramiro, Marinis, Athanasio, Martinez Casas, Isidro, Marwah, Sanjay, Maseda, Emilio, McFarlane, Michael E., Memish, Ziad, Mertz, Dominik, Mesina, Cristian, Mishra, Shyam K., Moore, Ernest E., Munyika, Akutu, Mylonakis, Eleftherio, Napolitano, Lena, Negoi, Ionut, Nestorovic, Milica D., Nicolau, David P., Omari, Abdelkarim H., Ordonez, Carlos A., Paiva, José-Artur, Pant, Narayan D., Parreira, Jose G., Pedziwiatr, Michal, Pereira, Bruno M., Ponce-de-Leon, Alfredo, Poulakou, Garyphallia, Preller, Jacobu, Pulcini, Céline, Pupelis, Guntar, Quiodettis, Martha, Rawson, Timothy M., Reis, Tarcisio, Rems, Miran, Rizoli, Sandro, Roberts, Jason, Pereira, Nuno Rocha, Rodríguez-Baño, Jesú, Sakakushev, Bori, Sanders, Jame, Santos, Natalia, Sato, Norio, Sawyer, Robert G., Scarpelini, Sandro, Scoccia, Loredana, Shafiq, Nusrat, Shelat, Vishalkumar, Sifri, Costi D., Siribumrungwong, Boonying, Søreide, Kjetil, Soto, Rodolfo, de Souza, Hamilton P., Talving, Peep, Trung, Ngo Tat, Tessier, Jeffrey M., Tumbarello, Mario, Ulrych, Jan, Uranues, Selman, Van Goor, Harry, Vereczkei, Andra, Wagenlehner, Florian, Xiao, Yonghong, Yuan, Kuo-Ching, Wechsler-Fördös, Agne, Zahar, Jean-Ralph, Zakrison, Tanya L., Zuckerbraun, Brian, and Zuidema, Wietse P.

Subjects
0301 basic medicine, Cross-sectional study, Psychological intervention, Antibiotics, Antimicrobial stewardship, Infections, Surgery, Anti-Infective Agents, Antimicrobial Stewardship, Cross-Sectional Studies, Global Health, Humans, Intraabdominal Infections, Postoperative Complications, Surveys and Questionnaires, GUIDELINES, HEALTH-CARE EPIDEMIOLOGY, 0302 clinical medicine, Global health, Medicine and Health Sciences, PROGRAM, Infection control, Medicine, 030212 general & internal medicine, Response rate (survey), DISEASES SOCIETY, lcsh:Medical emergencies. Critical care. Intensive care. First aid, 3. Good health, Reconstructive and regenerative medicine Radboud Institute for Molecular Life Sciences [Radboudumc 10], CIRURGIA, Emergency Medicine, Infection, Life Sciences & Biomedicine, medicine.medical_specialty, 030106 microbiology, lcsh:Surgery, MEDLINE, 03 medical and health sciences, Antibiotic resistance, AMERICA, Science & Technology, business.industry, Antibiotic, lcsh:RD1-811, lcsh:RC86-88.9, 3126 Surgery, anesthesiology, intensive care, radiology, HOSPITALS, [SDV.SPEE]Life Sciences [q-bio]/Santé publique et épidémiologie, business
Abstract

Contains fulltext : 177987.pdf (Publisher’s version ) (Open Access) BACKGROUND: Antimicrobial Stewardship Programs (ASPs) have been promoted to optimize antimicrobial usage and patient outcomes, and to reduce the emergence of antimicrobial-resistant organisms. However, the best strategies for an ASP are not definitively established and are likely to vary based on local culture, policy, and routine clinical practice, and probably limited resources in middle-income countries. The aim of this study is to evaluate structures and resources of antimicrobial stewardship teams (ASTs) in surgical departments from different regions of the world. METHODS: A cross-sectional web-based survey was conducted in 2016 on 173 physicians who participated in the AGORA (Antimicrobials: A Global Alliance for Optimizing their Rational Use in Intra-Abdominal Infections) project and on 658 international experts in the fields of ASPs, infection control, and infections in surgery. RESULTS: The response rate was 19.4%. One hundred fifty-six (98.7%) participants stated their hospital had a multidisciplinary AST. The median number of physicians working inside the team was five [interquartile range 4-6]. An infectious disease specialist, a microbiologist and an infection control specialist were, respectively, present in 80.1, 76.3, and 67.9% of the ASTs. A surgeon was a component in 59.0% of cases and was significantly more likely to be present in university hospitals (89.5%, p < 0.05) compared to community teaching (83.3%) and community hospitals (66.7%). Protocols for pre-operative prophylaxis and for antimicrobial treatment of surgical infections were respectively implemented in 96.2 and 82.3% of the hospitals. The majority of the surgical departments implemented both persuasive and restrictive interventions (72.8%). The most common types of interventions in surgical departments were dissemination of educational materials (62.5%), expert approval (61.0%), audit and feedback (55.1%), educational outreach (53.7%), and compulsory order forms (51.5%). CONCLUSION: The survey showed a heterogeneous organization of ASPs worldwide, demonstrating the necessity of a multidisciplinary and collaborative approach in the battle against antimicrobial resistance in surgical infections, and the importance of educational efforts towards this goal.

Published
2017
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