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53. Bologna guidelines for diagnosis and management of adhesive small bowel obstruction (ASBO): 2017 update of the evidence-based guidelines from the world society of emergency surgery ASBO working group

Author

Broek, R.P.G ten, Krielen, P., Saverio, S. Di, Coccolini, F., Biffl, W.L., Ansaloni, L., Velmahos, G.C., Sartelli, M., Fraga, G.P., Kelly, M.D., Moore, F.A., Peitzman, A.B., Leppaniemi, A., Moore, E.E., Jeekel, J., Kluger, Y., Sugrue, M., Balogh, Z.J., Bendinelli, C., Civil, I., Coimbra, R., Moya, M., Ferrada, P., Inaba, K., Ivatury, R., Latifi, R., Kashuk, J.L., Kirkpatrick, A.W., Maier, R., Rizoli, S., Sakakushev, B., Scalea, T., Soreide, K., Weber, D., Wani, I., Abu-Zidan, F.M., De'Angelis, N., Piscioneri, F., Galante, J.M., Catena, F., Goor, H. van, Broek, R.P.G ten, Krielen, P., Saverio, S. Di, Coccolini, F., Biffl, W.L., Ansaloni, L., Velmahos, G.C., Sartelli, M., Fraga, G.P., Kelly, M.D., Moore, F.A., Peitzman, A.B., Leppaniemi, A., Moore, E.E., Jeekel, J., Kluger, Y., Sugrue, M., Balogh, Z.J., Bendinelli, C., Civil, I., Coimbra, R., Moya, M., Ferrada, P., Inaba, K., Ivatury, R., Latifi, R., Kashuk, J.L., Kirkpatrick, A.W., Maier, R., Rizoli, S., Sakakushev, B., Scalea, T., Soreide, K., Weber, D., Wani, I., Abu-Zidan, F.M., De'Angelis, N., Piscioneri, F., Galante, J.M., Catena, F., and Goor, H. van

Abstract

Contains fulltext : 194580.pdf (publisher's version ) (Open Access), Background: Adhesive small bowel obstruction (ASBO) is a common surgical emergency, causing high morbidity and even some mortality. The adhesions causing such bowel obstructions are typically the footprints of previous abdominal surgical procedures. The present paper presents a revised version of the Bologna guidelines to evidence-based diagnosis and treatment of ASBO. The working group has added paragraphs on prevention of ASBO and special patient groups. Methods: The guideline was written under the auspices of the World Society of Emergency Surgery by the ASBO working group. A systematic literature search was performed prior to the update of the guidelines to identify relevant new papers on epidemiology, diagnosis, and treatment of ASBO. Literature was critically appraised according to an evidence-based guideline development method. Final recommendations were approved by the workgroup, taking into account the level of evidence of the conclusion. Recommendations: Adhesion formation might be reduced by minimally invasive surgical techniques and the use of adhesion barriers. Non-operative treatment is effective in most patients with ASBO. Contraindications for non-operative treatment include peritonitis, strangulation, and ischemia. When the adhesive etiology of obstruction is unsure, or when contraindications for non-operative management might be present, CT is the diagnostic technique of choice. The principles of non-operative treatment are nil per os, naso-gastric, or long-tube decompression, and intravenous supplementation with fluids and electrolytes. When operative treatment is required, a laparoscopic approach may be beneficial for selected cases of simple ASBO.Younger patients have a higher lifetime risk for recurrent ASBO and might therefore benefit from application of adhesion barriers as both primary and secondary prevention. Discussion: This guideline presents recommendations that can be used by surgeons who treat patients with ASBO. Scientific evidence f

Published
2018

54. Bologna guidelines for diagnosis and management of adhesive small bowel obstruction (ASBO)

Author

Broek, R.P. (R.) ten, Krielen, P. (Pepijn), Di Saverio, S. (Salomone), Coccolini, F. (Federico), Biffl, W.L. (Walter), Ansaloni, L. (Luca), Velmahos, G.C. (George ), Sartelli, M. (Massimo), Fraga, G.P. (Gustavo), Kelly, M.D. (Michael D.), Moore, F.A. (Frederick), Peitzman, A.B. (Andrew), Leppaniemi, A. (Ari), Moore, E.E. (Ernest), Jeekel, J. (Hans), Kluger, Y. (Yoram), Sugrue, M. (Michael), Balogh, Z.J. (Zsolt J.), Bendinelli, C. (Cino), Civil, I. (Ian), Coimbra, R. (Raul), De Moya, M. (Mark), Ferrada, P. (Paula), Inaba, K. (Kenji), Ivatury, R. (Rao), Latifi, R. (Rifat), Kashuk, J.L. (Jeffry L.), Kirkpatrick, A.W. (Andrew W.), Maier, R. (Ron), Rizoli, S. (Sandro), Sakakushev, B. (Boris), Scalea, T. (Thomas), Søreide, K. (Kjetil), Weber, D. (Dieter), Wani, I. (Imtiaz), Abu-Zidan, F.M. (Fikri M.), De'Angelis, N. (Nicola), Piscioneri, F. (Frank), Galante, J.M. (Joseph M.), Catena, F. (Fausto), Goor, H. (Harry) van, Broek, R.P. (R.) ten, Krielen, P. (Pepijn), Di Saverio, S. (Salomone), Coccolini, F. (Federico), Biffl, W.L. (Walter), Ansaloni, L. (Luca), Velmahos, G.C. (George ), Sartelli, M. (Massimo), Fraga, G.P. (Gustavo), Kelly, M.D. (Michael D.), Moore, F.A. (Frederick), Peitzman, A.B. (Andrew), Leppaniemi, A. (Ari), Moore, E.E. (Ernest), Jeekel, J. (Hans), Kluger, Y. (Yoram), Sugrue, M. (Michael), Balogh, Z.J. (Zsolt J.), Bendinelli, C. (Cino), Civil, I. (Ian), Coimbra, R. (Raul), De Moya, M. (Mark), Ferrada, P. (Paula), Inaba, K. (Kenji), Ivatury, R. (Rao), Latifi, R. (Rifat), Kashuk, J.L. (Jeffry L.), Kirkpatrick, A.W. (Andrew W.), Maier, R. (Ron), Rizoli, S. (Sandro), Sakakushev, B. (Boris), Scalea, T. (Thomas), Søreide, K. (Kjetil), Weber, D. (Dieter), Wani, I. (Imtiaz), Abu-Zidan, F.M. (Fikri M.), De'Angelis, N. (Nicola), Piscioneri, F. (Frank), Galante, J.M. (Joseph M.), Catena, F. (Fausto), and Goor, H. (Harry) van

Abstract

Background: Adhesive small bowel obstruction (ASBO) is a common surgical emergency, causing high morbidity and even some mortality. The adhesions causing such bowel obstructions are typically the footprints of previous abdominal surgical procedures. The present paper presents a revised version of the Bologna guidelines to evidence-based diagnosis and treatment of ASBO. The working group has added paragraphs on prevention of ASBO and special patient groups. Methods: The guideline was written under the auspices of the World Society of Emergency Surgery by the ASBO working group. A systematic literature search was performed prior to the update of the guidelines to identify relevant new papers on epidemiology, diagnosis, and treatment of ASBO. Literature was critically appraised according to an evidence-based guideline development method. Final recommendations were approved by the workgroup, taking into account the level of evidence of the conclusion. Recommendations: Adhesion formation might be reduced by minimally invasive surgical techniques and the use of adhesion barriers. Non-operative treatment is effective in most patients with ASBO. Contraindications for non-operative treatment include peritonitis, strangulation, and ischemia. When the adhesive etiology of obstruction is unsure, or when contraindications for non-operative management might be present, CT is the diagnostic technique of choice. The principles of non-operative treatment are nil per os, naso-gastric, or long-tube decompression, and intravenous supplementation with fluids and electrolytes. When operative treatment is required, a laparoscopic approach may be beneficial for selected cases of simple ASBO. Younger patients have a higher lifetime risk for recurrent ASBO and might therefore benefit from application of adhesion barriers as both primary and secondary prevention. Discussion: This guideline presents recommendations that can be used by surgeons who treat patients with ASBO. Scientific evidence

Published
2018
Full Text
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55. Bologna guidelines for diagnosis and management of adhesive small bowel obstruction (ASBO): 2017 update of the evidence-based guidelines from the world society of emergency surgery ASBO working group

Author

ten Broek, RPG, Krielen, P, Di Saverio, S, Coccolini, F, Biffl, WL, Ansaloni, L, Velmahos, GC, Sartelli, M, Fraga, GP, Kelly, MD, Moore, FA, Peitzman, AB, Leppaniemi, A, Moore, EE, Jeekel, J (Hans), Kluger, Y, Sugrue, M, Balogh, Z J, Bendinelli, C, Civil, I, Coimbra, R, De Moya, M, Ferrada, P, Inaba, K, Ivatury, R, Latifi, R, Kashuk, JL, Kirkpatrick, AW, Maier, R, Rizoli, S, Sakakushev, B, Scalea, T, Soreide, K, Weber, D, Wani, I, Abu-Zidan, FM, De'Angelis, N, Piscioneri, F, Galante, JM, Catena, F, van Goor, H, ten Broek, RPG, Krielen, P, Di Saverio, S, Coccolini, F, Biffl, WL, Ansaloni, L, Velmahos, GC, Sartelli, M, Fraga, GP, Kelly, MD, Moore, FA, Peitzman, AB, Leppaniemi, A, Moore, EE, Jeekel, J (Hans), Kluger, Y, Sugrue, M, Balogh, Z J, Bendinelli, C, Civil, I, Coimbra, R, De Moya, M, Ferrada, P, Inaba, K, Ivatury, R, Latifi, R, Kashuk, JL, Kirkpatrick, AW, Maier, R, Rizoli, S, Sakakushev, B, Scalea, T, Soreide, K, Weber, D, Wani, I, Abu-Zidan, FM, De'Angelis, N, Piscioneri, F, Galante, JM, Catena, F, and van Goor, H

Published
2018

56. IROA: The International Register of Open Abdomen.: An international effort to better understand the open abdomen: Call for participants

Author

Coccolini, F, Catena, F, Montori, G, Ceresoli, M, Manfredi, R, Nita, G, Moore, E, Biffl, W, Ivatury, R, Whelan, J, Fraga, G, Leppaniemi, A, Sartelli, M, Di Saverio, S, Ansaloni, L, Coccolini F., Catena F., Montori G., Ceresoli M., Manfredi R., Nita G. E., Moore E. E., Biffl W., Ivatury R., Whelan J., Fraga G., Leppaniemi A., Sartelli M., Di Saverio S., Ansaloni L., Coccolini, F, Catena, F, Montori, G, Ceresoli, M, Manfredi, R, Nita, G, Moore, E, Biffl, W, Ivatury, R, Whelan, J, Fraga, G, Leppaniemi, A, Sartelli, M, Di Saverio, S, Ansaloni, L, Coccolini F., Catena F., Montori G., Ceresoli M., Manfredi R., Nita G. E., Moore E. E., Biffl W., Ivatury R., Whelan J., Fraga G., Leppaniemi A., Sartelli M., Di Saverio S., and Ansaloni L.

Abstract

Actually the most common indications for Open Abdomen (OA) are trauma, abdominal sepsis, severe acute pancreatitis and more in general all those situations in which an intra-abdominal hypertension condition is present, in order to prevent the development of an abdominal compartment syndrome. The mortality and morbidity rate in patients undergone to OA procedures is still high. At present many studies have been published about the OA management and the progresses in survival rate of critically ill trauma and septic surgical patients. However several issues are still unclear and need more extensive studies. The definitions of indications, applications and methods to close the OA are still matter of debate. To overcome this lack of high level of evidence data about the OA indications, management, definitive closure and follow-up, the World Society of Emergency Surgery (WSES) promoted the International Register of Open Abdomen (IROA). The register will be held on a web platform (Clinical Registers®) through a dedicated web site: www.clinicalregisters.org . This will allow to all surgeons and physicians to participate from all around the world only by having a computer and a web connection. The IROA protocol has been approved by the coordinating center Ethical Committee (Papa Giovanni XXIII hospital, Bergamo, Italy). IROA has also been registered to ClinicalTrials.gov (ClinicalTrials.gov Identifier: NCT02382770).

Published
2015

57. Antimicrobials: a global alliance for optimizing their rational use in intra-abdominal infections (AGORA) (vol 11, 33, 2016)

Author

Sartelli, M., Weber, D. G., Ruppe, E., Bassetti, M., Wright, B. J., Ansaloni, L., Catena, F., Coccolini, F., Abu-Zidan, F. M., Coimbra, R., Moore, E. E., Moore, F. A., Maier, R. V., De Waele, J. J., Kirkpatrick, A. W., Griffiths, E. A., Eckmann, C., Brink, A. J., Mazuski, J. E., May, A. K., Sawyer, R. G., Mertz, D., Montravers, P., Kumar, A., Roberts, J. A., Vincent, L., Watkins, R. R., Lowman, W., Spellberg, B., Abbott, I. J., Adesunkanmi, A. K., Al-Dahir, S., Al-Hasan, M. N., Agresta, F., Althani, A. A., Ansari, S., Ansumana, R., Augustin, G., Bala, M., Balogh, Z. J., Baraket, O., Bhangu, A., Beltrán, Anna Maria, Bernhard, M., Biffl, W. L., Boermeester, M. A., Brecher, S. M., Cherry-Bukowiec, J. R., Buyne, O. R., Cainzos, M. A., Cairns, K. A., Camacho-Ortiz, A., Chandy, S. J., Jusoh, A. Che, Chichom-Mefire, A., Colijn, C., Corcione, F., Cui, Y., Curcio, D., Delibegovic, S., Demetrashvili, Z., De Simone, B., Dhingra, S., Diaz, J. J., Di Carlo, I., Dillip, A., Di Saverio, S., Doyle, M. P., Dorj, G., Dogjani, A., Dupont, H., Eachempati, S. R., Enani, M. A., Egiev, V. N., Elmangory, M. M., Ferrada, P., Fitchett, J. R., Fraga, G. P., Guessennd, N., Giamarellou, H., Ghnnam, W., Gkiokas, G., Goldberg, S. R., Gomes, C. A., Gomi, H., Guzman-Blanco, M., Haque, M., Hansen, S., Hecker, A., Heizmann, W. R., Herzog, T., Hodonou, A. M., Hong, S. K., Kafka-Ritsch, R., Kaplan, L. J., Kapoor, G., Karamarkovic, A., Kees, M. G., Kenig, J., Kiguba, R., Kim, P. K., Kluger, Y., Khokha, V., Koike, K., Kok, K. Y., Kong, V., Knox, M. C., Inaba, K., Isik, A., Iskandar, K., Ivatury, R. R., Labbate, M., Labricciosa, F. M., Laterre, P. F., Latifi, R., Lee, J. G., Lee, Y. R., Leone, M., Leppaniemi, A., Li, Y., Liang, S. Y., Loho, T., Maegele, M., Malama, S., Marei, H. E., Martin-Loeches, I., Marwah, S., Massele, A., McFarlane, M., Melo, R. B., Negoi, I., Nicolau, D. P., Nord, C. E., Ofori-Asenso, R., Omari, A. H., Ordonez, C. A., Ouadii, M., Pereira Junior, G. A., Piazza, D., Pupelis, G., Rawson, T. M., Rems, M., Rizoli, S., Rocha, C., Sakakushev, B., Sanchez-Garcia, M., Sato, N., Segovia Lohse, H. A., Sganga, G., Siribumrungwong, B., Shelat, V. G., Soreide, K., Soto, R., Talving, P., Tilsed, J. V., Timsit, J. F., Trueba, G., Trung, N. T., Ulrych, J., Van Goor, H., Vereczkei, A., Vohra, R. S., Wani, I., Uhl, W., Xiao, Y., Yuan, K. C., Zachariah, S. K., Zahar, J. R., Zakrison, T. L., Corcione, A., Melotti, R. M., Viscoli, C., Viale, P., Universita 'La Sapienza' Roma (Istituto CNR), Università degli Studi di Roma 'La Sapienza' = Sapienza University [Rome] (UNIROMA), Universidade de Aveiro, Laboratoire matériaux et microélectronique de Provence (L2MP), Université Paul Cézanne - Aix-Marseille 3-Université de Provence - Aix-Marseille 1-Université de Toulon (UTLN)-Centre National de la Recherche Scientifique (CNRS), Institut Pasteur de Côte d'Ivoire, Réseau International des Instituts Pasteur (RIIP), National Defence University of Malaysia [Kuala Lumpur], Max Planck Institute for the Physics of Complex Systems (MPI-PKS), Max-Planck-Gesellschaft, Center for Plant Molecular Biology, Plant Physiology, and Biophysical Chemistry, University of Tübingen, Unité de Recherche sur les Maladies Infectieuses et Tropicales Emergentes (URMITE), Institut de Recherche pour le Développement (IRD)-Aix Marseille Université (AMU)-Institut National de la Santé et de la Recherche Médicale (INSERM)-IFR48, Institut des sciences biologiques (INSB-CNRS)-Institut des sciences biologiques (INSB-CNRS)-Centre National de la Recherche Scientifique (CNRS), Laboratoire de l'Accélérateur Linéaire (LAL), Université Paris-Sud - Paris 11 (UP11)-Institut National de Physique Nucléaire et de Physique des Particules du CNRS (IN2P3)-Centre National de la Recherche Scientifique (CNRS), Dipartimento di Fisica 'Giuseppe Occhialini' = Department of Physics 'Giuseppe Occhialini' [Milano-Bicocca], Università degli Studi di Milano-Bicocca = University of Milano-Bicocca (UNIMIB), Atmospheric and Environmental Research, Inc. (AER), Zhejiang University, Università degli Studi di Roma 'La Sapienza' = Sapienza University [Rome], INSB-INSB-Centre National de la Recherche Scientifique (CNRS), Centre National de la Recherche Scientifique (CNRS)-Institut National de Physique Nucléaire et de Physique des Particules du CNRS (IN2P3)-Université Paris-Sud - Paris 11 (UP11), Università degli Studi di Milano-Bicocca [Milano] (UNIMIB), and COMBE, Isabelle

Subjects
[SDV.MHEP] Life Sciences [q-bio]/Human health and pathology, Carbapenems, Antimicrobial Resistance, Invasive Candidiasis, Methicillin Resistant Staphylococcus Aureus, Tigecycline, [SDV.MHEP]Life Sciences [q-bio]/Human health and pathology
Abstract

International audience; Intra-abdominal infections (IAI) are an important cause of morbidity and are frequently associated with poor prognosis, particularly in high-risk patients.The cornerstones in the management of complicated IAIs are timely effective source control with appropriate antimicrobial therapy. Empiric antimicrobial therapy is important in the management of intra-abdominal infections and must be broad enough to cover all likely organisms because inappropriate initial antimicrobial therapy is associated with poor patient outcomes and the development of bacterial resistance.The overuse of antimicrobials is widely accepted as a major driver of some emerging infections (such as C. difficile), the selection of resistant pathogens in individual patients, and for the continued development of antimicrobial resistance globally. The growing emergence of multi-drug resistant organisms and the limited development of new agents available to counteract them have caused an impending crisis with alarming implications, especially with regards to Gram-negative bacteria.An international task force from 79 different countries has joined this project by sharing a document on the rational use of antimicrobials for patients with IAIs. The project has been termed AGORA (Antimicrobials: A Global Alliance for Optimizing their Rational Use in Intra-Abdominal Infections). The authors hope that AGORA, involving many of the world's leading experts, can actively raise awareness in health workers and can improve prescribing behavior in treating IAIs.

Published
2017

58. IROA: International Register of Open Abdomen, preliminary results (vol 12, pg 13, 2017)

Author

Coccolini F, Montori G, Ceresoli M, Catena F, Ivatury R, Sugrue M, Sartelli M, Fugazzola P, Corbella D, Salvetti F, Negoi I, Zese M, Occhionorelli S, Maccatrozzo S, Shlyapnikov S, Galatioto C, Chiarugi M, Demetrashvili Z, Dondossola D, Yovtchev Y, Ioannidis O, Novelli G, Nacoti M, Khor D, Inaba K, Demetriades D, Kaussen T, Jusoh AC, Ghannam W, Sakakushev B, Guetta O, Dogjani A, Costa S, Singh S, Damaskos D, Isik A, Yuan KC, Trotta F, Rausei S, Martinez-Perez A, Bellanova G, Fonseca VC, Hernández F, Marinis A, Fernandes W, Quiodettis M, Bala M, Vereczkei A, Curado RL, Fraga GP, Pereira BM, Gachabayov M, Chagerben GP, Arellano ML, Ozyazici S, Costa G, Tezcaner T, and Ansaloni L

Abstract

[This corrects the article DOI: 10.1186/s13017-017-0123-8.].

Published
2017

59. Erratum to: IROA: International Register of Open Abdomen, preliminary results. [World J Emerg Surg. 12, (2017), (10)] DOI: 10.1186/s13017-017-0123-8

Author

Coccolini, F., Montori, G., Ceresoli, M., Catena, F., Ivatury, R., Sugrue, M., Sartelli, M., Fugazzola, P., Corbella, D., Salvetti, F., Negoi, I., Zese, M., Occhionorelli, S., Maccatrozzo, S., Shlyapnikov, S., Galatioto, C., Chiarugi, M., Demetrashvili, Z., Dondossola, D., Yovtchev, Y., Ioannidis, O., Novelli, G., Nacoti, M., Khor, D., Inaba, K., Demetriades, D., Kaussen, T., Jusoh, A. C., Ghannam, W., Sakakushev, B., Guetta, O., Dogjani, A., Costa, S., Singh, S., Damaskos, D., Isik, A., Yuan, K. -C., Trotta, F., Rausei, S., Martinez-Perez, A., Bellanova, G., Fonseca, V. C., Hernandez, F., Marinis, A., Fernandes, W., Quiodettis, M., Bala, M., Vereczkei, A., Curado, R. L., Fraga, G. P., Pereira, B. M., Gachabayov, M., Chagerben, G. P., Arellano, M. L., Ozyazici, S., Costa, G., Tezcaner, T., and Ansaloni, L.

Subjects
Surgery, Emergency Medicine, NO
Published
2017

60. Erratum to: 2016 WSES guidelines on acute calculous cholecystitis [J Emerg Surg, 11, (2016), (25)], DOI: 10.1186/s13017-016-0082-5

Author

Ansaloni, L., Pisano, M., Coccolini, F., Peitzmann, A. B., Fingerhut, A., Catena, F., Agresta, F., Allegri, A., Bailey, I., Balogh, Z. J., Bendinelli, C., Biffl, W., Bonavina, L., Borzellino, G., Brunetti, F., Burlew, C. C., Camapanelli, G., Campanile, F. C., Ceresoli, M., Chiara, O., Civil, I., Coimbra, R., Moya, M., Saverio, S., Fraga, G. P., Gupta, S., Kashuk, J., Kelly, M. D., Khokha, V., Jeekel, H., Latifi, R., Leppaniemi, A., Maier, R. V., Marzi, I., Moore, F., Piazzalunga, D., Sakakushev, B., Sartelli, M., Scalea, T., Stahel, P. F., Taviloglu, K., Tugnoli, G., Uraneus, S., Velmahos, G. C., Wani, I., Weber, D. G., Viale, P., Sugrue, M., Ivatury, R., Kluger, Y., Gurusamy, K. S., and Moore, E. E.

Published
2016

61. Erratum to: Antimicrobials: a global alliance for optimizing their rational use in intra-abdominal infections (AGORA)

Author

Sartelli, M., primary, Weber, D. G., additional, Ruppé, E., additional, Bassetti, M., additional, Wright, B. J., additional, Ansaloni, L., additional, Catena, F., additional, Coccolini, F., additional, Abu-Zidan, F. M., additional, Coimbra, R., additional, Moore, E. E., additional, Moore, F. A., additional, Maier, R. V., additional, De Waele, J. J., additional, Kirkpatrick, A. W., additional, Griffiths, E. A., additional, Eckmann, C., additional, Brink, A. J., additional, Mazuski, J. E., additional, May, A. K., additional, Sawyer, R. G., additional, Mertz, D., additional, Montravers, P., additional, Kumar, A., additional, Roberts, J. A., additional, Vincent, J. L., additional, Watkins, R. R., additional, Lowman, W., additional, Spellberg, B., additional, Abbott, I. J., additional, Adesunkanmi, A. K., additional, Al-Dahir, S., additional, Al-Hasan, M. N., additional, Agresta, F., additional, Althani, A. A., additional, Ansari, S., additional, Ansumana, R., additional, Augustin, G., additional, Bala, M., additional, Balogh, Z. J., additional, Baraket, O., additional, Bhangu, A., additional, Beltrán, M. A., additional, Bernhard, M., additional, Biffl, W. L., additional, Boermeester, M. A., additional, Brecher, S. M., additional, Cherry-Bukowiec, J. R., additional, Buyne, O. R., additional, Cainzos, M. A., additional, Cairns, K. A, additional, Camacho-Ortiz, A., additional, Chandy, S. J., additional, Che Jusoh, A., additional, Chichom-Mefire, A., additional, Colijn, C., additional, Corcione, F., additional, Cui, Y., additional, Curcio, D., additional, Delibegovic, S., additional, Demetrashvili, Z., additional, De Simone, B., additional, Dhingra, S., additional, Diaz, J. J., additional, Di Carlo, I., additional, Dillip, A., additional, Di Saverio, S., additional, Doyle, M. P., additional, Dorj, G., additional, Dogjani, A., additional, Dupont, H., additional, Eachempati, S. R., additional, Enani, M. A., additional, Egiev, V. N., additional, Elmangory, M. M., additional, Ferrada, P., additional, Fitchett, J. R., additional, Fraga, G. P., additional, Guessennd, N., additional, Giamarellou, H., additional, Ghnnam, W., additional, Gkiokas, G., additional, Goldberg, S. R., additional, Gomes, C. A., additional, Gomi, H., additional, Guzmán-Blanco, M., additional, Haque, M., additional, Hansen, S., additional, Hecker, A., additional, Heizmann, W. R., additional, Herzog, T., additional, Hodonou, A. M., additional, Hong, S. K., additional, Kafka-Ritsch, R., additional, Kaplan, L. J., additional, Kapoor, G., additional, Karamarkovic, A., additional, Kees, M. G., additional, Kenig, J., additional, Kiguba, R., additional, Kim, P. K., additional, Kluger, Y., additional, Khokha, V., additional, Koike, K., additional, Kok, K. Y., additional, Kong, V., additional, Knox, M. C., additional, Inaba, K., additional, Isik, A., additional, Iskandar, K., additional, Ivatury, R. R., additional, Labbate, M., additional, Labricciosa, F. M., additional, Laterre, P. F., additional, Latifi, R., additional, Lee, J. G., additional, Lee, Y. R., additional, Leone, M., additional, Leppaniemi, A., additional, Li, Y., additional, Liang, S. Y., additional, Loho, T., additional, Maegele, M., additional, Malama, S., additional, Marei, H. E., additional, Martin-Loeches, I., additional, Marwah, S., additional, Massele, A., additional, McFarlane, M., additional, Melo, R. B., additional, Negoi, I., additional, Nicolau, D. P., additional, Nord, C. E., additional, Ofori-Asenso, R., additional, Omari, A. H., additional, Ordonez, C. A., additional, Ouadii, M., additional, Pereira Júnior, G. A., additional, Piazza, D., additional, Pupelis, G., additional, Rawson, T. M., additional, Rems, M., additional, Rizoli, S., additional, Rocha, C., additional, Sakakushev, B., additional, Sanchez-Garcia, M., additional, Sato, N., additional, Segovia Lohse, H. A., additional, Sganga, G., additional, Siribumrungwong, B., additional, Shelat, V. G., additional, Soreide, K., additional, Soto, R., additional, Talving, P., additional, Tilsed, J. V., additional, Timsit, J. F., additional, Trueba, G., additional, Trung, N. T., additional, Ulrych, J., additional, van Goor, H., additional, Vereczkei, A., additional, Vohra, R. S., additional, Wani, I., additional, Uhl, W., additional, Xiao, Y., additional, Yuan, K. C., additional, Zachariah, S. K., additional, Zahar, J. R., additional, Zakrison, T. L., additional, Corcione, A., additional, Melotti, R. M., additional, Viscoli, C., additional, and Viale, P., additional

Published
2017
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62. 2016 WSES guidelines on acute calculous cholecystitis

Author

Ansaloni, L., primary, Pisano, M., additional, Coccolini, F., additional, Peitzmann, A. B., additional, Fingerhut, A., additional, Catena, F., additional, Agresta, F., additional, Allegri, A., additional, Bailey, I., additional, Balogh, Z. J., additional, Bendinelli, C., additional, Biffl, W., additional, Bonavina, L., additional, Borzellino, G., additional, Brunetti, F., additional, Burlew, C. C., additional, Camapanelli, G., additional, Campanile, F. C., additional, Ceresoli, M., additional, Chiara, O., additional, Civil, I., additional, Coimbra, R., additional, Moya, M. De., additional, Saverio, S. Di., additional, Fraga, G. P., additional, Gupta, S., additional, Kashuk, J., additional, Kelly, M. D., additional, Koka, V., additional, Jeekel, H., additional, Latifi, R., additional, Leppaniemi, A., additional, Maier, R. V., additional, Marzi, I., additional, Moore, F., additional, Piazzalunga, D., additional, Sakakushev, B., additional, Sartelli, M., additional, Scalea, T., additional, Stahel, P. F., additional, Taviloglu, K., additional, Tugnoli, G., additional, Uraneus, S., additional, Velmahos, G. C., additional, Wani, I., additional, Weber, D. G., additional, Viale, P., additional, Sugrue, M., additional, Ivatury, R., additional, Kluger, Y., additional, Gurusamy, K. S., additional, and Moore, E. E., additional

Published
2017
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65. 2016 WSES guidelines on acute calculous cholecystitis

Author

Ansaloni, L. (Luca), Pisano, M., Coccolini, F. (Federico), Peitzmann, A.B., Fingerhut, A. (A.), Catena, F. (Fausto), Agresta, F., Allegri, A., Bailey, I., Balogh, Z.J., Bendinelli, C. (Cino), Biffl, W.L. (Walter), Bonavina, L., Borzellino, G., Brunetti, F., Burlew, C.C. (Clay), Camapanelli, G., Campanile, F.C., Ceresoli, M., Chiara, O., Civil, I., Coimbra, R., De Moya, M., Di Saverio, S. (Salomone), Fraga, G.P. (Gustavo), Gupta, S., Kashuk, J., Kelly, M.D., Koka, V., Jeekel, J. (Hans), Latifi, R., Leppaniemi, A. (Ari), Maier, R.V., Marzi, I., Moore, F.A. (Frederick), Piazzalunga, D., Sakakushev, B., Sartelli, M. (Massimo), Scalea, T., Stahel, P.F., Taviloglu, K. (Korhan), Tugnoli, G. (Gregorio), Uraneus, S., Velmahos, G.C. (George ), Wani, I., Weber, D.G., Viale, P., Sugrue, M. (Michael), Ivatury, R. (Rao), Kluger, Y. (Yoram), Gurusamy, K.S., Moore, E.E., Ansaloni, L. (Luca), Pisano, M., Coccolini, F. (Federico), Peitzmann, A.B., Fingerhut, A. (A.), Catena, F. (Fausto), Agresta, F., Allegri, A., Bailey, I., Balogh, Z.J., Bendinelli, C. (Cino), Biffl, W.L. (Walter), Bonavina, L., Borzellino, G., Brunetti, F., Burlew, C.C. (Clay), Camapanelli, G., Campanile, F.C., Ceresoli, M., Chiara, O., Civil, I., Coimbra, R., De Moya, M., Di Saverio, S. (Salomone), Fraga, G.P. (Gustavo), Gupta, S., Kashuk, J., Kelly, M.D., Koka, V., Jeekel, J. (Hans), Latifi, R., Leppaniemi, A. (Ari), Maier, R.V., Marzi, I., Moore, F.A. (Frederick), Piazzalunga, D., Sakakushev, B., Sartelli, M. (Massimo), Scalea, T., Stahel, P.F., Taviloglu, K. (Korhan), Tugnoli, G. (Gregorio), Uraneus, S., Velmahos, G.C. (George ), Wani, I., Weber, D.G., Viale, P., Sugrue, M. (Michael), Ivatury, R. (Rao), Kluger, Y. (Yoram), Gurusamy, K.S., and Moore, E.E.

Abstract

Acute calculus , is a very common disease with several area of uncertainty. The World Society of Emergency Surgery developed extensive guidelines in order to cover grey areas. The diagnostic criteria, the antimicrobial therapy, the evaluation of associated common bile duct stones, the identification of "high risk" patients, the surgical timing, the type of surgery, and the alternatives to surgery are discussed. Moreover the algorithm is proposed: as soon as diagnosis is made and after the evaluation of choledocholitiasis risk, laparoscopic cholecystectomy should be offered to all patients exception of those with high risk of morbidity or mortality. These Guidelines must be considered as an adjunctive tool for decision but they are not substitute of the clinical judgement for the individual patient.

Published
2016
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66. Erratum to: 2016 WSES guidelines on acute calculous cholecystitis [J Emerg Surg, 11, (2016), (25)], DOI: 10.1186/s13017-016-0082-5

Author

Ansaloni, L. (Luca), Pisano, M., Coccolini, F. (Federico), Peitzmann, A.B., Fingerhut, A. (A.), Catena, F. (Fausto), Agresta, F., Allegri, A., Bailey, I., Balogh, Z.J., Bendinelli, C. (Cino), Biffl, W.L. (Walter), Bonavina, L., Borzellino, G., Brunetti, F., Burlew, C.C. (Clay), Camapanelli, G., Campanile, F.C., Ceresoli, M., Chiara, O., Civil, I., Coimbra, R., Moya, M., Saverio, S., Fraga, G.P. (Gustavo), Gupta, S., Kashuk, J., Kelly, M.D., Khokha, V., Jeekel, J. (Hans), Latifi, R., Leppaniemi, A. (Ari), Maier, R.V., Marzi, I., Moore, F.A. (Frederick), Piazzalunga, D., Sakakushev, B., Sartelli, M. (Massimo), Scalea, T., Stahel, P.F., Taviloglu, K. (Korhan), Tugnoli, G. (Gregorio), Uraneus, S., Velmahos, G.C. (George ), Wani, I., Weber, D.G., Viale, P., Sugrue, M. (Michael), Ivatury, R. (Rao), Kluger, Y. (Yoram), Gurusamy, K.S., Moore, E.E., Ansaloni, L. (Luca), Pisano, M., Coccolini, F. (Federico), Peitzmann, A.B., Fingerhut, A. (A.), Catena, F. (Fausto), Agresta, F., Allegri, A., Bailey, I., Balogh, Z.J., Bendinelli, C. (Cino), Biffl, W.L. (Walter), Bonavina, L., Borzellino, G., Brunetti, F., Burlew, C.C. (Clay), Camapanelli, G., Campanile, F.C., Ceresoli, M., Chiara, O., Civil, I., Coimbra, R., Moya, M., Saverio, S., Fraga, G.P. (Gustavo), Gupta, S., Kashuk, J., Kelly, M.D., Khokha, V., Jeekel, J. (Hans), Latifi, R., Leppaniemi, A. (Ari), Maier, R.V., Marzi, I., Moore, F.A. (Frederick), Piazzalunga, D., Sakakushev, B., Sartelli, M. (Massimo), Scalea, T., Stahel, P.F., Taviloglu, K. (Korhan), Tugnoli, G. (Gregorio), Uraneus, S., Velmahos, G.C. (George ), Wani, I., Weber, D.G., Viale, P., Sugrue, M. (Michael), Ivatury, R. (Rao), Kluger, Y. (Yoram), Gurusamy, K.S., and Moore, E.E.

Abstract

Unfortunately, the original version of this article [1] contained an error in the spelling of an author's name. The surname is written as Koka, but should be spelt as Khokha.

Published
2016
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67. 2016 WSES guidelines on acute calculous cholecystitis (vol 11, 25, 2016)

Author

University of Helsinki, II kirurgian klinikka, Ansaloni, L., Pisano, M., Coccolini, F., Peitzmann, A. B., Fingerhut, A., Catena, F., Agresta, F., Allegri, A., Bailey, I., Balogh, Z. J., Bendinelli, C., Biffl, W., Bonavina, L., Borzellino, G., Brunetti, F., Burlew, C. C., Camapanelli, G., Campanile, F. C., Ceresoli, M., Chiara, O., Civil, I., Coimbra, R., De Moya, M., Di Saverio, S., Fraga, G. P., Gupta, S., Kashuk, J., Kelly, M. D., Khokha, V., Jeekel, H., Latifi, R., Leppaniemi, A., Maier, R. V., Marzi, I., Moore, F., Piazzalunga, D., Sakakushev, B., Sartelli, M., Scalea, T., Stahel, P. F., Taviloglu, K., Tugnoli, G., Uraneus, S., Velmahos, G. C., Wani, I., Weber, D. G., Viale, P., Sugrue, M., Ivatury, R., Kluger, Y., Gurusamy, K. S., Moore, E. E., University of Helsinki, II kirurgian klinikka, Ansaloni, L., Pisano, M., Coccolini, F., Peitzmann, A. B., Fingerhut, A., Catena, F., Agresta, F., Allegri, A., Bailey, I., Balogh, Z. J., Bendinelli, C., Biffl, W., Bonavina, L., Borzellino, G., Brunetti, F., Burlew, C. C., Camapanelli, G., Campanile, F. C., Ceresoli, M., Chiara, O., Civil, I., Coimbra, R., De Moya, M., Di Saverio, S., Fraga, G. P., Gupta, S., Kashuk, J., Kelly, M. D., Khokha, V., Jeekel, H., Latifi, R., Leppaniemi, A., Maier, R. V., Marzi, I., Moore, F., Piazzalunga, D., Sakakushev, B., Sartelli, M., Scalea, T., Stahel, P. F., Taviloglu, K., Tugnoli, G., Uraneus, S., Velmahos, G. C., Wani, I., Weber, D. G., Viale, P., Sugrue, M., Ivatury, R., Kluger, Y., Gurusamy, K. S., and Moore, E. E.

Published
2016

68. WSES classification and guidelines for liver trauma

Author

Coccolini, F, Catena, F, Moore, E, Ivatury, R, Biffl, W, Peitzman, A, Coimbra, R, Rizoli, S, Kluger, Y, Abu-Zidan, F, Ceresoli, M, Montori, G, Sartelli, M, Weber, D, Fraga, G, Naidoo, N, Moore, F, Zanini, N, Ansaloni, L, Coccolini, Federico, Catena, Fausto, Moore, Ernest E, Ivatury, Rao, Biffl, Walter, Peitzman, Andrew, Coimbra, Raul, Rizoli, Sandro, Kluger, Yoram, Abu-Zidan, Fikri M, Ceresoli, Marco, Montori, Giulia, Sartelli, Massimo, Weber, Dieter, Fraga, Gustavo, Naidoo, Noel, Moore, Frederick A, Zanini, Nicola, Ansaloni, Luca, Coccolini, F, Catena, F, Moore, E, Ivatury, R, Biffl, W, Peitzman, A, Coimbra, R, Rizoli, S, Kluger, Y, Abu-Zidan, F, Ceresoli, M, Montori, G, Sartelli, M, Weber, D, Fraga, G, Naidoo, N, Moore, F, Zanini, N, Ansaloni, L, Coccolini, Federico, Catena, Fausto, Moore, Ernest E, Ivatury, Rao, Biffl, Walter, Peitzman, Andrew, Coimbra, Raul, Rizoli, Sandro, Kluger, Yoram, Abu-Zidan, Fikri M, Ceresoli, Marco, Montori, Giulia, Sartelli, Massimo, Weber, Dieter, Fraga, Gustavo, Naidoo, Noel, Moore, Frederick A, Zanini, Nicola, and Ansaloni, Luca

Abstract

The severity of liver injuries has been universally classified according to the American Association for the Surgery of Trauma (AAST) grading scale. In determining the optimal treatment strategy, however, the haemodynamic status and associated injuries should be considered. Thus the management of liver trauma is ultimately based on the anatomy of the injury and the physiology of the patient. This paper presents the World Society of Emergency Surgery (WSES) classification of liver trauma and the management Guidelines.

Published
2016

69. Options and challenges for the future

Author

Cheatham, M., Ivatury, R., Malbrain, Manu, Sugrue, M., Ivatury, R., Cheatham, M., Malbrain, MLNG, Sugrue, M., Supporting clinical sciences, and Intensive Care

Subjects
Medicine(all), Abdominal compartment syndrome
Published
2006

70. Erratum to: 2016 WSES guidelines on acute calculous cholecystitis

Author

Ansaloni, L., primary, Pisano, M., additional, Coccolini, F., additional, Peitzmann, A. B., additional, Fingerhut, A., additional, Catena, F., additional, Agresta, F., additional, Allegri, A., additional, Bailey, I., additional, Balogh, Z. J., additional, Bendinelli, C., additional, Biffl, W., additional, Bonavina, L., additional, Borzellino, G., additional, Brunetti, F., additional, Burlew, C. C., additional, Camapanelli, G., additional, Campanile, F. C., additional, Ceresoli, M., additional, Chiara, O., additional, Civil, I., additional, Coimbra, R., additional, De Moya, M., additional, Di Saverio, S., additional, Fraga, G. P., additional, Gupta, S., additional, Kashuk, J., additional, Kelly, M. D., additional, Khokha, V., additional, Jeekel, H., additional, Latifi, R., additional, Leppaniemi, A., additional, Maier, R. V., additional, Marzi, I., additional, Moore, F., additional, Piazzalunga, D., additional, Sakakushev, B., additional, Sartelli, M., additional, Scalea, T., additional, Stahel, P. F., additional, Taviloglu, K., additional, Tugnoli, G., additional, Uraneus, S., additional, Velmahos, G. C., additional, Wani, I., additional, Weber, D. G., additional, Viale, P., additional, Sugrue, M., additional, Ivatury, R., additional, Kluger, Y., additional, Gurusamy, K. S., additional, and Moore, E. E., additional

Published
2016
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71. 2016 WSES guidelines on acute calculous cholecystitis

Author

Ansaloni, L., primary, Pisano, M., additional, Coccolini, F., additional, Peitzmann, A. B., additional, Fingerhut, A., additional, Catena, F., additional, Agresta, F., additional, Allegri, A., additional, Bailey, I., additional, Balogh, Z. J., additional, Bendinelli, C., additional, Biffl, W., additional, Bonavina, L., additional, Borzellino, G., additional, Brunetti, F., additional, Burlew, C. C., additional, Camapanelli, G., additional, Campanile, F. C., additional, Ceresoli, M., additional, Chiara, O., additional, Civil, I., additional, Coimbra, R., additional, De Moya, M., additional, Di Saverio, S., additional, Fraga, G. P., additional, Gupta, S., additional, Kashuk, J., additional, Kelly, M. D., additional, Khokha, V., additional, Jeekel, H., additional, Latifi, R., additional, Leppaniemi, A., additional, Maier, R. V., additional, Marzi, I., additional, Moore, F., additional, Piazzalunga, D., additional, Sakakushev, B., additional, Sartelli, M., additional, Scalea, T., additional, Stahel, P. F., additional, Taviloglu, K., additional, Tugnoli, G., additional, Uraneus, S., additional, Velmahos, G. C., additional, Wani, I., additional, Weber, D. G., additional, Viale, P., additional, Sugrue, M., additional, Ivatury, R., additional, Kluger, Y., additional, Gurusamy, K. S., additional, and Moore, E. E., additional

Published
2016
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72. Methodological background and strategy for the 2012-2013 updated consensus definitions and clinical practice guidelines from the abdominal compartment society

Author

University of Helsinki, II kirurgian klinikka, Kirkpatrick, A.W., Roberts, D.J., Jaeschke, R., De Waele, J., De Keulenaer, B., Duchesne, J., Bjorck, M., Leppäniemi, Ari, Ejike, J.C., Sugrue, M., Cheatham, M., Ivatury, R., Ball, C.G., Blaser, A.R., Regli, A., Balogh, Z.J., D'Amours, S., De Laet, I., Malbrain, M.L.N.G., University of Helsinki, II kirurgian klinikka, Kirkpatrick, A.W., Roberts, D.J., Jaeschke, R., De Waele, J., De Keulenaer, B., Duchesne, J., Bjorck, M., Leppäniemi, Ari, Ejike, J.C., Sugrue, M., Cheatham, M., Ivatury, R., Ball, C.G., Blaser, A.R., Regli, A., Balogh, Z.J., D'Amours, S., De Laet, I., and Malbrain, M.L.N.G.

Published
2015

73. WSES guidelines for management of Clostridium difficile infection in surgical patients

Author

Sartelli, M., Malangoni, M.A., Abu-Zidan, F.M., Griffiths, E.A., Bella, S. Di, McFarland, L.V., Eltringham, I., Shelat, V.G., Velmahos, G.C., Kelly, C.P., Khanna, S., Abdelsattar, Z.M., Alrahmani, L., Ansaloni, L., Augustin, G., Bala, M., Barbut, F., Ben-Ishay, O., Bhangu, A., Biffl, W.L., Brecher, S.M., Camacho-Ortiz, A., Cainzos, M.A., Canterbury, L.A., Catena, F., Chan, S., Cherry-Bukowiec, J.R., Clanton, J., Coccolini, F., Cocuz, M.E., Coimbra, R., Cook, C.H., Cui, Y., Czepiel, J., Das, K., Demetrashvili, Z., Carlo, I. Di, Saverio, S. Di, Dumitru, I.M., Eckert, C., Eckmann, C., Eiland, E.H., Enani, M.A., Faro, M., Ferrada, P., Forrester, J.D., Fraga, G.P., Frossard, J.L., Galeiras, R., Ghnnam, W., Gomes, C.A., Gorrepati, V., Ahmed, M.H., Herzog, T., Humphrey, F., Kim, J.I., Isik, A., Ivatury, R., Lee, Y.Y., Juang, P., Furuya-Kanamori, L., Karamarkovic, A., Kim, P.K., Kluger, Y., Ko, W.C., LaBarbera, F.D., Lee, J.G., Leppaniemi, A., Lohsiriwat, V., Marwah, S., Mazuski, J.E., Metan, G., Moore, E.E., Moore, F.A., Nord, C.E., Ordonez, C.A., Junior, G.A., Petrosillo, N., Portela, F., Puri, B.K., Ray, A., Raza, M., Rems, M., Sakakushev, B.E., Sganga, G., Spigaglia, P., Stewart, D.B., Tattevin, P., Timsit, J.F., To, K.B., Trana, C., Uhl, W., Urbanek, L., Goor, H. van, Vassallo, A., Zahar, J.R., Caproli, E., Viale, P., Sartelli, M., Malangoni, M.A., Abu-Zidan, F.M., Griffiths, E.A., Bella, S. Di, McFarland, L.V., Eltringham, I., Shelat, V.G., Velmahos, G.C., Kelly, C.P., Khanna, S., Abdelsattar, Z.M., Alrahmani, L., Ansaloni, L., Augustin, G., Bala, M., Barbut, F., Ben-Ishay, O., Bhangu, A., Biffl, W.L., Brecher, S.M., Camacho-Ortiz, A., Cainzos, M.A., Canterbury, L.A., Catena, F., Chan, S., Cherry-Bukowiec, J.R., Clanton, J., Coccolini, F., Cocuz, M.E., Coimbra, R., Cook, C.H., Cui, Y., Czepiel, J., Das, K., Demetrashvili, Z., Carlo, I. Di, Saverio, S. Di, Dumitru, I.M., Eckert, C., Eckmann, C., Eiland, E.H., Enani, M.A., Faro, M., Ferrada, P., Forrester, J.D., Fraga, G.P., Frossard, J.L., Galeiras, R., Ghnnam, W., Gomes, C.A., Gorrepati, V., Ahmed, M.H., Herzog, T., Humphrey, F., Kim, J.I., Isik, A., Ivatury, R., Lee, Y.Y., Juang, P., Furuya-Kanamori, L., Karamarkovic, A., Kim, P.K., Kluger, Y., Ko, W.C., LaBarbera, F.D., Lee, J.G., Leppaniemi, A., Lohsiriwat, V., Marwah, S., Mazuski, J.E., Metan, G., Moore, E.E., Moore, F.A., Nord, C.E., Ordonez, C.A., Junior, G.A., Petrosillo, N., Portela, F., Puri, B.K., Ray, A., Raza, M., Rems, M., Sakakushev, B.E., Sganga, G., Spigaglia, P., Stewart, D.B., Tattevin, P., Timsit, J.F., To, K.B., Trana, C., Uhl, W., Urbanek, L., Goor, H. van, Vassallo, A., Zahar, J.R., Caproli, E., and Viale, P.

Abstract

Contains fulltext : 154431.pdf (publisher's version ) (Open Access), In the last two decades there have been dramatic changes in the epidemiology of Clostridium difficile infection (CDI), with increases in incidence and severity of disease in many countries worldwide. The incidence of CDI has also increased in surgical patients. Optimization of management of C difficile, has therefore become increasingly urgent. An international multidisciplinary panel of experts prepared evidenced-based World Society of Emergency Surgery (WSES) guidelines for management of CDI in surgical patients.

Published
2015

74. `COPS' WORKING WITH `DOCS' TO COMBAT TRAUMA ASSOCIATED WITH SUBSTANCE ABUSE

Author

Rose, R, McCue, C, Ivatury, R, and McKeith, J

Subjects
Police -- Public relations, Substance abuse -- Care and treatment, Violence -- Prevention, Medical personnel -- Public relations, Environmental issues, Health, Pharmaceuticals and cosmetics industries
Abstract

This presentation will describe an easily reproducible, multi-disciplinary effort to combat violence associated with illicit drug markets that are prevalent in many US communities. Introduction: Urban violence is a common public health problem that plagues many communities throughout the United States. In many circumstances, crimes are associated with the buying, selling or use of illicit drugs. In 1994, the city of Richmond, Virginia was the second most violent city in the US based on its per capita homicide rate, and forty percent of the homicides that year were associated with illegal drug trafficking. Of particular concern is the growing number of adolescents involved in violent crimes either as a witness or participant. It is our observation that children at increasingly young ages are utilized as look-outs, couriers or even sellers of illicit drugs, and studies have confirmed the association between substance abuse and violent crimes in adolescents and young adults. Program development: Violence associated with trafficking and use of illicit drugs is a concern for many interested parties, including but certainly not limited to law enforcement, emergency medical services (EMS), poison control centers, emergency departments (ED) and trauma centers. With leadership from the Department of Criminal Justice Services, a program affectionately called `Cops and Docs' was organized to enhance participants' understanding of the roles that all these disciplines play in response to drug-induced violence, and to develop collaborative approaches to prevention. In addition to regular meetings, both police officers and medical staff have `cross-trained' with each other to facilitate information exchange and to experience each other's difficult role in dealing with drug-related violence. In addition, data from the ED, poison center and vice detectives are shared and reviewed in order to identify new drugs of abuse, new uses for old drugs or new at-risk populations. Goals and objectives: The overall goal of the program is reduce the use and trafficking of illicit drugs, and the trauma that often accompanies these activities. By attending hospital rounds, police officers are able to experience the tremendous efforts necessary to save life or limb, and provide valuable advice on preservation of evidence during both resuscitation and definitive care. Police presence in the hospital (other than for interrogation) `working' with doctors is also intended to show injured participants in criminal activities (both victim and perpetrator) that the police are concerned with their health and recovery. Likewise, the medical staff are learning about the environments that these types of trauma victims come from and are being discharged to. It is hoped that this demonstration of concern for the victims and their families will increase trust of the healthcare providers and improve compliance with medical advice. Joint community educational programs are planned for high-risk areas and populations. These efforts will combine the expertise of law enforcement with medicine to emphasize both the legal and medical dangers associated with illicit drugs. Rose R, McCue C, Ivatury R, McKeith J. Departments of Emergency Medicine and Surgery, and Virginia Poison Center, Medical College of Virginia Hospitals at Virginia Commonwealth University; and Criminal Justice Research Center, Virginia Department of Criminal Justice Services, Richmond, Virginia, USA

Published
2000

75. The role of abdominal compliance, the neglected parameter in critically ill patients - A consensus review of 16. Part 1: Definitions and pathophysiology

Author

Malbrain, M. (Manu), Roberts, D.J. (Derek J.), De Laet, I. (Inneke), De Waele, J.J. (Jan J.), Sugrue, M. (Michael), Schachtrupp, A. (Alexander), Duchesne, J. (Juan), Ramshorst, G.H. (Gabrielle) van, De Keulenaer, B. (Bart), Kirkpatrick, A.W. (Andrew W.), Ahmadi-Noorbakhsh, S. (Siavash), Mulier, J. (Jan), Ivatury, R. (Rao), Pracca, F. (Francisco), Wise, R. (Robert), Pelosi, P. (Paolo), Malbrain, M. (Manu), Roberts, D.J. (Derek J.), De Laet, I. (Inneke), De Waele, J.J. (Jan J.), Sugrue, M. (Michael), Schachtrupp, A. (Alexander), Duchesne, J. (Juan), Ramshorst, G.H. (Gabrielle) van, De Keulenaer, B. (Bart), Kirkpatrick, A.W. (Andrew W.), Ahmadi-Noorbakhsh, S. (Siavash), Mulier, J. (Jan), Ivatury, R. (Rao), Pracca, F. (Francisco), Wise, R. (Robert), and Pelosi, P. (Paolo)

Abstract

Over the last few decades, increasing attention has been paid to understanding the pathophysiology, aetiology, prognosis, and treatment of elevated intra-abdominal pressure (IAP) in trauma, surgical, and medical patients. However, there is presently a relatively poor understanding of intra-abdominal volume (IAV) and the relationship between IAV and IAP (i.e. abdominal compliance). Consensus definitions on Cab were discussed during the 5th World Congress on Abdominal Compartment Syndrome and a writing committee was formed to develop this article. During the writing process, a systematic and structured Medline and PubMed search was conducted to identify relevant studies relating to the topic. According to the recently updated consensus definitions of the World Society on Abdominal Compartment Syndrome (WSACS), abdominal compliance (Cab) is defined as a measure of the ease of abdominal expansion, which is determined by the elasticity of the abdominal wall and diaphragm. It should be expressed as the change in IAV per change in IAP (mL [mm Hg]-1). Importantly, Cab is measured differently than IAP and the abdominal wall (and its compliance) is only a part of the total abdominal pressure-volume (PV) relationship. During an increase in IAV, different phases are encountered: the reshaping, stretching, and pressurisation phases. The first part of this review article starts with a comprehensive list of the different definitions related to IAP (at baseline, during respiratory variations, at maximal IAV), IAV (at baseline, additional volume, abdominal workspace, maximal and unadapted volume), and abdominal compliance and elastance (i.e. the relationship between IAV and IAP). An historical background on the pathophysiology related to IAP, IAV and Cab follows this. Measurement of Cab is difficult at the bedside and can only be done in a case of change (removal or addition) in IAV. The Cab is o

Published
2014
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76. 2013 WSES guidelines for management of intra-abdominal infections

Author

Sartelli, M, Viale, P, Catena, F, Ansaloni, L, Moore, E, Malangoni, M, Moore, FA, Velmahos, G, Coimbra, R, Ivatury, R, Peitzman, A, Koike, K, Leppaniemi, A, Biffl, W, Burlew, CC, Balogh, ZJ, Boffard, K, Bendinelli, C, Gupta, S, Kluger, Y, Agresta, F, Di Saverio, S, Wani, I, Escalona, A, Ordonez, C, Fraga, GP, Junior, GAP, Bala, M, Cui, Y, Marwah, S, Sakakushev, B, Kong, V, Naidoo, N, Ahmed, A, Abbas, A, Guercioni, G, Vettoretto, N, Díaz-Nieto, R, Gerych, I, Tranà, C, Faro, MP, Yuan, KC, Kok, KYY, Mefire, AC, Lee, JG, Hong, SK, Ghnnam, W, Siribumrungwong, B, Sato, N, Murata, K, Irahara, T, Coccolini, F, Lohse, HAS, Verni, A, Shoko, T, Sartelli, M, Viale, P, Catena, F, Ansaloni, L, Moore, E, Malangoni, M, Moore, FA, Velmahos, G, Coimbra, R, Ivatury, R, Peitzman, A, Koike, K, Leppaniemi, A, Biffl, W, Burlew, CC, Balogh, ZJ, Boffard, K, Bendinelli, C, Gupta, S, Kluger, Y, Agresta, F, Di Saverio, S, Wani, I, Escalona, A, Ordonez, C, Fraga, GP, Junior, GAP, Bala, M, Cui, Y, Marwah, S, Sakakushev, B, Kong, V, Naidoo, N, Ahmed, A, Abbas, A, Guercioni, G, Vettoretto, N, Díaz-Nieto, R, Gerych, I, Tranà, C, Faro, MP, Yuan, KC, Kok, KYY, Mefire, AC, Lee, JG, Hong, SK, Ghnnam, W, Siribumrungwong, B, Sato, N, Murata, K, Irahara, T, Coccolini, F, Lohse, HAS, Verni, A, and Shoko, T

Abstract

Despite advances in diagnosis, surgery, and antimicrobial therapy, mortality rates associated with complicated intra-abdominal infections remain exceedingly high. The 2013 update of the World Society of Emergency Surgery (WSES) guidelines for the management of intra-abdominal infections contains evidence-based recommendations for management of patients with intra-abdominal infections.© 2013 Sartelli et al.; licensee BioMed Central Ltd.

Published
2013

77. Image of the Month—Quiz Case

Author

Anna M. Leung, Goldberg, and Ivatury R

Subjects
medicine.medical_specialty, Text mining, business.industry, Medicine, Surgery, Esophageal injury, Radiology, business
Published
2013

81. Are trauma patients better off in a trauma ICU?

Author

Ajai K. Malhotra, Michael B Aboutanos, Luke G. Wolfe, Ivatury R Rao, and Therese M. Duane

Subjects
medicine.medical_specialty, Trauma ICU, business.industry, health care facilities, manpower, and services, Trauma center, Intensivist, outcomes, medicine.disease, Logistic regression, intensivist, Intensive care unit, Surgery, law.invention, Exact test, trauma, law, Blunt trauma, ICU, Emergency medicine, Emergency Medicine, medicine, Original Article, business, Penetrating trauma
Abstract

There is very little data on the value of specialized intensive care unit (ICU) care in the literature. To determine if specialize ICU care for the trauma patient improved outcomes in this patient population. Level I Trauma Center Compared outcomes of trauma patients treated in a surgical trauma ICU (STICU) to those treated in non- trauma ICUs (non-STICU). Retrospective review of trauma registry data. Statistical Analysis: Wilcoxon Rank Test, Fischer's Exact test, logistic regression. There were 1146 STICU patients compared to 1475 non-STICU. In all ISS groups there were more penetrating trauma patients in the STICU (32.54% STICU vs. 18.15% non-STICU, P 25)). All groups had similar lengths of stay. The blunt trauma patients were sicker in the STICU (20.8 ISS ± 12.2 STICU vs. 19.7 ISS ± 11.9 non-STICU, P=0.03) yet had similar outcomes to the non-STICU group. Logistic regression identified penetrating trauma and not ICU location as a predictor of mortality. Sicker STICU patients do as well as less injured non-STICU patients. Severely injured patients should be preferentially treated in a STICU where they are better equipped to care for the complex multi-trauma patient. All patients, regardless of location, do well when their management is guided by a surgical critical care team.

Published
2008

86. A reassessment of Doppler pressure indices in the detection of arterial lesions in proximity penetrating injuries of extremities: a prospective study.

Author

Lincoln Medical and Mental Health Center, Bronx, N.Y., USA - Department of Surgery, Nassoura, Z E, Ivatury, R R, Simon, R J, Jabbour, Nicolas, Vinzons, A, Stahl, W, Lincoln Medical and Mental Health Center, Bronx, N.Y., USA - Department of Surgery, Nassoura, Z E, Ivatury, R R, Simon, R J, Jabbour, Nicolas, Vinzons, A, and Stahl, W

Abstract

This prospective study assessed the role of Doppler pressure indices (Ankle-Brachial Index [ABI] or Brachial Brachial Index [BBI]) in the evaluation for occult arterial injury from penetrating proximity extremity trauma (PET). A total of 258 patients with 323 PETs were evaluated by physical examination and Doppler pressure (ABI/BBI) determination. An ABI/BBI of < 0.9 was considered abnormal. The findings were compared with those of arteriography in all patients. Eleven injuries (3.4%) found on arteriography were associated with normal indices. Five of these injuries were treated by repair (4 patients) or angiographic embolization of a bleeding vessel (1 patient), all in lesions proximal to the knee or elbow joints. The other six lesions were observed without intervention. All of the 29 injuries associated with abnormal indices had positive arteriographic findings. The 4 lesions that were treated operatively were proximal and the remaining 25, all with distal penetration, were observed without observation. As compared to angiography, Doppler indices yielded the following results: 283 true-negative, 11 false-negative, 29 true-positive, and 0 false-positive, for a sensitivity of 72.5%, a specificity of 100%, a positive predictive value of 100%, and a negative predictive value of 96%. These data suggest that Doppler indices should be an integral part of the physical examination and can screen patients with proximal injuries for further studies such as duplex sonography or arteriography.

Published
1996

89. PENETRATING ESOPHAGEAL INJURY

Author

Asensio, J.A., primary, Chahwan, S., additional, Mackersie, R., additional, Wall, M., additional, Lake, J., additional, Minard, G., additional, Kirton, O., additional, Nagy, K., additional, Jones, R. Karmy, additional, Hoyt, D., additional, Winchell, B., additional, Kralovich, K., additional, Shapiro, M., additional, Falcone, R., additional, McGuire, E., additional, and Ivatury, R., additional

Published
1999
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91. Candiduria as an early marker of disseminated infection in critically ill surgical patients: the role of fluconazole therapy.

Author

Lincoln Medical and Mental Health Center, Bronx, NY, USA - Department of surgery, Nassoura, Z, Ivatury, R R, Simon, R J, Jabbour, Nicolas, Stahl, W M, Lincoln Medical and Mental Health Center, Bronx, NY, USA - Department of surgery, Nassoura, Z, Ivatury, R R, Simon, R J, Jabbour, Nicolas, and Stahl, W M

Abstract

The significance of candiduria in critically ill patients remains unclear. It may represent harmless colonization or a potentially life-threatening infection. We analyzed 47 patients in the surgical intensive care unit (SICU) (trauma: 20, general surgery: 15, neurosurgery: 12) who had candiduria, defined by a colony count greater than 100,000/mL. Twenty-seven of these patients were studied retrospectively. Twenty were evaluated prospectively. All patients were receiving broad-spectrum antibiotics for bacterial infections. Retrospective group: ten patients (group A) did not develop disseminated candidiasis, whereas 17 patients (group B) did. Group B had higher APACHE II scores on admission (13.4 +/- 7.8) and at the time of candiduria (13.7 +/- 4.4) when compared with group A [admission: 5.0 +/- 4.6; candiduria: 6.7 +/- 3.6 (p < 0.02)]. In group B, disseminated candidiasis was not diagnosed and treated until 9.9 +/- 4.4 days after development of candiduria. Prospective group: twenty patients with candiduria were treated with systemic fluconazole (group C) at the time of candiduria. The APACHE II scores of group C on admission (12.8 +/- 3.9) and at the time of candiduria (10.5 +/- 4.0) were comparable with those of group B. No patient in Group C developed disseminated candidiasis. The septic mortality rates of groups A, B, and C were 0%, 53%, and 5%, respectively (p < 0.05-0.0001). In patients exhibiting ongoing sepsis and organ failure (high APACHE scores), candiduria may be an early indicator of systemic infection. Diagnosis of disseminated infection and its treatment may be delayed if conventional criteria for candidiasis (positive blood cultures, multiple site isolation) are awaited.(ABSTRACT TRUNCATED AT 250 WORDS)

Published
1993

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