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1. Surgical stabilization of rib fractures (SSRF): the WSES and CWIS position paper.

Author: Sermonesi, Giacomo, Bertelli, Riccardo, Pieracci, Fredric, Balogh, Zsolt, Coimbra, Raul, Galante, Joseph, Hecker, Andreas, Weber, Dieter, Bauman, Zachary, Kartiko, Susan, Patel, Bhavik, Whitbeck, SarahAnn, White, Thomas, Harrell, Kevin, Perrina, Daniele, Rampini, Alessia, Tian, Brian, Amico, Francesco, Beka, Solomon, Bonavina, Luigi, Ceresoli, Marco, Cobianchi, Lorenzo, Coccolini, Federico, Cui, Yunfeng, Dal Mas, Francesca, De Simone, Belinda, Di Carlo, Isidoro, Di Saverio, Salomone, Dogjani, Agron, Fette, Andreas, Fraga, Gustavo, Gomes, Carlos, Khan, Jim, Kirkpatrick, Andrew, Kruger, Vitor, Leppäniemi, Ari, Litvin, Andrey, Mingoli, Andrea, Navarro, David, Passera, Eliseo, Pisano, Michele, Podda, Mauro, Russo, Emanuele, Sakakushev, Boris, Santonastaso, Domenico, Sartelli, Massimo, Shelat, Vishal, Tan, Edward, Wani, Imtiaz, Abu-Zidan, Fikri, Biffl, Walter, Civil, Ian, Latifi, Rifat, Marzi, Ingo, Picetti, Edoardo, Pikoulis, Manos, Agnoletti, Vanni, Bravi, Francesca, Vallicelli, Carlo, Ansaloni, Luca, Moore, Ernest, and Catena, Fausto
Subjects: Consensus, Flail chest, Guidelines, Minimally invasive plating osteosynthesis (MIPO), Multiple rib fractures, Operative reduction and internal fixation (ORIF), Rib fixation, Rib fractures, Surgical stabilization of rib fractures (SSRF), Thoracic/chest trauma injury, Video-assisted thoracoscopy surgery (VATS), Rib Fractures, Humans, Fracture Fixation
Abstract: BACKGROUND: Rib fractures are one of the most common traumatic injuries and may result in significant morbidity and mortality. Despite growing evidence, technological advances and increasing acceptance, surgical stabilization of rib fractures (SSRF) remains not uniformly considered in trauma centers. Indications, contraindications, appropriate timing, surgical approaches and utilized implants are part of an ongoing debate. The present position paper, which is endorsed by the World Society of Emergency Surgery (WSES), and supported by the Chest Wall Injury Society, aims to provide a review of the literature investigating the use of SSRF in rib fracture management to develop graded position statements, providing an updated guide and reference for SSRF. 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 experts then critically revised the manuscript and discussed it in detail, to develop a consensus on the position statements. RESULTS: A total of 287 studies (systematic reviews, randomized clinical trial, prospective and retrospective comparative studies, case series, original articles) have been selected from an initial pool of 9928 studies. Thirty-nine graded position statements were put forward to address eight crucial aspects of SSRF: surgical indications, contraindications, optimal timing of surgery, preoperative imaging evaluation, rib fracture sites for surgical fixation, management of concurrent thoracic injuries, surgical approach, stabilization methods and material selection. CONCLUSION: This consensus document addresses the key focus questions on surgical treatment of rib fractures. The expert recommendations clarify current evidences on SSRF indications, timing, operative planning, approaches and techniques, with the aim to guide clinicians in optimizing the management of rib fractures, to improve patient outcomes and direct future research.
Published: 2024

2. The 2023 WSES guidelines on the management of trauma in elderly and frail patients.

Author: De Simone, Belinda, Chouillard, Elie, Podda, Mauro, Pararas, Nikolaos, de Carvalho Duarte, Gustavo, Fugazzola, Paola, Birindelli, Arianna, Coccolini, Federico, Polistena, Andrea, Sibilla, Maria, Kruger, Vitor, Fraga, Gustavo, Montori, Giulia, Russo, Emanuele, Pintar, Tadeja, Ansaloni, Luca, Avenia, Nicola, Di Saverio, Salomone, Leppäniemi, Ari, Lauretta, Andrea, Sartelli, Massimo, Puzziello, Alessandro, Carcoforo, Paolo, Agnoletti, Vanni, Bissoni, Luca, Isik, Arda, Kluger, Yoram, Moore, Ernest, Romeo, Oreste, Abu-Zidan, Fikri, Beka, Solomon, Weber, Dieter, Tan, Edward, Paolillo, Ciro, Cui, Yunfeng, Kim, Fernando, Picetti, Edoardo, Di Carlo, Isidoro, Toro, Adriana, Sganga, Gabriele, Sganga, Federica, Testini, Mario, Di Meo, Giovanna, Kirkpatrick, Andrew, Marzi, Ingo, déAngelis, Nicola, Kelly, Michael, Wani, Imtiaz, Sakakushev, Boris, Bala, Miklosh, Bonavina, Luigi, Galante, Joseph, Shelat, Vishal, Cobianchi, Lorenzo, Mas, Francesca, Pikoulis, Manos, Damaskos, Dimitrios, Coimbra, Raul, Dhesi, Jugdeep, Hoffman, Melissa, Stahel, Philip, Maier, Ronald, Litvin, Andrey, Latifi, Rifat, Biffl, Walter, and Catena, Fausto
Subjects: Ageing, Antibiotics, Delirium, Direct oral anticoagulants management, Elderly, End of life, Frailty, Geriatric patient, Imaging, Laboratory test, Pain control, Palliative care, Resuscitation, Thrombo-prophylaxis, Trauma management, Trauma score, Vitamin K antagonists anticoagulants management, Humans, Wounds and Injuries, Aged, Frail Elderly, Frailty, Aged, 80 and over, Practice Guidelines as Topic, Geriatric Assessment
Abstract: BACKGROUND: The trauma mortality rate is higher in the elderly compared with younger patients. Ageing is associated with physiological changes in multiple systems and correlated with frailty. Frailty is a risk factor for mortality in elderly trauma patients. We aim to provide evidence-based guidelines for the management of geriatric trauma patients to improve it and reduce futile procedures. METHODS: Six working groups of expert acute care and trauma surgeons reviewed extensively the literature according to the topic and the PICO question assigned. Statements and recommendations were assessed according to the GRADE methodology and approved by a consensus of experts in the field at the 10th international congress of the WSES in 2023. RESULTS: The management of elderly trauma patients requires knowledge of ageing physiology, a focused triage, including drug history, frailty assessment, nutritional status, and early activation of trauma protocol to improve outcomes. Acute trauma pain in the elderly has to be managed in a multimodal analgesic approach, to avoid side effects of opioid use. Antibiotic prophylaxis is recommended in penetrating (abdominal, thoracic) trauma, in severely burned and in open fractures elderly patients to decrease septic complications. Antibiotics are not recommended in blunt trauma in the absence of signs of sepsis and septic shock. Venous thromboembolism prophylaxis with LMWH or UFH should be administrated as soon as possible in high and moderate-risk elderly trauma patients according to the renal function, weight of the patient and bleeding risk. A palliative care team should be involved as soon as possible to discuss the end of life in a multidisciplinary approach considering the patients directives, family feelings and representatives desires, and all decisions should be shared. CONCLUSIONS: The management of elderly trauma patients requires knowledge of ageing physiology, a focused triage based on assessing frailty and early activation of trauma protocol to improve outcomes. Geriatric Intensive Care Units are needed to care for elderly and frail trauma patients in a multidisciplinary approach to decrease mortality and improve outcomes.
Published: 2024

3. Goodbye Hartmann trial: a prospective, international, multicenter, observational study on the current use of a surgical procedure developed a century ago

Author: Perrone, Gennaro, Giuffrida, Mario, Abu-Zidan, Fikri, Kruger, Vitor F., Livrini, Marco, Petracca, Gabriele Luciano, Rossi, Giorgio, Tarasconi, Antonio, Tian, Brian W. C. A., Bonati, Elena, Mentz, Ricardo, Mazzini, Federico N., Campana, Juan P., Gasser, Elisabeth, Kafka-Ritsch, Reinhold, Felsenreich, Daniel M., Dawoud, Christopher, Riss, Stefan, Gomes, Carlos Augusto, Gomes, Felipe Couto, Gonzaga, Ricardo Alessandro Teixeira, Canton, Cassio Alfred Brattig, Pereira, Bruno Monteiro, Fraga, Gustavo P., Zem, Leticia Gonçalves, Cordeiro-Fonseca, Vinicius, de Mesquita Tauil, Renato, Atanasov, Boyko, Belev, Nikolay, Kovachev, Nikola, Meléndez, L. Juan José, Dimova, Ana, Dimov, Stefan, Zelić, Zdravko, Augustin, Goran, Bogdanić, Branko, Morić, Trpimir, Chouillard, Elie, Bajul, Melinda, De Simone, Belinda, Panis, Yves, Esposito, Francesco, Notarnicola, Margherita, Lauka, Lelde, Fabbri, Anna, Hentati, Hassen, Fnaiech, Iskander, Aurélien, Venara, Bougard, Marie, Roulet, Maxime, Demetrashvili, Zaza, Pipia, Irakli, Merabishvili, Giorgi, Bouliaris, Konstantinos, Koukoulis, Georgios, Doudakmanis, Christos, Xenaki, Sofia, Chrysos, Emmanuel, Kokkinakis, Stamatios, Vassiliu, Panteleimon, Michalopoulos, Nikolaos, Margaris, Ioannis, Kechagias, Aristotelis, Avgerinos, Konstantinos, Katunin, Jevgeni, Lostoridis, Eftychios, Nagorni, Eleni-Aikaterini, Pujante, Antonio, Mulita, Francesk, Maroulis, Ioannis, Vailas, Michail, Marinis, Athanasios, Siannis, Ioannis, Bourbouteli, Eirini, Manatakis, Dimitrios K., Tasis, Nikolaos, Acheimastos, Vasileios, Maria, Sotiropoulou, Stylianos, Kapiris, Kuzeridis, Harilaos, Korkolis, Dimitrios, Fradelos, Evangelos, Kavalieratos, George, Petropoulou, Thalia, Polydorou, Andreas, Papacostantinou, Ioannis, Triantafyllou, Tania, Kimpizi, Despina, Theodorou, Dimitrios, Toutouzas, Konstantinos, Chamzin, Alexandros, Frountzas, Maximos, Schizas, Dimitrios, Karavokyros, Ioannis, Syllaios, Athanasios, Charalabopoulos, Alexandros, Boura, Maria, Baili, Efstratia, Ioannidis, Orestis, Loutzidou, Lydia, Anestiadou, Elissavet, Tsouknidas, Ioannis, Petrakis, Georgios, Polenta, Eleni, Bains, Lovenish, Gupta, Rahul, Singh, Sudhir K., Khanduri, Archana, Bala, Miklosh, Kedar, Asaf, Pisano, Marcello, Podda, Mauro, Pisanu, Adolfo, Martines, Gennaro, Trigiante, Giuseppe, Lantone, Giuliano, Agrusa, Antonino, Di Buono, Giuseppe, Buscemi, Salvatore, Veroux, Massimiliano, Gioco, Rossella, Veroux, Gastone, Oragano, Luigi, Zonta, Sandro, Lovisetto, Federico, Feo, Carlo V., Pesce, Antonio, Fabbri, Nicolò, Lantone, Giulio, Marino, Fabio, Perrone, Fabrizio, Vincenti, Leonardo, Papagni, Vincenzo, Picciariello, Arcangelo, Rossi, Stefano, Picardi, Biagio, Del Monte, Simone Rossi, Visconti, Diego, Osella, Giulia, Petruzzelli, Luca, Pignata, Giusto, Andreuccetti, Jacopo, D’Alessio, Rossella, Buonfantino, Massimo, Guaitoli, Eleonora, Spinelli, Stefano, Sampietro, Gianluca Matteo, Corbellini, Carlo, Lorusso, Leonardo, Frontali, Alice, Pezzoli, Isabella, Bonomi, Alessandro, Chierici, Andrea, Cotsoglou, Christian, Manca, Giuseppe, Delvecchio, Antonella, Musa, Nicola, Casati, Massimiliano, Letizia, Laface, Abate, Emmanuele, Ercolani, Giorgio, D’Acapito, Fabrizio, Solaini, Leonardo, Guercioni, Gianluca, Cicconi, Simone, Sasia, Diego, Borghi, Felice, Giraudo, Giorgio, Sena, Giuseppe, Castaldo, Pasquale, Cardamone, Eugenia, Portale, Giuseppe, Zuin, Matteo, Spolverato, Ylenia, Esposito, Marialusia, Isernia, Roberta Maria, Di Salvo, Maria, Manunza, Romina, Esposito, Giuseppe, Agus, Marcello, Asti, Emanuele Luigi Giuseppe, Bernardi, Daniele Tiziano, Tonucci, Tommaso Panici, Luppi, Davide, Casadei, Massimiliano, Bonilauri, Stefano, Pezzolla, Angela, Panebianco, Annunziata, Laforgia, Rita, De Luca, Maurizio, Zese, Monica, Parini, Dario, Jovine, Elio, De Sario, Giuseppina, Lombardi, Raffaele, Aprea, Giovanni, Palomba, Giuseppe, Capuano, Marianna, Argenio, Giulio, Orio, Gianluca, Armellino, Mariano Fortunato, Troian, Marina, Guerra, Martina, Nagliati, Carlo, Biloslavo, Alan, Germani, Paola, Aizza, Giada, Monsellato, Igor, Chahrour, Ali Chaouki, Anania, Gabriele, Bombardini, Cristina, Bagolini, Francesco, Sganga, Gabriele, Fransvea, Pietro, Bianchi, Valentina, Boati, Paolo, Ferrara, Francesco, Palmieri, Francesco, Cianci, Pasquale, Gattulli, Domenico, Restini, Enrico, Cillara, Nicola, Cannavera, Alessandro, Nita, Gabriela Elisa, Sarnari, Jlenia, Roscio, Francesco, Clerici, Federico, Scandroglio, Ildo, Berti, Stefano, Cadeo, Alessandro, Filippelli, Alice, Conti, Luigi, Grassi, Carmine, Cattaneo, Gaetano Maria, Pighin, Marina, Papis, Davide, Gambino, Giovanni, Bertino, Vanessa, Schifano, Domenico, Prando, Daniela, Fogato, Luisella, Cavallo, Fabio, Ansaloni, Luca, Picheo, Roberto, Pontarolo, Nicholas, Depalma, Norma, Spampinato, Marcello, D’Ugo, Stefano, Lepre, Luca, Capponi, Michela Giulii, Campa, Rossella Domenica, Sarro, Giuliano, Dinuzzi, Vincenza Paola, Olmi, Stefano, Uccelli, Matteo, Ferrari, Davide, Inama, Marco, Moretto, Gianluigi, Fontana, Michele, Favi, Francesco, Picariello, Erika, Rampini, Alessia, Barberis, Andrea, Azzinnaro, Antonio, Oliva, Alba, Totaro, Luigi, Benzoni, Ilaria, Ranieri, Valerio, Capolupo, Gabriella Teresa, Carannante, Filippo, Caricato, Marco, Ronconi, Maurizio, Casiraghi, Silvia, Casole, Giovanni, Pantalone, Desire, Alemanno, Giovanni, Scheiterle, Maximilian, Ceresoli, Marco, Cereda, Marco, Fumagalli, Chiara, Zanzi, Federico, Bolzon, Stefano, Guerra, Enrico, Lecchi, Francesca, Cellerino, Paola, Ardito, Antonella, Scaramuzzo, Rosa, Balla, Andrea, Lepiane, Pasquale, Tartaglia, Nicola, Ambrosi, Antonio, Pavone, Giovanna, Palini, Gian Marco, Veneroni, Simone, Garulli, Gianluca, Ricci, Claudio, Torre, Beatrice, Russo, Iris Shari, Rottoli, Matteo, Tanzanu, Marta, Belvedere, Angela, Milone, Marco, Manigrasso, Michele, De Palma, Giovanni Domenico, Piccoli, Micaela, Pattacini, Gianmaria Casoni, Magnone, Stefano, Bertoli, Paolo, Pisano, Michele, Massucco, Paolo, Palisi, Marco, Luzzi, Andrea-Pierre, Fleres, Francesco, Clarizia, Guglielmo, Spolini, Alessandro, Kobe, Yoshiro, Toma, Takayuki, Shimamura, Fumihiko, Parker, Robert, Ranketi, Sinkeet, Mitei, Mercy, Svagzdys, Saulius, Pauzas, Henrikas, Zilinskas, Justas, Poskus, Tomas, Kryzauskas, Marius, Jakubauskas, Matas, Zakaria, Andee Dzulkarnaen, Zakaria, Zaidi, Wong, Michael Pak-Kai, Jusoh, Asri Che, Zakaria, Muhammad Nazreen, Cruz, Daniel Rios, Elizalde, Aurea Barbara Rodriguez, Reynaud, Alejandro Bañon, Hernandez, Edgard Efren Lozada, Monroy, Jose maria Victor Palomo, Hinojosa-Ugarte, Diego, Quiodettis, Martha, Du Bois, María Esther, Latorraca, José, Major, Piotr, Pędziwiatr, Michał, Pisarska-Adamczyk, Magdalena, Walędziak, Maciej, Kwiatkowski, Andrzej, Czyżykowski, Łukasz, da Costa, Silvia Dantas, Pereira, Bela, Ferreira, Ana Rita Oliveira, Almeida, Filipe, Rocha, Ricardo, Carneiro, Carla, Perez, Diego Pita, Carvas, João, Rocha, Catarina, Ferreira, Cátia, Marques, Rita, Fernandes, Urânia, Leao, Pedro, Goulart, André, Pereira, Rita Gonçalves, Patrocínio, Sara Daniela Direito, de Mendonça, Nuno Gonçalo Gonçalves, Manso, Maria Isabel Cerqueira, Morais, Henrique Manuel Cardoso, Cardoso, Paulo Sebastião, Calu, Valentin, Miron, Adrian, Toma, Elena Adelina, Gachabayov, Mahir, Abdullaev, Abakar, Litvin, Andrey, Nechay, Taras, Tyagunov, Alexander, Yuldashev, Anvar, Bradley, Alison, Wilson, Michael, Panyko, Arpád, Látečková, Zuzana, Lacko, Vladimír, Lesko, Dusan, Soltes, Marek, Radonak, Jozef, Turrado-Rodriguez, Victor, Termes-Serra, Roser, Morales-Sevillano, Xavier, Lapolla, Pierfrancesco, Mingoli, Andrea, Brachini, Gioia, Degiuli, Maurizio, Sofia, Silvia, Reddavid, Rossella, de Manzoni Garberini, Andrea, Buffone, Angelica, del Pozo, Eduardo Perea, Aparicio-Sánchez, Daniel, Dos Barbeito, Sandra, Estaire-Gómez, Mercedes, Vitón-Herrero, Rebeca, de los Ángeles Gil Olarte-Marquez, Mª, Gil-Martínez, José, Alconchel, Felipe, Nicolás-López, Tatiana, Rahy-Martin, Aida Cristina, Pelloni, María, Bañolas-Suarez, Raquel, Mendoza-Moreno, Fernando, Nisa, Francisca García-Moreno, Díez-Alonso, Manuel, Rodas, María Elisa Valle, Agundez, María Carmona, Andrés, María Inmaculada Pérez, Moreira, Claudia Cristina Lopes, Perez, Aintzane Lizarazu, Ponce, Iñigo Augusto, González-Castillo, Ana María, Membrilla-Fernández, Estela, Salvans, Silvia, Serradilla-Martín, Mario, Pardo, Pablo Sancho, Rivera-Alonso, Daniel, Dziakova, Jana, Huguet, Jose Mugüerza, Valle, Naila Pagès, Ruiz, Enrique Colás, Valcárcel, Cristina Rey, Moreno, Cristina Ruiz, Salazar, Yeniffer Tatiana Moreno, García, Juan Jesús Rubio, Micó, Silvia Sevila, López, Joaquín Ruiz, Farré, Silvia Pérez, Gomez, Maite Santamaria, Petit, Nuria Mestres, Titos-García, Alberto, Aranda-Narváez, Jose Manuel, Romacho-López, Laura, Sánchez-Guillén, Luis, Aranaz-Ostariz, Veronica, Bosch-Ramírez, Marina, Martínez-Pérez, Aleix, Martínez-López, Elías, Sebastián-Tomás, Juan Carlos, Jimenez-Riera, Granada, Jimenez-Vega, Javier, Cuellar, Jose Aurelio Navas, Campos-Serra, Andrea, Muñoz-Campaña, Anna, Gràcia-Roman, Raquel, Alegre, Javier Martínez, Pinto, Francisca Lima, O’Sullivan, Sara Nuñez, Antona, Francisco Blanco, Jiménez, Beatriz Muñoz, López-Sánchez, Jaime, Carmona, Zahira Gómez, Fernández, Rocio Torres, Sierra, Isabel Blesa, de León, Laura Román García, Moreno, Verónica Polaino, Iglesias, Eva, Cumplido, Paola Lora, Bravo, Altea Arango, Simó, Ignacio Rey, Domínguez, Carlota López, Caamaño, Aloia Guerreiro, Lozano, Rafael Calleja, Martínez, Manuel Durán, Torres, Álvaro Naranjo, de Quiros, Javier Tomas Morales Bernaldo, Pellino, Gianluca, Cloquell, Miriam Moratal, Moller, Elsa García, Jalal-Eldin, Sami, Abdoun, Ahmed K., Hamid, Hytham K. S., Lohsiriwat, Varut, Mongkhonsupphawan, Aitsariya, Baraket, Oussama, Ayed, Karim, Abbassi, Imed, Ali, Ali Ben, Ammar, Houssem, Kchaou, Ali, Tlili, Ahmed, Zribi, Imen, Colak, Elif, Polat, Suleyman, Koylu, Zehra Alan, Guner, Ali, Usta, Mehmet Arif, Reis, Murat Emre, Mantoglu, Baris, Gonullu, Emre, Akin, Emrah, Altintoprak, Fatih, Bayhan, Zulfu, Firat, Necattin, Isik, Arda, Memis, Ufuk, Bayrak, Mehmet, Altıntaş, Yasemin, Kara, Yasin, Bozkurt, Mehmet Abdussamet, Kocataş, Ali, Das, Koray, Seker, Ahmet, Ozer, Nazmi, Atici, Semra Demirli, Tuncer, Korhan, Kaya, Tayfun, Ozkan, Zeynep, Ilhan, Onur, Agackiran, Ibrahim, Uzunoglu, Mustafa Yener, Demirbas, Eren, Altinel, Yuksel, Meric, Serhat, Hacım, Nadir Adnan, Uymaz, Derya Salim, Omarov, Nail, Balık, Emre, Tebala, Giovanni D., Khalil, Hany, Rana, Mridul, Khan, Mansoor, Florence, Charlotte, Swaminathan, Christie, Leo, Cosimo Alex, Liasis, Lampros, Watfah, Josef, Trostchansky, Ivan, Delgado, Edward, Pontillo, Marcelo, Latifi, Rifat, Coimbra, Raul, Edwards, Sara, Lopez, Ana, Velmahos, George, Dorken, Ander, Gebran, Anthony, Palmer, Amanda, Oury, Jeffrey, Bardes, James M., Seng, Sirivan Suon, Coffua, Lauren S., Ratnasekera, Asanthi, Egodage, Tanya, Echeverria-Rosario, Karla, Armento, Isabella, Napolitano, Lena M., Sangji, Naveen F., Hemmila, Mark, Quick, Jacob A., Austin, Tyler R., Hyman, Theodore S., Curtiss, William, McClure, Amanda, Cairl, Nicholas, Biffl, Walter L., Truong, Hung P., Schaffer, Kathryn, Reames, Summer, Banchini, Filippo, Capelli, Patrizio, Coccolini, Federico, Sartelli, Massimo, Bravi, Francesca, Vallicelli, Carlo, Agnoletti, Vanni, Baiocchi, Gian Luca, and Catena, Fausto
Published: 2024
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4. Are we ready for "green surgery" to promote environmental sustainability in the operating room? Results from the WSES STAR investigation

Author: Dal Mas, Francesca, Cobianchi, Lorenzo, Piccolo, Daniele, Balch, Jeremy, Biancuzzi, Helena, Biffl, Walter L., Campostrini, Stefano, Cicuttin, Enrico, Coccolini, Federico, Damaskos, Dimitris, Filiberto, Amanda C., Filisetti, Claudia, Fraga, Gustavo, Frassini, Simone, Fugazzola, Paola, Hardcastle, Timothy, Kaafarani, Haytham M., Kluger, Yoran, Massaro, Maurizio, Martellucci, Jacopo, Moore, Ernest, Ruta, Federico, Sartelli, Massimo, Stahel, Philip F., Velmahos, George, Weber, Dieter G., Catena, Fausto, Loftus, Tyler J., and Ansaloni, Luca
Published: 2024
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5. Enhanced perioperative care in emergency general surgery: the WSES position paper.

Author: Ceresoli, Marco, Braga, Marco, Zanini, Nicola, Abu-Zidan, Fikri, Parini, Dario, Langer, Thomas, Sartelli, Massimo, Damaskos, Dimitrios, Biffl, Walter, Amico, Francesco, Ansaloni, Luca, Balogh, Zsolt, Bonavina, Luigi, Civil, Ian, Cicuttin, Enrico, Chirica, Mircea, Cui, Yunfeng, De Simone, Belinda, Di Carlo, Isidoro, Fette, Andreas, Foti, Giuseppe, Fogliata, Michele, Fraga, Gustavo, Fugazzola, Paola, Galante, Joseph, Beka, Solomon, Hecker, Andreas, Jeekel, Johannes, Kirkpatrick, Andrew, Koike, Kaoru, Leppäniemi, Ari, Marzi, Ingo, Moore, Ernest, Picetti, Edoardo, Pikoulis, Emmanouil, Pisano, Michele, Podda, Mauro, Sakakushev, Boris, Shelat, Vishal, Tan, Edward, Tebala, Giovanni, Velmahos, George, Weber, Dieter, Agnoletti, Vanni, Kluger, Yoram, Baiocchi, Gianluca, Catena, Fausto, and Coccolini, Federico
Subjects: Humans, Perioperative Care, Elective Surgical Procedures
Abstract: 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

6. Applying enhanced recovery principles to emergency laparotomy in penetrating abdominal trauma: a case-matched study

Author: Fonseca, Mariana Kumaira, Rizental, Laís Borges, da Cunha, Carlos Eduardo Bastian, Baldissera, Neiva, Wagner, Mário Bernardes, and Fraga, Gustavo Pereira
Published: 2024
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7. Management of complicated diaphragmatic hernia in the acute setting: a WSES position paper.

Author: Giuffrida, Mario, Perrone, Gennaro, Abu-Zidan, Fikri, Agnoletti, Vanni, Ansaloni, Luca, Baiocchi, Gian, Bendinelli, Cino, Biffl, Walter, Bonavina, Luigi, Bravi, Francesca, Carcoforo, Paolo, Ceresoli, Marco, Chichom-Mefire, Alain, Coccolini, Federico, Coimbra, Raul, deAngelis, Nicola, de Moya, Marc, De Simone, Belinda, Di Saverio, Salomone, Fraga, Gustavo, Ivatury, Rao, Kashuk, Jeffry, Kelly, Michael, Kirkpatrick, Andrew, Kluger, Yoram, Koike, Kaoru, Leppaniemi, Ari, Maier, Ronald, Moore, Ernest, Peitzmann, Andrew, Sakakushev, Boris, Sartelli, Massimo, Sugrue, Michael, Tian, Brian, Broek, Richard, Vallicelli, Carlo, Wani, Imtaz, Weber, Dieter, Docimo, Giovanni, Catena, Fausto, and Galante, Joseph
Subjects: Congenital, Diaphragm hernia, Emergency surgery, Guidelines, Rupture, Trauma, Humans, Diaphragm, Hernias, Diaphragmatic, Congenital, Tomography, X-Ray Computed, Thorax, Hernia, Hiatal, Thoracic Injuries
Abstract: BACKGROUND: Diaphragmatic hernia (DH) presenting acutely can be a potentially life-threatening condition. Its management continues to be debatable. METHODS: A bibliographic search using major databases was performed using the terms emergency surgery diaphragmatic hernia, traumatic diaphragmatic rupture and congenital diaphragmatic hernia. GRADE methodology was used to evaluate the evidence and give recommendations. RESULTS: CT scan of the chest and abdomen is the diagnostic gold standard to evaluate complicated DH. Appropriate preoperative assessment and prompt surgical intervention are important for a clinical success. Complicated DH repair is best performed via the use of biological and bioabsorbable meshes which have proven to reduce recurrence. The laparoscopic approach is the preferred technique in hemodynamically stable patients without significant comorbidities because it facilitates early diagnosis of small diaphragmatic injuries from traumatic wounds in the thoraco-abdominal area and reduces postoperative complications. Open surgery should be reserved for situations when skills and equipment for laparoscopy are not available, where exploratory laparotomy is needed, or if the patient is hemodynamically unstable. Damage Control Surgery is an option in the management of critical and unstable patients. CONCLUSIONS: Complicated diaphragmatic hernia is a rare life-threatening condition. CT scan of the chest and abdomen is the gold standard for diagnosing the diaphragmatic hernia. Laparoscopic repair is the best treatment option for stable patients with complicated diaphragmatic hernias. Open repair is considered necessary in majority of unstable patients in whom Damage Control Surgery can be life-saving.
Published: 2023

8. Assessing and managing frailty in emergency laparotomy: a WSES position paper.

Author: Tian, Brian, Stahel, Philip, Picetti, Edoardo, Campanelli, Giampiero, Di Saverio, Salomone, Moore, Ernest, Bensard, Denis, Sakakushev, Boris, Galante, Joseph, Fraga, Gustavo, Koike, Kaoru, Di Carlo, Isidoro, Tebala, Giovanni, Leppaniemi, Ari, Tan, Edward, Damaskos, Dimitris, DeAngelis, Nicola, Hecker, Andreas, Pisano, Michele, Maier, Ron, De Simone, Belinda, Amico, Francesco, Ceresoli, Marco, Pikoulis, Manos, Weber, Dieter, Biffl, Walt, Beka, Solomon, Abu-Zidan, Fikri, Valentino, Massimo, Coccolini, Federico, Kluger, Yoram, Sartelli, Massimo, Agnoletti, Vanni, Chirica, Mircea, Bravi, Francesca, Sall, Ibrahima, and Catena, Fausto
Subjects: Elderly, Emergency surgery, Frail, Frailty, Laparotomy, Humans, Aged, Aged, 80 and over, Frailty, Laparotomy, Frail Elderly, Consensus, Comorbidity
Abstract: Many countries are facing an aging population. As people live longer, surgeons face the prospect of operating on increasingly older patients. Traditional teaching is that with older age, these patients face an increased risk of mortality and morbidity, even to a level deemed too prohibitive for surgery. However, this is not always true. An active 90-year-old patient can be much fitter than an overweight, sedentary 65-year-old patient with comorbidities. Recent literature shows that frailty-an age-related cumulative decline in multiple physiological systems, is therefore a better predictor of mortality and morbidity than chronological age alone. Despite recognition of frailty as an important tool in identifying vulnerable surgical patients, many surgeons still shun objective tools. The aim of this position paper was to perform a review of the existing literature and to provide recommendations on emergency laparotomy and in frail patients. This position paper was reviewed by an international expert panel composed of 37 experts who were asked to critically revise the manuscript and position statements. The position paper was conducted according to the WSES methodology. We shall present the derived statements upon which a consensus was reached, specifying the quality of the supporting evidence and suggesting future research directions.
Published: 2023

9. Avaliação e Conduta Inicial no Traumatizado

Author: Hirano, Elcio Shiyoiti, primary, Pereira, Bruno Monteiro Tavares, additional, and Fraga, Gustavo P., additional
Published: 2024
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10. Acute mesenteric ischemia: updated guidelines of the World Society of Emergency Surgery.

Author: Bala, Miklosh, Catena, Fausto, Kashuk, Jeffry, De Simone, Belinda, Gomes, Carlos, Weber, Dieter, Sartelli, Massimo, Coccolini, Federico, Kluger, Yoram, Abu-Zidan, Fikri, Picetti, Edoardo, Ansaloni, Luca, Augustin, Goran, Biffl, Walter, Ceresoli, Marco, Chiara, Osvaldo, Chiarugi, Massimo, Coimbra, Raul, Cui, Yunfeng, Damaskos, Dimitris, Di Saverio, Salomone, Khokha, Vladimir, Kirkpatrick, Andrew, Inaba, Kenji, Leppäniemi, Ari, Litvin, Andrey, Peitzman, Andrew, Shelat, Vishal, Sugrue, Michael, Tolonen, Matti, Rizoli, Sandro, Sall, Ibrahima, Beka, Solomon, Di Carlo, Isidoro, Ten Broek, Richard, Mircea, Chirika, Tebala, Giovanni, Pisano, Michele, van Goor, Harry, Maier, Ronald, Jeekel, Hans, Civil, Ian, Hecker, Andreas, Tan, Edward, Soreide, Kjetil, Lee, Matthew, Wani, Imtiaz, Bonavina, Luigi, Malangoni, Mark, Koike, Kaoru, Velmahos, George, Fraga, Gustavo, Fette, Andreas, deAngelis, Nicola, Balogh, Zsolt, Scalea, Thomas, Sganga, Gabriele, Kelly, Michael, Khan, Jim, Stahel, Philip, Moore, Ernest, and Galante, Joseph
Subjects: Bowel ischemia, Guidelines, Mesenteric arterial occlusion, Mesenteric artery stenting, Mesenteric ischemia, Recommendations, World Society of Emergency Surgery, Humans, Mesenteric Ischemia, Mesenteric Vascular Occlusion, Endovascular Procedures, Ischemia, Intestines
Abstract: 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

11. Follow-up strategies for patients with splenic trauma managed non-operatively: the 2022 World Society of Emergency Surgery consensus document.

Author: Podda, Mauro, De Simone, Belinda, Ceresoli, Marco, Virdis, Francesco, Favi, Francesco, Wiik Larsen, Johannes, Coccolini, Federico, Sartelli, Massimo, Pararas, Nikolaos, Beka, Solomon, Bonavina, Luigi, Bova, Raffaele, Pisanu, Adolfo, Abu-Zidan, Fikri, Balogh, Zsolt, Chiara, Osvaldo, Wani, Imtiaz, Stahel, Philip, Di Saverio, Salomone, Scalea, Thomas, Soreide, Kjetil, Sakakushev, Boris, Amico, Francesco, Martino, Costanza, Hecker, Andreas, deAngelis, Nicola, Chirica, Mircea, Kirkpatrick, Andrew, Pikoulis, Emmanouil, Kluger, Yoram, Bensard, Denis, Ansaloni, Luca, Fraga, Gustavo, Civil, Ian, Tebala, Giovanni, Di Carlo, Isidoro, Cui, Yunfeng, Coimbra, Raul, Agnoletti, Vanni, Sall, Ibrahima, Tan, Edward, Picetti, Edoardo, Litvin, Andrey, Damaskos, Dimitrios, Inaba, Kenji, Leung, Jeffrey, Maier, Ronald, Biffl, Walt, Leppaniemi, Ari, Moore, Ernest, Gurusamy, Kurinchi, Catena, Fausto, and Galante, Joseph
Subjects: Consensus, Conservative treatment, Diagnostic imaging, Embolization, Follow-up, Nonoperative management, Spleen, Trauma, Abdominal Injuries, Adult, Child, Consensus, Follow-Up Studies, Hemoglobins, Heparin, Low-Molecular-Weight, Humans, Prospective Studies, Wounds, Nonpenetrating
Abstract: BACKGROUND: In 2017, the World Society of Emergency Surgery published its guidelines for the management of adult and pediatric patients with splenic trauma. Several issues regarding the follow-up of patients with splenic injuries treated with NOM remained unsolved. METHODS: Using a modified Delphi method, we sought to explore ongoing areas of controversy in the NOM of splenic trauma and reach a consensus among a group of 48 international experts from five continents (Africa, Europe, Asia, Oceania, America) concerning optimal follow-up strategies in patients with splenic injuries treated with NOM. RESULTS: Consensus was reached on eleven clinical research questions and 28 recommendations with an agreement rate ≥ 80%. Mobilization after 24 h in low-grade splenic trauma patients (WSES Class I, AAST Grades I-II) was suggested, while in patients with high-grade splenic injuries (WSES Classes II-III, AAST Grades III-V), if no other contraindications to early mobilization exist, safe mobilization of the patient when three successive hemoglobins 8 h apart after the first are within 10% of each other was considered safe according to the panel. The panel suggests adult patients to be admitted to hospital for 1 day (for low-grade splenic injuries-WSES Class I, AAST Grades I-II) to 3 days (for high-grade splenic injuries-WSES Classes II-III, AAST Grades III-V), with those with high-grade injuries requiring admission to a monitored setting. In the absence of specific complications, the panel suggests DVT and VTE prophylaxis with LMWH to be started within 48-72 h from hospital admission. The panel suggests splenic artery embolization (SAE) as the first-line intervention in patients with hemodynamic stability and arterial blush on CT scan, irrespective of injury grade. Regarding patients with WSES Class II blunt splenic injuries (AAST Grade III) without contrast extravasation, a low threshold for SAE has been suggested in the presence of risk factors for NOM failure. The panel also suggested angiography and eventual SAE in all hemodynamically stable adult patients with WSES Class III injuries (AAST Grades IV-V), even in the absence of CT blush, especially when concomitant surgery that requires change of position is needed. Follow-up imaging with contrast-enhanced ultrasound/CT scan in 48-72 h post-admission of trauma in splenic injuries WSES Class II (AAST Grade III) or higher treated with NOM was considered the best strategy for timely detection of vascular complications. CONCLUSION: This consensus document could help guide future prospective studies aiming at validating the suggested strategies through the implementation of prospective trauma databases and the subsequent production of internationally endorsed guidelines on the issue.
Published: 2022

12. Operative management of acute abdomen after bariatric surgery in the emergency setting: the OBA guidelines.

Author: De Simone, Belinda, Chouillard, Elie, Ramos, Almino, Donatelli, Gianfranco, Pintar, Tadeja, Gupta, Rahul, Renzi, Federica, Mahawar, Kamal, Madhok, Brijesh, Maccatrozzo, Stefano, Abu-Zidan, Fikri, E Moore, Ernest, Weber, Dieter, Coccolini, Federico, Di Saverio, Salomone, Kirkpatrick, Andrew, Shelat, Vishal, Amico, Francesco, Pikoulis, Emmanouil, Ceresoli, Marco, Wani, Imtiaz, De Angelis, Nicola, Hecker, Andreas, Sganga, Gabriele, Tan, Edward, Balogh, Zsolt, Bala, Miklosh, Coimbra, Raul, Damaskos, Dimitrios, Ansaloni, Luca, Sartelli, Massimo, Pararas, Nikolaos, Kluger, Yoram, Chahine, Elias, Agnoletti, Vanni, Fraga, Gustavo, Biffl, Walter, Catena, Fausto, and Galante, Joseph
Subjects: Abdominal pain, Acute abdomen, Bariatric surgery, Bleeding, Emergency surgery, Gastric bypass, Long-term complication, Occlusion, Perforation, Peritonitis, Sleeve gastrectomy, Abdomen, Acute, Bariatric Surgery, Humans, Meta-Analysis as Topic, Obesity, Morbid, Systematic Reviews as Topic, Weight Loss
Abstract: BACKGROUND: Patients presenting with acute abdominal pain that occurs after months or years following bariatric surgery may present for assessment and management in the local emergency units. Due to the large variety of surgical bariatric techniques, emergency surgeons have to be aware of the main functional outcomes and long-term surgical complications following the most performed bariatric surgical procedures. The purpose of these evidence-based guidelines is to present a consensus position from members of the WSES in collaboration with IFSO bariatric experienced surgeons, on the management of acute abdomen after bariatric surgery focusing on long-term complications in patients who have undergone laparoscopic sleeve gastrectomy and laparoscopic Roux-en-Y gastric bypass. METHOD: A working group of experienced general, acute care, and bariatric surgeons was created to carry out a systematic review of the literature following the Preferred Reporting Items for Systematic Review and Meta-analysis Protocols (PRISMA-P) and to answer the PICO questions formulated after the Operative management in bariatric acute abdomen survey. The literature search was limited to late/long-term complications following laparoscopic sleeve gastrectomy and laparoscopic Roux-en-Y gastric bypass. CONCLUSIONS: The acute abdomen after bariatric surgery is a common cause of admission in emergency departments. Knowledge of the most common late/long-term complications (> 4 weeks after surgical procedure) following sleeve gastrectomy and Roux-en-Y gastric bypass and their anatomy leads to a focused management in the emergency setting with good outcomes and decreased morbidity and mortality rates. A close collaboration between emergency surgeons, radiologists, endoscopists, and anesthesiologists is mandatory in the management of this group of patients in the emergency setting.
Published: 2022

13. Postoperative pain management in non-traumatic emergency general surgery: WSES-GAIS-SIAARTI-AAST guidelines.

Author: Coccolini, Federico, Corradi, Francesco, Sartelli, Massimo, Coimbra, Raul, Kryvoruchko, Igor, Leppaniemi, Ari, Doklestic, Krstina, Bignami, Elena, Biancofiore, Giandomenico, Bala, Miklosh, Marco, Ceresoli, Damaskos, Dimitris, Biffl, Walt, Fugazzola, Paola, Santonastaso, Domenico, Agnoletti, Vanni, Sbarbaro, Catia, Nacoti, Mirco, Hardcastle, Timothy, Mariani, Diego, De Simone, Belinda, Tolonen, Matti, Ball, Chad, Podda, Mauro, Di Carlo, Isidoro, Di Saverio, Salomone, Navsaria, Pradeep, Bonavina, Luigi, Abu-Zidan, Fikri, Soreide, Kjetil, Fraga, Gustavo, Carvalho, Vanessa, Batista, Sergio, Hecker, Andreas, Cucchetti, Alessandro, Ercolani, Giorgio, Tartaglia, Dario, Wani, Imtiaz, Kurihara, Hayato, Tan, Edward, Litvin, Andrey, Melotti, Rita, Sganga, Gabriele, Zoro, Tamara, Isirdi, Alessandro, DeAngelis, Nicola, Weber, Dieter, Hodonou, Adrien, tenBroek, Richard, Parini, Dario, Khan, Jim, Sbrana, Giovanni, Coniglio, Carlo, Giarratano, Antonino, Gratarola, Angelo, Zaghi, Claudia, Romeo, Oreste, Kelly, Michael, Forfori, Francesco, Chiarugi, Massimo, Moore, Ernest, Catena, Fausto, Malbrain, Manu, and Galante, Joseph
Subjects: Acute, Emergency, Morbidity, Pain, Surgery, Treatment, Abdomen, Analgesics, Anesthesia, Humans, Pain, Postoperative, Perioperative Care, United States
Abstract: BACKGROUND: Non-traumatic emergency general surgery involves a heterogeneous population that may present with several underlying diseases. Timeous emergency surgical treatment should be supplemented with high-quality perioperative care, ideally performed by multidisciplinary teams trained to identify and handle complex postoperative courses. Uncontrolled or poorly controlled acute postoperative pain may result in significant complications. While pain management after elective surgery has been standardized in perioperative pathways, the traditional perioperative treatment of patients undergoing emergency surgery is often a haphazard practice. The present recommended pain management guidelines are for pain management after non-traumatic emergency surgical intervention. It is meant to provide clinicians a list of indications to prescribe the optimal analgesics even in the absence of a multidisciplinary pain team. MATERIAL AND METHODS: An international expert panel discussed the different issues in subsequent rounds. Four international recognized scientific societies: World Society of Emergency Surgery (WSES), Global Alliance for Infection in Surgery (GAIS), Italian Society of Anesthesia, Analgesia Intensive Care (SIAARTI), and American Association for the Surgery of Trauma (AAST), endorsed the project and approved the final manuscript. CONCLUSION: Dealing with acute postoperative pain in the emergency abdominal surgery setting is complex, requires special attention, and should be multidisciplinary. Several tools are available, and their combination is mandatory whenever is possible. Analgesic approach to the various situations and conditions should be patient based and tailored according to procedure, pathology, age, response, and available expertise. A better understanding of the patho-mechanisms of postoperative pain for short- and long-term outcomes is necessary to improve prophylactic and treatment strategies.
Published: 2022

14. The LIFE TRIAD of emergency general surgery.

Author: Coccolini, Federico, Sartelli, Massimo, Kluger, Yoram, Osipov, Aleksei, Cui, Yunfeng, Beka, Solomon, Kirkpatrick, Andrew, Sall, Ibrahima, Moore, Ernest, Biffl, Walter, Litvin, Andrey, Pisano, Michele, Magnone, Stefano, Picetti, Edoardo, de Angelis, Nicola, Stahel, Philip, Ansaloni, Luca, Tan, Edward, Abu-Zidan, Fikri, Ceresoli, Marco, Hecker, Andreas, Chiara, Osvaldo, Sganga, Gabriele, Khokha, Vladimir, di Saverio, Salomone, Sakakushev, Boris, Campanelli, Giampiero, Fraga, Gustavo, Wani, Imtiaz, Broek, Richard, Cicuttin, Enrico, Cremonini, Camilla, Tartaglia, Dario, Soreide, Kjetil, de Moya, Marc, Koike, Kaoru, De Simone, Belinda, Balogh, Zsolt, Amico, Francesco, Shelat, Vishal, Pikoulis, Emmanouil, Di Carlo, Isidoro, Bonavina, Luigi, Leppaniemi, Ari, Marzi, Ingo, Ivatury, Rao, Khan, Jim, Maier, Ronald, Hardcastle, Timothy, Isik, Arda, Podda, Mauro, Tolonen, Matti, Rasa, Kemal, Navsaria, Pradeep, Demetrashvili, Zaza, Tarasconi, Antonio, Carcoforo, Paolo, Sibilla, Maria, Baiocchi, Gian, Pararas, Nikolaos, Weber, Dieter, Chiarugi, Massimo, Catena, Fausto, and Galante, Joseph
Subjects: Data, Effectiveness, Emergency General Surgery, Formation, Learning, Outcomes, Planning, Hospitals, Humans, Registries, Surgeons
Abstract: Emergency General Surgery (EGS) was identified as multidisciplinary surgery performed for traumatic and non-traumatic acute conditions during the same admission in the hospital by general emergency surgeons and other specialists. It is the most diffused surgical discipline in the world. To live and grow strong EGS necessitates three fundamental parts: emergency and elective continuous surgical practice, evidence generation through clinical registries and data accrual, and indications and guidelines production: the LIFE TRIAD.
Published: 2022

15. The acute phase management of spinal cord injury affecting polytrauma patients: the ASAP study.

Author: Picetti, Edoardo, Iaccarino, Corrado, Coimbra, Raul, Abu-Zidan, Fikri, Tebala, Giovanni, Balogh, Zsolt, Biffl, Walter, Coccolini, Federico, Gupta, Deepak, Maier, Ronald, Marzi, Ingo, Robba, Chiara, Sartelli, Massimo, Servadei, Franco, Stahel, Philip, Taccone, Fabio, Unterberg, Andreas, Antonini, Marta, Ansaloni, Luca, Kirkpatrick, Andrew, Rizoli, Sandro, Leppaniemi, Ari, Chiara, Osvaldo, De Simone, Belinda, Chirica, Mircea, Shelat, Vishal, Fraga, Gustavo, Ceresoli, Marco, Cattani, Luca, Minardi, Francesco, Tan, Edward, Wani, Imtiaz, Petranca, Massimo, Domenichelli, Francesco, Cui, Yunfeng, Malchiodi, Laura, Sani, Emanuele, Litvin, Andrey, Hecker, Andreas, Montanaro, Vito, Beka, Solomon, Di Saverio, Salomone, Rossi, Sandra, Catena, Fausto, and Galante, Joseph
Subjects: Management, Polytrauma, Traumatic spinal cord injury, Cerebrospinal Fluid Pressure, Humans, Multiple Trauma, Neurosurgical Procedures, Spinal Cord Injuries
Abstract: BACKGROUND: Few data on the management of acute phase of traumatic spinal cord injury (tSCI) in patients suffering polytrauma are available. As the therapeutic choices in the first hours may have a deep impact on outcome of tSCI patients, we conducted an international survey investigating this topic. METHODS: The survey was composed of 29 items. The main endpoints of the survey were to examine: (1) the hemodynamic and respiratory management, (2) the coagulation management, (3) the timing of magnetic resonance imaging (MRI) and spinal surgery, (4) the use of corticosteroid therapy, (5) the role of intraspinal pressure (ISP)/spinal cord perfusion pressure (SCPP) monitoring and (6) the utilization of therapeutic hypothermia. RESULTS: There were 171 respondents from 139 centers worldwide. A target mean arterial pressure (MAP) target of 80-90 mmHg was chosen in almost half of the cases [n = 84 (49.1%)]. A temporary reduction in the target MAP, for the time strictly necessary to achieve bleeding control in polytrauma, was accepted by most respondents [n = 100 (58.5%)]. Sixty-one respondents (35.7%) considered acceptable a hemoglobin (Hb) level of 7 g/dl in tSCI polytraumatized patients. An arterial partial pressure of oxygen (PaO2) of 80-100 mmHg [n = 94 (55%)] and an arterial partial pressure of carbon dioxide (PaCO2) of 35-40 mmHg [n = 130 (76%)] were chosen in most cases. A little more than half of respondents considered safe a platelet (PLT) count > 100.000/mm3 [n = 99 (57.9%)] and prothrombin time (PT)/activated partial thromboplastin time (aPTT)
Published: 2022

16. Worldwide snapshot of trauma team structure and training: an international survey

Author: Bento, André, Ferreira, Luís, Yánez Benitez, Carlos, Koleda, Piotr, Fraga, Gustavo P., Kozera, Piotr, Baptista, Sérgio, Mesquita, Carlos, and Alexandrino, Henrique
Published: 2023
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17. Can trauma leagues contribute to better cognitive performance and technical skills of medical students? The experience of the Unicamp trauma league

Author: Simões, Romeo Lages, Bicudo, Angélica Maria, Passeri, Sílvia Maria Riceto Ronchin, Calderan, Thiago Rodrigues Araújo, Rizoli, Sandro, and Fraga, Gustavo Pereira
Published: 2023
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18. The European Trauma Course: Transforming systems through training

Author: Thies, Karl-Christian, Bergmans, Elonka, Billington, Alistair, Fraga, Gustavo P., Trummer, Florian, Nasr, Ayman O., Tilsed, Jonathan, Kamaras, Georgie, Cebula, Gregorz, Protic, Alen, Khalifa, Gamal Eldin Abbas, Vänni, Ville, Alouini, Souhail, Uštar, Katja Kalan, Perfetti, Paola, Sari, Ferenc, Cimpoesu, Diana, Cassar, Mary Rose, Lott, Carsten, Blondeel, Lode, Kooij, Fabian, Neutel, Elizabete, and Verdonck, Philip
Published: 2024
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19. Evaluation of Traumatic and Nontraumatic Patients

Author: Kruger, Vitor F., Fraga, Gustavo P., Coccolini, Federico, editor, and Catena, Fausto, editor
Published: 2023
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20. 2023 WSES guidelines for the prevention, detection, and management of iatrogenic urinary tract injuries (IUTIs) during emergency digestive surgery

Author: de’Angelis, Nicola, Schena, Carlo Alberto, Marchegiani, Francesco, Reitano, Elisa, De Simone, Belinda, Wong, Geoffrey Yuet Mun, Martínez-Pérez, Aleix, Abu-Zidan, Fikri M., Agnoletti, Vanni, Aisoni, Filippo, Ammendola, Michele, Ansaloni, Luca, Bala, Miklosh, Biffl, Walter, Ceccarelli, Graziano, Ceresoli, Marco, Chiara, Osvaldo, Chiarugi, Massimo, Cimbanassi, Stefania, Coccolini, Federico, Coimbra, Raul, Di Saverio, Salomone, Diana, Michele, Dioguardi Burgio, Marco, Fraga, Gustavo, Gavriilidis, Paschalis, Gurrado, Angela, Inchingolo, Riccardo, Ingels, Alexandre, Ivatury, Rao, Kashuk, Jeffry L., Khan, Jim, Kirkpatrick, Andrew W., Kim, Fernando J., Kluger, Yoram, Lakkis, Zaher, Leppäniemi, Ari, Maier, Ronald V., Memeo, Riccardo, Moore, Ernest E., Ordoñez, Carlos A., Peitzman, Andrew B., Pellino, Gianluca, Picetti, Edoardo, Pikoulis, Manos, Pisano, Michele, Podda, Mauro, Romeo, Oreste, Rosa, Fausto, Tan, Edward, Ten Broek, Richard P., Testini, Mario, Tian Wei Cheng, Brian Anthony, Weber, Dieter, Sacco, Emilio, Sartelli, Massimo, Tonsi, Alfredo, Dal Moro, Fabrizio, and Catena, Fausto
Published: 2023
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21. Risk factors for the leakage of the repair of duodenal wounds: a secondary analysis of the Panamerican Trauma Society multicenter retrospective review

Author: García, Alberto, Sanchez, Alvaro I., Ferrada, Paula, Wolfe, Luke, Duchesne, Juan, Fraga, Gustavo P., Benjamin, Elizabeth, Campbell, Andre, Morales, Carlos, Pereira, Bruno M., Ribeiro, Marcelo, Quiodettis, Martha, Peck, Gregory, Salamea, Juan C., Kruger, Vitor F., Ivatury, Rao, and Scalea, Thomas
Published: 2023
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22. coMpliAnce with evideNce-based cliniCal guidelines in the managemenT of acute biliaRy pancreAtitis): The MANCTRA-1 international audit

Author: Podda, Mauro, Gerardi, Chiara, Coccolini, Federico, di Saverio, Salomone, Pellino, Gianluca, Pata, Francesco, Ielpo, Benedetto, Virdis, Francesco, Damaskos, Dimitris, Gourgiotis, Stavros, Poillucci, Gaetano, Pacella, Daniela, Jayant, Kumar, Agresta, Ferdinando, Sartelli, Massimo, Leppaniemi, Ari, Riboni, Cristiana, Catena, Fausto, Kluger, Yoram, Pisanu, Adolfo, Giordano, Alessio, Ferrario, Luca, Calvo, Mikel Prieto, Wilson, Michael, Soggiu, Fiammetta, Hamdan, Alaa, Gomes, Carlos Augusto, Fraga, Gustavo, Ioannidis, Argyrios, De Simone, Belinda, Demetrashvili, Zaza, Sahani, Saaz, Bains, Lovenish, Khamees, Almu'atasim, Ababneh, Hazim, Aljaiuossi, Osama, Pimentel, Samuel, Mohamad, Ikhwan Sani, Yusoff, Ahmad Ramzi, Zarnescu, Narcis Octavian, Calu, Valentin, Litvin, Andrey, Lesko, Dusan, Elmehrath, Ahmed, Elshami, Mohamedraed, de Santibañes, Martin, Gundara, Justin, Alawadhi, Kamel, Lui, Rashid, Julianov, Alexander, Ralon, Sergio, Garzali, Ibrahim-Umar, Machain, Gustavo M., Quispe-Cruz, Darwin Artidoro, Orantia, Abigail Cheska C., Walędziak, Maciej, Correia de Sá, Tiago, Ali, Syed Muhammad, Kovacevic, Bojan, Noel, Colin, Abdalah, Haidar M., Kchaou, Ali, Isik, Arda, Ansaloni, Luca, Biffl, Walter, Guerrieri, Mario, Sartori, Alberto, Abradelo, Manuel, Nigri, Giuseppe, Di Lorenzo, Nicola, Mingoli, Andrea, Chiarugi, Massimo, Di Menno Stavron, Juliana, Mazza, Oscar, Valenzuela, José Ignacio, Pantoja Pachajoa, Diana Alejandra, Alvarez, Fernando Andrés, Liaño, Julian Ezequiel, Tefay, Joan, Alshaikh, Abdulrahman, Hasan, Layla, Augusto Gomes, Carlos, Gomes, Felipe Couto, Fraga, Gustavo P., Calderan, Thiago R.A., Hirano, Elcio S., Dardanov, Dragomir, Saroglu, Azize, Atanasov, Boyko, Belev, Nikolay, Kovachev, Nikola, Chan, Shannon Melissa, Lok, Hon-Ting, Salcedo, Diego, Robayo, Diana, Triviño, María Alejandra, Manak, Jan, de Araujo, Jorann, Sethi, Ananya, Awad, Ahmed, Elbadawy, Merihan, Farid, Ahmed, Hanafy, Asmaa, Nafea, Ahmed, Sherief-Ghozy, Salah – Abbas, Alzhraa, Abdelsalam, Wafaa, Emile, Sameh, Elfallal, Ahmed, Elfeki, Hossam, Elghadban, Hosam, Shoma, Ashraf, Shetiwy, Mohamed, Elbahnasawy, Mohamed, Mohamed, Salem, Hamed, Emad Fawzi, Khalil, Usama Ahmed, Chouillard, Elie, Gumbs, Andrew, Police, Andréa, Mabilia, Andrea, Khutsishvili, Kakhi, Tvaladze, Anano, Ioannidis, Orestis, Anestiadou, Elissavet, Loutzidou, Lydia, Konstantinidis, Konstantinis, Konstantinidou, Sofia, Manatakis, Dimitrios, Acheimastos, Vasileios, Tasis, Nikolaos, Michalopoulos, Nikolaos, Kokoropoulos, Panagiotis, Papadoliopoulou, Maria, Sotiropoulou, Maria, Kapiris, Stylianos, Metaxas, Panagiotis, Tsouknidas, Ioannis, Kefili, Despoina, Petrakis, George, Dakis, Konstantinos, Alexandridou, Eirini, Synekidou, Eirini, Dakis, Kostas, Papadopoulos, Aristeidis, Chouliaras, Christos, Mouzakis, Odysseas, Mulita, Francesk, Maroulis, Ioannis, Vailas, Michail, Triantafyllou, Tania, Theodorou, Dimitrios, Lostoridis, Eftychios, Nagorni, Eleni-Aikaterini, Tourountzi, Paraskevi, Baili, Efstratia, Charalabopoulos, Alexandros, Liakakos, Theodore, Schizas, Dimitrios, Kozadinos, Alexandros, Syllaios, Athanasios, Machairas, Nikolaos, Kykalos, Stylianos, Stamopoulos, Paraskevas, Delis, Spiros, Farazi-Chongouki, Christos, Kalaitzakis, Evangelos, Giannarakis, Miltiadis, Lasithiotakis, Konstantinos, Petra, Giorgia, Gupta, Amit, Medappil, Noushif, Muthukrishnan, Vijayanand, Kamar, Jubin, Lal, Pawan, Agarwal, Rajendra, Magnoli, Matteo, Aonzo, Paolo, Serventi, Alberto, Giuliani, Antonio, Di Lascio, Pierpaolo, Pinto, Margherita, Bergamini, Carlo, Bottari, Andrea, Fortuna, Laura, Martellucci, Jacopo, Cicako, Atea, Miglietta, Claudio, Morino, Mario, Delogu, Daniele, Picchetto, Andrea, Assenza, Marco, D'Ambrosio, Giancarlo, Argenio, Giulio, Armellino, Mariano Fortunato, Ioia, Giovanna, Occhionorelli, Savino, Andreotti, Dario, Domenico, Lacavalla, Luppi, Davide, Casadei, Massimiliano, Di Donato, Luca, Manoochehri, Farshad, Lucia Marchese, Tiziana Rita, Sergi, William, Manca, Roberto, Murgia, Raimondo, Piras, Enrico, Conti, Lorenzo, Gianazza, Simone, Rizzi, Andrea, Segalini, Edoardo, Monti, Marco, Iiritano, Elena, Mariani, Nicolò Maria, De Nicola, Enrico, Scifo, Giovanna, Pignata, Giusto, Andreuccetti, Jacopo, Fleres, Francesco, Clarizia, Guglielmo, Spolini, Alessandro, Biloslavo, Alan, Germani, Paola, Mastronardi, Manuela, Bogoni, Selene, Palmisano, Silvia, De Manzini, Nicolo’, Marino, Marco Vito, Martines, Gennaro, Trigiante, Giuseppe, Lagouvardou, Elpiniki, Anania, Gabriele, Bombardini, Cristina, Oppici, Dario, Pilia, Tiziana, Murzi, Valentina, Gessa, Emanuela, Bracale, Umberto, Di Nuzzo, Maria Michela, Peltrini, Roberto, Salvetti, Francesco, Viganò, Jacopo, Sganga, Gabriele, Bianchi, Valentina, Fransvea, Pietro, Fontana, Tommaso, Sarro, Giuliano, Dinuzzi, Vincenza Paola, Scaravilli, Luca, Papa, Mario Virgilio, Jovine, Elio, Ciabatti, Giulia, Mastrangelo, Laura, Rottoli, Matteo, Ricci, Claudio, Russo, Iris Shari, Aiolfi, Alberto, Bona, Davide, Lombardo, Francesca, Cianci, Pasquale, Bini, Roberto, Chiara, Osvaldo, Cioffi, Stefano, Cantafio, Stefano, Coretti, Guido, Licitra, Edelweiss, Savino, Grazia, Grimaldi, Sergio, Porfidia, Raffaele, Moggia, Elisabetta, Garino, Mauro, Marafante, Chiara, Pesce, Antonio, Fabbri, Nicolò, Feo, Carlo Vittorio, Marra, Ester, Troian, Marina, Drigo, Davide, Nagliati, Carlo, Andrea, Muratore, Danna, Riccardo, Murgese, Alessandra, Crespi, Michele, Guerci, Claudio, Frontali, Alice, Ferrari, Luca, Favi, Francesco, Picariello, Erika, Rampini, Alessia, D'Acapito, Fabrizio, Ercolani, Giorgio, Solaini, Leonardo, Palmieri, Francesco, Calì, Matteo, Ferrara, Francesco, Muttillo, Irnerio Angelo, Muttillo, Edoardo Maria, Picardi, Biagio, Galleano, Raffaele, Badran, Ali, Ghazouani, Omar, Cervellera, Maurizio, Campanella, Gaetano, Papa, Gennaro, Di Bella, Annamaria, Perrone, Gennaro, Petracca, Gabriele Luciano, Prioriello, Concetta, Giuffrida, Mario, Cozzani, Federico, Rossini, Matteo, Inama, Marco, Butturini, Giovanni, Moretto, Gianluigi, Morelli, Luca, Di Candio, Giulio, Guadagni, Simone, Cicuttin, Enrico, Cremonini, Camilla, Tartaglia, Dario, Genovese, Valerio, Cillara, Nicola, Cannavera, Alessandro, Deserra, Antonello, Picciariello, Arcangelo, Papagni, Vincenzo, Vincenti, Leonardo, Bagaglini, Giulia, Sica, Giuseppe, Lapolla, Pierfrancesco, Brachini, Gioia, Bono, Dario, Nicotera, Antonella, Zago, Marcello, Sammartano, Fabrizio, Benuzzi, Laura, Stella, Marco, Rossi, Stefano, Cerioli, Alessandra, Puccioni, Caterina, Olmi, Stefano, Rubicondo, Carolina, Uccelli, Matteo, Balla, Andrea, Guida, Anna, Lepiane, Pasquale, Sasia, Diego, Giraudo, Giorgio, Salomone, Sara, Belloni, Elena, Cossa, Alessandra, Lancellotti, Francesco, Caronna, Roberto, Chirletti, Piero, Saullo, Paolina, Troiano, Raffaele, Mucilli, Felice, Barone, Mirko, Ippoliti, Massimo, Grande, Michele, Sensi, Bruno, Siragusa, Leandro, Ortenzi, Monica, Santini, Andrea, Di Carlo, Isidoro, Veroux, Massimiliano, Gioco, Rossella, Veroux, Gastone, Currò, Giuseppe, Ammendola, Michele, Komaei, Iman, Navarra, Giuseppe, Tonini, Valeria, Sartarelli, Lodovico, Vaccari, Samuele, Ceresoli, Marco, Perrone, Stefano, Roccamatisi, Linda, Millo, Paolo, Contul, Riccardo Brachet, Ponte, Elisa, Zuin, Matteo, Portale, Giuseppe, Tonello, Alice Sabrina, Fratini, Geri, Bianchini, Matteo, Perotti, Bruno, Doria, Emanuele, Lunghi, Elia Giuseppe, Visconti, Diego, Al-Shami, Khayry, Awadi, Sajeda, Khalil Buwaitel, Mohammad Musallam, Naief Naffa', Mo'taz Fawzat, Samhouri, Ahmad, Sawalha, Hatem, Ramzi Yusoff, Ahmad, Che Ani, Mohd Firdaus, Ahmed Fathil, Ida Nadiah, Huei, Jih, Zakaria, Andee Dzulkarnaen, Ya'acob, Mohammad Zawawi, Beristain-Hernandez, Jose-Luis, Garcia-Meza, Alejandro, Sepulveda-Rdriguez, Rafael, Lozada Hernández, Edgard Efren, Acuña Pinzón, Camilo Levi, Condoy, Jefferson Nieves, Becerra García, Francisco C., Sadik, Mohammad, Jalpa, kadir, Bushra, Devi, Jalpa, Seerani, Nandlal, Zainab, Asghar, Mohammad Sohail, Afzal, Ameer, Akbar, Ali, Lohse, Helmut Segovia, Lohse, Herald Segovia, Artidoro Quispe-Cruz, Darwin, Leon Cabrera, Zamiara Solange, Yamamoto Seto, Gaby Susana, Chiuyari, José Ríos, Ordemar, Jorge, Rodríguez, Martha, Orantia-Carlos, Abigail Cheska C., Quitoy, Margie Antionette, Kwiatkowski, Andrzej, Mawlichanów, Maciej, Rocha, Mónica, Soares, Carlos, Muhammad Ali, Syed, Stoian, Alexandru Rares, Diana Draghici, Andreea, Draghici, Andreea Diana, Grigorean, Valentin Titus, Radulescu, Raluca Bievel, Costea, Radu Virgil, Zarnescu, Eugenia Claudia, Kurtenkov, Mikhail, Gendrikson, George, Alla-Angelina, Volovich, Arina, Tsurbanova, Kaldarov, Ayrat, Gachabayov, Mahir, Abdullaev, Abakar, Milentijevic, Milica, Karamarkovic, Milovan, Panyko, Arpád, Radonak, Jozef, Soltes, Marek, Álvarez Morán, Laura, García, Haydée Calvo, Vega, Pilar Suárez, Estevez, Sergio, Ausania, Fabio, Farguell, Jordi, González-Abós, Carolina, Sánchez-Cabús, Santiago, Martín, Belén, Molina, Víctor, Oms, Luis, Ilzarbe, Lucas, Feijóo, Eva Pont, Perra, Elena Sofia, Rojas-Bonet, Noel, Penalba-Palmí, Rafael, Pérez-Bru, Susana, Tur-Martínez, Jaume, Álvarez-Torrado, Andrea, Domingo-Gonzalez, Marta, Tejedor-Tejada, Javier, Di Martino, Marcello, García del Alamo, Yaiza, Mendoza-Moreno, Fernando, García-Moreno-Nisa, Francisca, Matías-García, Belén, Durán, Manuel, Calleja-Lozano, Rafael, Perez de Villar, José Manuel, Sánchez-Guillén, Luis, Caravaca, Iban, Triguero-Cánovas, Daniel, Maya Aparicio, Antonio Carlos, Meléndez, Blas Durán, Palacios, Andrea Masiá, Landaluce-olavarria, Aitor, De Francisco, Mario, Estraviz-Mateos, Begoña, Alconchel, Felipe, Nicolás-López, Tatiana, Ramírez, Pablo, Muñoz-Cruzado, Virginia Duran, Ciuró, Felipe Pareja, Perea del Pozo, Eduardo, Pizarro, Sergio Olivares, Cabrera, Vicente Herrera, Bayo, Jose Muros, Hamid, Hytham K.S., Roesel, Raffaello, Cristaudi, Alessandra, Abbas, Kinan, Ali, Iyad, Tlili, Ahmed, Bayhan, Hüseyin, Türkoğlu, Mehmet Akif, Uzunoglu, Mustafa Yener, Azamat, Ibrahim Fethi, Omarov, Nail, Uymaz, Derya Salim, Altintoprak, Fatih, Akin, Emrah, First, Necattin, Das, Koray, Ozer, Nazmi, Seker, Ahmet, Kara, Yasin, Bozkurt, Mehmet Abdussamet, Kocataş, Ali, Atici, Semra Demirli, Akalin, Murat, Calik, Bulent, Colak, Elif, Altinel, Yuksel, Meric, Serhat, Aktimur, Yunus Emre, Hudson, Victoria, Duval, Jean-Luc, Khan, Mansoor, Saad, Ahmed, Kaur, Mandeep, Bradley, Alison, Fox, Katherine, Tomasi, Ivan, Beasley, Daniel, Prasanti, Alekhya Kotta, Kotecha, Pinky, Ebied, Husam, Paul, Michaela, Sheth, Hemant, Gerogiannis, Ioannis, Gaber, Mohannad, Sheikh, Zara, Seth, Shatadru, Kunitsyna, Maria, Leo, Cosimo Alex, Bellato, Vittoria, Zafar, Noman, Elserafy, Amr, Bond-smith, Giles, Tebala, Giovanni, Mathur, Pawan, Abid, Izza, Chidumije, Nnaemeka, Sandhar, Pardip, Zohaib Ullah, Syed Osama, Lezama, Tamara, Anwaar, Muhammad Hassan, Magee, Conor, Ahmed, Salma, Davies, Brooke, Apollos, Jeyakumar, McCormack, Kieran, Choudhary, Hasham, Doulias, Triantafyllos, Morrison, Tamsin, Palepa, Anna, Cal, Fernando Bonilla, Sánchez, Lianet, Domínguez, Fabiana, Al-Raimi, Ibrahim, Alshargabi, Haneen, Meead, Abdullah, Di Saverio, Salomone, Damaskos, Dimitrios, Agnoletti, Vanni, and Mole, Damian
Published: 2022
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23. Liver trauma: WSES 2020 guidelines.

Author: Coccolini, Federico, Coimbra, Raul, Ordonez, Carlos, Kluger, Yoram, Vega, Felipe, Moore, Ernest, Biffl, Walt, Peitzman, Andrew, Horer, Tal, Abu-Zidan, Fikri, Sartelli, Massimo, Fraga, Gustavo, Cicuttin, Enrico, Ansaloni, Luca, Parra, Michael, Millán, Mauricio, DeAngelis, Nicola, Inaba, Kenji, Velmahos, George, Maier, Ron, Khokha, Vladimir, Sakakushev, Boris, Augustin, Goran, di Saverio, Salomone, Pikoulis, Emanuil, Chirica, Mircea, Reva, Viktor, Leppaniemi, Ari, Manchev, Vassil, Chiarugi, Massimo, Damaskos, Dimitrios, Weber, Dieter, Parry, Neil, Demetrashvili, Zaza, Civil, Ian, Napolitano, Lena, Corbella, Davide, and Catena, Fausto
Subjects: Adult, Classification, Guidelines, Hemorrhage, Intensive care, Interventional, Liver trauma, Minor, Moderate, Non-operative management, Operative management, Pediatric, Radiology, Severe, Surgery, Abdominal Injuries, Evidence-Based Medicine, Hemodynamics, Humans, Injury Severity Score, Liver, Patient Care Management
Abstract: Liver injuries represent one of the most frequent life-threatening injuries in trauma patients. In determining the optimal management strategy, the anatomic injury, the hemodynamic status, and the associated injuries should be taken into consideration. Liver trauma approach may require non-operative or operative management with the intent to restore the homeostasis and the normal physiology. The management of liver trauma should be multidisciplinary including trauma surgeons, interventional radiologists, and emergency and ICU physicians. The aim of this paper is to present the World Society of Emergency Surgery (WSES) liver trauma management guidelines.
Published: 2020

24. Future Directions

Author: Dorigatti, Alcir Escocia, Fraga, Gustavo Pereira, Coccolini, Federico, Series Editor, Coimbra, Raul, Series Editor, Kirkpatrick, Andrew W., Series Editor, Di Saverio, Salomone, Series Editor, Ansaloni, Luca, Editorial Board Member, Balogh, Zsolt, Editorial Board Member, Biffl, Walt, Editorial Board Member, Catena, Fausto, Editorial Board Member, Davis, Kimberly, Editorial Board Member, Ferrada, Paula, Editorial Board Member, Fraga, Gustavo, Editorial Board Member, Ivatury, Rao, Editorial Board Member, Kluger, Yoram, Editorial Board Member, Leppaniemi, Ari, Editorial Board Member, Maier, Ron, Editorial Board Member, Moore, Ernest E., Editorial Board Member, Napolitano, Lena, Editorial Board Member, Peitzman, Andrew, Editorial Board Member, Reilly, Patrick, Editorial Board Member, Rizoli, Sandro, Editorial Board Member, Sakakushev, Boris, Editorial Board Member, Sartelli, Massimo, Editorial Board Member, Scalea, Thomas, Editorial Board Member, Spain, David, Editorial Board Member, Stahel, Philip, Editorial Board Member, Sugrue, Michael, Editorial Board Member, Velmahos, George, Editorial Board Member, Weber, Dieter, Editorial Board Member, Malbrain, Manu L.N.G., editor, Kirkpatrick, Andrew W, editor, and Gamberini, Emiliano, editor
Published: 2021
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25. Pericarditis and Pericardial Effusions

Author: Phan, Ho H., Phares, Amanda, Fraga, Gustavo P., Silveira-Filho, Lindemberg M., Coccolini, Federico, Series Editor, Coimbra, Raul, Series Editor, Kirkpatrick, Andrew W., Series Editor, Di Saverio, Salomone, Series Editor, Ansaloni, Luca, Editorial Board Member, Balogh, Zsolt, Editorial Board Member, Biffl, Walt, Editorial Board Member, Catena, Fausto, Editorial Board Member, Davis, Kimberly, Editorial Board Member, Ferrada, Paula, Editorial Board Member, Fraga, Gustavo, Editorial Board Member, Ivatury, Rao, Editorial Board Member, Kluger, Yoram, Editorial Board Member, Leppaniemi, Ari, Editorial Board Member, Maier, Ron, Editorial Board Member, Moore, Ernest E., Editorial Board Member, Napolitano, Lena, Editorial Board Member, Peitzman, Andrew, Editorial Board Member, Reilly, Patrick, Editorial Board Member, Rizoli, Sandro, Editorial Board Member, Sakakushev, Boris, Editorial Board Member, Sartelli, Massimo, Editorial Board Member, Scalea, Thomas, Editorial Board Member, Spain, David, Editorial Board Member, Stahel, Philip, Editorial Board Member, Sugrue, Michael, Editorial Board Member, Velmahos, George, Editorial Board Member, Weber, Dieter, Editorial Board Member, and Galante, Joseph M., editor
Published: 2021
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26. Kidney and uro-trauma: WSES-AAST guidelines.

Author: Coccolini, Federico, Moore, Ernest, Kluger, Yoram, Biffl, Walter, Leppaniemi, Ari, Matsumura, Yosuke, Kim, Fernando, Peitzman, Andrew, Fraga, Gustavo, Sartelli, Massimo, Ansaloni, Luca, Augustin, Goran, Kirkpatrick, Andrew, Abu-Zidan, Fikri, Wani, Imitiaz, Weber, Dieter, Pikoulis, Emmanouil, Larrea, Martha, Arvieux, Catherine, Manchev, Vassil, Reva, Viktor, Coimbra, Raul, Khokha, Vladimir, Mefire, Alain, Ordonez, Carlos, Chiarugi, Massimo, Machado, Fernando, Sakakushev, Boris, Matsumoto, Junichi, Maier, Ron, di Carlo, Isidoro, and Catena, Fausto
Subjects: Adult, Bladder, Classification, Conservative, Embolization, Endovascular trauma management, Flow chart, Guidelines, Kidney, Non-operative, Operative, Pediatric, Stenting, Surgery, Trauma, Ureter, Urethra, Urogenital, Urological, Acute Kidney Injury, General Surgery, Guidelines as Topic, Hemodynamics, Humans, Injury Severity Score, Kidney, Triage, Urinary Tract
Abstract: Renal and urogenital injuries occur in approximately 10-20% of abdominal trauma in adults and children. Optimal management should take into consideration the anatomic injury, the hemodynamic status, and the associated injuries. The management of urogenital trauma aims to restore homeostasis and normal physiology especially in pediatric patients where non-operative management is considered the gold standard. As with all traumatic conditions, the management of urogenital trauma should be multidisciplinary including urologists, interventional radiologists, and trauma surgeons, as well as emergency and ICU physicians. The aim of this paper is to present the World Society of Emergency Surgery (WSES) and the American Association for the Surgery of Trauma (AAST) kidney and urogenital trauma management guidelines.
Published: 2019

27. Duodeno-pancreatic and extrahepatic biliary tree trauma: WSES-AAST guidelines.

Author: Coccolini, Federico, Kobayashi, Leslie, Kluger, Yoram, Moore, Ernest, Ansaloni, Luca, Biffl, Walt, Leppaniemi, Ari, Augustin, Goran, Reva, Viktor, Wani, Imitiaz, Kirkpatrick, Andrew, Abu-Zidan, Fikri, Cicuttin, Enrico, Fraga, Gustavo, Ordonez, Carlos, Pikoulis, Emmanuil, Sibilla, Maria, Maier, Ron, Matsumura, Yosuke, Masiakos, Peter, Khokha, Vladimir, Mefire, Alain, Ivatury, Rao, Favi, Francesco, Manchev, Vassil, Sartelli, Massimo, Machado, Fernando, Matsumoto, Junichi, Chiarugi, Massimo, Arvieux, Catherine, Catena, Fausto, and Coimbra, Raul
Subjects: Adult, Ampulla, Bile duct, Biliary tree, Classification, Conservative, Duodenum, Endoscopic retrograde cholangiopancreatography (ERCP), Endoscopy, Guidelines, Injury, Non-operative, Operative, Pancreas, Pediatric, Surgery, Trauma, Abdominal Injuries, Bile Ducts, Extrahepatic, Duodenum, Focused Assessment with Sonography for Trauma, General Surgery, Guidelines as Topic, Humans, Pancreas, Tomography, X-Ray Computed, Trauma Centers, Triage, Ultrasonography
Abstract: Duodeno-pancreatic and extrahepatic biliary tree injuries are rare in both adult and pediatric trauma patients, and due to their anatomical location, associated injuries are very common. Mortality is primarily related to associated injuries, but morbidity remains high even in isolated injuries. Optimal management of duodeno-bilio-pancreatic injuries is dictated primarily by hemodynamic stability, clinical presentation, and grade of injury. Endoscopic and percutaneous interventions have increased the ability to non-operatively manage these injuries. Late diagnosis and treatment are both associated to increased morbidity and mortality. Sequelae of late presentations of pancreatic injury and complications of severe pancreatic trauma are also increasingly addressed endoscopically and with interventional radiology procedures. However, for moderate and severe extrahepatic biliary and severe duodeno-pancreatic injuries, immediate operative intervention is preferred as associated injuries are frequent and commonly present with hemodynamic instability or peritonitis. The aim of this paper is to present the World Society of Emergency Surgery (WSES) and American Association for the Surgery of Trauma (AAST) duodenal, pancreatic, and extrahepatic biliary tree trauma management guidelines.
Published: 2019

28. 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, Richard PG, Krielen, Pepijn, Di Saverio, Salomone, Coccolini, Federico, Biffl, Walter L, Ansaloni, Luca, Velmahos, George C, Sartelli, Massimo, Fraga, Gustavo P, Kelly, Michael D, Moore, Frederick A, Peitzman, Andrew B, Leppaniemi, Ari, Moore, Ernest E, Jeekel, Johannes, Kluger, Yoram, Sugrue, Michael, Balogh, Zsolt J, Bendinelli, Cino, Civil, Ian, Coimbra, Raul, De Moya, Mark, Ferrada, Paula, Inaba, Kenji, Ivatury, Rao, Latifi, Rifat, Kashuk, Jeffry L, Kirkpatrick, Andrew W, Maier, Ron, Rizoli, Sandro, Sakakushev, Boris, Scalea, Thomas, Søreide, Kjetil, Weber, Dieter, Wani, Imtiaz, Abu-Zidan, Fikri M, De’Angelis, Nicola, Piscioneri, Frank, Galante, Joseph M, Catena, Fausto, and van Goor, Harry
Subjects: Patient Safety, Prevention, Digestive Diseases, Clinical Research, Evaluation of treatments and therapeutic interventions, 7.3 Management and decision making, 6.4 Surgery, Management of diseases and conditions, Oral and gastrointestinal, Disease Management, General Surgery, Guidelines as Topic, Humans, Intestinal Obstruction, Tissue Adhesions, Treatment Outcome, Small bowel obstruction, Adhesions, Surgery, Laparoscopy, Laparotomy
Abstract: BackgroundAdhesive 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.MethodsThe 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.RecommendationsAdhesion 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.DiscussionThis guideline presents recommendations that can be used by surgeons who treat patients with ASBO. Scientific evidence for some aspects of ASBO management is scarce, in particular aspects relating to special patient groups. Results of a randomized trial of laparoscopic versus open surgery for ASBO are awaited.
Published: 2018

29. The open abdomen in trauma and non-trauma patients: WSES guidelines

Author: 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, Boris, 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, Thomas, 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, Andreas, Kuo-Ching, Yuan, Ordoñez, Carlos A, Rizoli, Sandro, Gomes, Carlos Augusto, De Moya, Marc, Wani, Imtiaz, Mefire, Alain Chichom, Boffard, Ken, Napolitano, Lena, and Catena, Fausto
Subjects: Rare Diseases, Physical Injury - Accidents and Adverse Effects, Clinical Research, Cardiovascular, Abdomen, Abdominal Cavity, Abdominal Wound Closure Techniques, Guidelines as Topic, Humans, Intra-Abdominal Hypertension, Negative-Pressure Wound Therapy, Postoperative Complications, Prophylactic Surgical Procedures, Resuscitation, Open abdomen, Laparostomy, Non-trauma, Trauma, Peritonitis, Pancreatitis, Vascular emergencies, Intra-abdominal infection, Fistula, Nutrition, Re-exploration, Reintervention, Closure, Biological, Synthetic, Mesh, Technique, Timing, Guidelines, Surgery
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

30. Correction: Operative management of acute abdomen after bariatric surgery in the emergency setting: the OBA guidelines

Author: De Simone, Belinda, Chouillard, Elie, Ramos, Almino C., Donatelli, Gianfranco, Pintar, Tadeja, Gupta, Rahul, Renzi, Federica, Mahawar, Kamal, Madhok, Brijesh, Maccatrozzo, Stefano, Abu-Zidan, Fikri M., Moore, Ernest E., Weber, Dieter G., Coccolini, Federico, Di Saverio, Salomone, Kirkpatrick, Andrew, Shelat, Vishal G., Amico, Francesco, Pikoulis, Emmanouil, Ceresoli, Marco, Galante, Joseph M., Wani, Imtiaz, De’Angelis, Nicola, Hecker, Andreas, Sganga, Gabriele, Tan, Edward, Balogh, Zsolt J., Bala, Miklosh, Coimbra, Raul, Damaskos, Dimitrios, Ansaloni, Luca, Sartelli, Massimo, Pararas, Nikolaos, Kluger, Yoram, Chahine, Elias, Agnoletti, Vanni, Fraga, Gustavo, Biffl, Walter L., and Catena, Fausto
Published: 2022
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31. It’s time for a minimum synoptic operation template in patients undergoing laparoscopic cholecystectomy: a systematic review

Author: O’Connor, Niall, Sugrue, Michael, Melly, Conor, McGeehan, Gearoid, Bucholc, Magda, Crawford, Aileen, O’Connor, Paul, Abu-Zidan, Fikri, Wani, Imtiaz, Balogh, Zsolt J., Shelat, Vishal G., Tebala, Giovanni D., De Simone, Belinda, Eid, Hani O., Chirica, Mircea, Fraga, Gustavo P., Di Saverio, Salomone, Picetti, Edoardo, Bonavina, Luigi, Ceresoli, Marco, Fette, Andreas, Sakakushe, Boris, Pikoulis, Emmanouil, Coimbra, Raul, ten Broek, Richard, Hecker, Andreas, Leppäniemi, Ari, Litvin, Andrey, Stahel, Philip, Tan, Edward, Koike, Kaoru, Catena, Fausto, Pisano, Michele, Coccolini, Federico, and Johnston, Alison
Published: 2022
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32. The role of teamwork and non-technical skills for improving emergency surgical outcomes: an international perspective

Author: Stahel, Philip F., Cobianchi, Lorenzo, Dal Mas, Francesca, Paterson-Brown, Simon, Sakakushev, Boris E., Nguyen, Christine, Fraga, Gustavo P., Yule, Steven, Damaskos, Dimitrios, Healey, Andrew J., Biffl, Walter, Ansaloni, Luca, and Catena, Fausto
Published: 2022
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33. WSES guidelines on blunt and penetrating bowel injury: diagnosis, investigations, and treatment

Author: Smyth, Luke, Bendinelli, Cino, Lee, Nicholas, Reeds, Matthew G., Loh, Eu Jhin, Amico, Francesco, Balogh, Zsolt J., Di Saverio, Salomone, Weber, Dieter, ten Broek, Richard Peter, Abu-Zidan, Fikri M., Campanelli, Giampiero, Beka, Solomon Gurmu, Chiarugi, Massimo, Shelat, Vishal G., Tan, Edward, Moore, Ernest, Bonavina, Luigi, Latifi, Rifat, Hecker, Andreas, Khan, Jim, Coimbra, Raul, Tebala, Giovanni D., Søreide, Kjetil, Wani, Imtiaz, Inaba, Kenji, Kirkpatrick, Andrew W., Koike, Kaoru, Sganga, Gabriele, Biffl, Walter L., Chiara, Osvaldo, Scalea, Thomas M., Fraga, Gustavo P., Peitzman, Andrew B., and Catena, Fausto
Published: 2022
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34. The WSES/SICG/ACOI/SICUT/AcEMC/SIFIPAC guidelines for diagnosis and treatment of acute left colonic diverticulitis in the elderly

Author: Fugazzola, Paola, Ceresoli, Marco, Coccolini, Federico, Gabrielli, Francesco, Puzziello, Alessandro, Monzani, Fabio, Amato, Bruno, Sganga, Gabriele, Sartelli, Massimo, Menichetti, Francesco, Puglisi, Gabriele Adolfo, Tartaglia, Dario, Carcoforo, Paolo, Avenia, Nicola, Kluger, Yoram, Paolillo, Ciro, Zago, Mauro, Leppäniemi, Ari, Tomasoni, Matteo, Cobianchi, Lorenzo, Dal Mas, Francesca, Improta, Mario, Moore, Ernest E., Peitzman, Andrew B., Sugrue, Michael, Agnoletti, Vanni, Fraga, Gustavo P., Weber, Dieter G., Damaskos, Dimitrios, Abu-Zidan, Fikri M., Wani, Imtiaz, Kirkpatrick, Andrew W., Pikoulis, Manos, Pararas, Nikolaos, Tan, Edward, Broek, Richard Ten, Maier, Ronald V., Davies, R. Justin, Kashuk, Jeffry, Shelat, Vishal G., Mefire, Alain Chicom, Augustin, Goran, Magnone, Stefano, Poiasina, Elia, De Simone, Belinda, Chiarugi, Massimo, Biffl, Walt, Baiocchi, Gian Luca, Catena, Fausto, and Ansaloni, Luca
Published: 2022
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35. The ChoCO-W prospective observational global study: Does COVID-19 increase gangrenous cholecystitis?

Author: De Simone, Belinda, Abu-Zidan, Fikri M., Chouillard, Elie, Di Saverio, Salomone, Sartelli, Massimo, Podda, Mauro, Gomes, Carlos Augusto, Moore, Ernest E., Moug, Susan J., Ansaloni, Luca, Kluger, Yoram, Coccolini, Federico, Landaluce-Olavarria, Aitor, Estraviz-Mateos, Begoña, Uriguen-Etxeberria, Ana, Giordano, Alessio, Luna, Alfonso Palmieri, Amín, Luz Adriana Hernández, Hernández, Adriana María Palmieri, Shabana, Amanda, Dzulkarnaen, Zakaria Andee, Othman, Muhammad Asyraf, Sani, Mohamad Ikhwan, Balla, Andrea, Scaramuzzo, Rosa, Lepiane, Pasquale, Bottari, Andrea, Staderini, Fabio, Cianchi, Fabio, Cavallaro, Andrea, Zanghì, Antonio, Cappellani, Alessandro, Campagnacci, Roberto, Maurizi, Angela, Martinotti, Mario, Ruggieri, Annamaria, Jusoh, Asri Che, Rahman, Karim Abdul, Zulkifli, Anis Suraya M., Petronio, Barbara, Matías-García, Belén, Quiroga-Valcárcel, Ana, Mendoza-Moreno, Fernando, Atanasov, Boyko, Campanile, Fabio Cesare, Vecchioni, Ilaria, Cardinali, Luca, Travaglini, Grazia, Sebastiani, Elisa, Chooklin, Serge, Chuklin, Serhii, Cianci, Pasquale, Restini, Enrico, Capuzzolo, Sabino, Currò, Giuseppe, Filippo, Rosalinda, Rispoli, Michele, Aparicio-Sánchez, Daniel, Muñóz-Cruzado, Virginia Durán, Barbeito, Sandra Dios, Delibegovic, Samir, Kesetovic, Amar, Sasia, Diego, Borghi, Felice, Giraudo, Giorgio, Visconti, Diego, Doria, Emanuele, Santarelli, Mauro, Luppi, Davide, Bonilauri, Stefano, Grossi, Ugo, Zanus, Giacomo, Sartori, Alberto, Piatto, Giacomo, De Luca, Maurizio, Vita, Domenico, Conti, Luigi, Capelli, Patrizio, Cattaneo, Gaetano Maria, Marinis, Athanasios, Vederaki, Styliani-Aikaterini, Bayrak, Mehmet, Altıntas, Yasemin, Uzunoglu, Mustafa Yener, Demirbas, Iskender Eren, Altinel, Yuksel, Meric, Serhat, Aktimur, Yunus Emre, Uymaz, Derya Salim, Omarov, Nail, Azamat, Ibrahim, Lostoridis, Eftychios, Nagorni, Eleni-Aikaterini, Pujante, Antonio, Anania, Gabriele, Bombardini, Cristina, Bagolini, Francesco, Gonullu, Emre, Mantoglu, Baris, Capoglu, Recayi, Cappato, Stefano, Muzio, Elena, Colak, Elif, Polat, Suleyman, Koylu, Zehra Alan, Altintoprak, Fatih, Bayhan, Zülfü, Akin, Emrah, Andolfi, Enrico, Rezart, Sulce, Kim, Jae Il, Jung, Sung Won, Shin, Yong Chan, Enciu, Octavian, Toma, Elena Adelina, Medas, Fabio, Canu, Gian Luigi, Cappellacci, Federico, D’Acapito, Fabrizio, Ercolani, Giorgio, Solaini, Leonardo, Roscio, Francesco, Clerici, Federico, Gelmini, Roberta, Serra, Francesco, Rossi, Elena Giulia, Fleres, Francesco, Clarizia, Guglielmo, Spolini, Alessandro, Ferrara, Francesco, Nita, Gabriela, Sarnari, Jlenia, Gachabayov, Mahir, Abdullaev, Abakar, Poillucci, Gaetano, Palini, Gian Marco, Veneroni, Simone, Garulli, Gianluca, Piccoli, Micaela, Pattacini, Gianmaria Casoni, Pecchini, Francesca, Argenio, Giulio, Armellino, Mariano Fortunato, Brisinda, Giuseppe, Tedesco, Silvia, Fransvea, Pietro, Ietto, Giuseppe, Franchi, Caterina, Carcano, Giulio, Martines, Gennaro, Trigiante, Giuseppe, Negro, Giulia, Vega, Gustavo Machain, González, Agustín Rodríguez, Ojeda, Leonardo, Piccolo, Gaetano, Bondurri, Andrea, Maffioli, Anna, Guerci, Claudio, Sin, Boo Han, Zuhdi, Zamri, Azman, Azlanudin, Mousa, Hussam, al Bahri, Shadi, Augustin, Goran, Romic, Ivan, Moric, Trpimir, Nikolopoulos, Ioannis, Andreuccetti, Jacopo, Pignata, Giusto, D’Alessio, Rossella, Kenig, Jakub, Skorus, Urszula, Fraga, Gustavo Pereira, Hirano, Elcio Shiyoiti, de Lima Bertuol, Jackson Vinícius, Isik, Arda, Kurnaz, Eray, Asghar, Mohammad Sohail, Afzal, Ameer, Akbar, Ali, Nikolouzakis, Taxiarchis Konstantinos, Lasithiotakis, Konstantinos, Chrysos, Emmanuel, Das, Koray, Özer, Nazmi, Seker, Ahmet, Ibrahim, Mohamed, Hamid, Hytham K. S., Babiker, Ahmed, Bouliaris, Konstantinos, Koukoulis, George, Kolla, Chrysoula-Christina, Lucchi, Andrea, Agostinelli, Laura, Taddei, Antonio, Fortuna, Laura, Agostini, Carlotta, Licari, Leo, Viola, Simona, Callari, Cosimo, Laface, Letizia, Abate, Emmanuele, Casati, Massimiliano, Anastasi, Alessandro, Canonico, Giuseppe, Gabellini, Linda, Tosi, Lorenzo, Guariniello, Anna, Zanzi, Federico, Bains, Lovenish, Sydorchuk, Larysa, Iftoda, Oksana, Sydorchuk, Andrii, Malerba, Michele, Costanzo, Federico, Galleano, Raffaele, Monteleone, Michela, Costanzi, Andrea, Riva, Carlo, Walędziak, Maciej, Kwiatkowski, Andrzej, Czyżykowski, Łukasz, Major, Piotr, Strzałka, Marcin, Matyja, Maciej, Natkaniec, Michal, Valenti, Maria Rosaria, Di Vita, Maria Domenica Pia, Sotiropoulou, Maria, Kapiris, Stylianos, Massalou, Damien, Veroux, Massimiliano, Volpicelli, Alessio, Gioco, Rossella, Uccelli, Matteo, Bonaldi, Marta, Olmi, Stefano, Nardi, Matteo, Livadoti, Giada, Mesina, Cristian, Dumitrescu, Theodor Viorel, Ciorbagiu, Mihai Calin, Ammendola, Michele, Ammerata, Giorgio, Romano, Roberto, Slavchev, Mihail, Misiakos, Evangelos P., Pikoulis, Emmanouil, Papaconstantinou, Dimitrios, Elbahnasawy, Mohamed, Abdel-elsalam, Sherief, Felsenreich, Daniel M., Jedamzik, Julia, Michalopoulos, Nikolaos V., Sidiropoulos, Theodoros A., Papadoliopoulou, Maria, Cillara, Nicola, Deserra, Antonello, Cannavera, Alessandro, Negoi, Ionuţ, Schizas, Dimitrios, Syllaios, Athanasios, Vagios, Ilias, Gourgiotis, Stavros, Dai, Nick, Gurung, Rekha, Norrey, Marcus, Pesce, Antonio, Feo, Carlo Vittorio, Fabbri, Nicolo’, Machairas, Nikolaos, Dorovinis, Panagiotis, Keramida, Myrto D., Mulita, Francesk, Verras, Georgios Ioannis, Vailas, Michail, Yalkin, Omer, Iflazoglu, Nidal, Yigit, Direnc, Baraket, Oussama, Ayed, Karim, Ghalloussi, Mohamed hedi, Patias, Parmenion, Ntokos, Georgios, Rahim, Razrim, Bala, Miklosh, Kedar, Asaf, Sawyer, Robert G., Trinh, Anna, Miller, Kelsey, Sydorchuk, Ruslan, Knut, Ruslan, Plehutsa, Oleksandr, Liman, Rumeysa Kevser, Ozkan, Zeynep, Kader, Saleh Abdel, Gupta, Sanjay, Gureh, Monika, Saeidi, Sara, Aliakbarian, Mohsen, Dalili, Amin, Shoko, Tomohisa, Kojima, Mitsuaki, Nakamoto, Raira, Atici, Semra Demirli, Tuncer, Gizem Kilinc, Kaya, Tayfun, Delis, Spiros G., Rossi, Stefano, Picardi, Biagio, del Monte, Simone Rossi, Triantafyllou, Tania, Theodorou, Dimitrios, Pintar, Tadeja, Salobir, Jure, Manatakis, Dimitrios K., Tasis, Nikolaos, Acheimastos, Vasileios, Ioannidis, Orestis, Loutzidou, Lydia, Symeonidis, Savvas, de Sá, Tiago Correia, Rocha, Mónica, Guagni, Tommaso, Pantalone, Desiré, Maltinti, Gherardo, Khokha, Vladimir, Abdel-elsalam, Wafaa, Ghoneim, Basma, López-Ruiz, José Antonio, Kara, Yasin, Zainudin, Syaza, Hayati, Firdaus, Azizan, Nornazirah, Khei, Victoria Tan Phooi, Yi, Rebecca Choy Xin, Sellappan, Harivinthan, Demetrashvili, Zaza, Lekiashvili, Nika, Tvaladze, Ana, Froiio, Caterina, Bernardi, Daniele, Bonavina, Luigi, Gil-Olarte, Angeles, Grassia, Sebastiano, Romero-Vargas, Estela, Bianco, Francesco, Gumbs, Andrew A., Dogjani, Agron, Agresta, Ferdinando, Litvin, Andrey, Balogh, Zsolt J., Gendrikson, George, Martino, Costanza, Damaskos, Dimitrios, Pararas, Nikolaos, Kirkpatrick, Andrew, Kurtenkov, Mikhail, Gomes, Felipe Couto, Pisanu, Adolfo, Nardello, Oreste, Gambarini, Fabrizio, Aref, Hager, Angelis, Nicola de’, Agnoletti, Vanni, Biondi, Antonio, Vacante, Marco, Griggio, Giulia, Tutino, Roberta, Massani, Marco, Bisetto, Giovanni, Occhionorelli, Savino, Andreotti, Dario, Lacavalla, Domenico, Biffl, Walter L., and Catena, Fausto
Published: 2022
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36. Applying enhanced recovery principles to emergency laparotomy in penetrating abdominal trauma: a case-matched study

Author: Fonseca, Mariana Kumaira, primary, Rizental, Laís Borges, additional, Cunha, Carlos Eduardo Bastian da, additional, Baldissera, Neiva, additional, Wagner, Mário Bernardes, additional, and Fraga, Gustavo Pereira, additional
Published: 2024
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37. Tratado de Cirurgia Torácica

Author: Sardenberg, Rodrigo Afonso da Silva, primary, Oliveira, Acácia Maria Lima de, additional, Rubin, Adalberto Sperb, additional, Lago, Ademilson Pedroza, additional, Neder, Alberto, additional, Mariani, Alessandro Wasum, additional, Marra, Alexandre Rodrigues, additional, Argueta, Alonso José Oviedo, additional, Gimenes, Ana Cristina, additional, Castro, Ana Cristina P., additional, Santos, Ana Paula, additional, Albuquerque, André, additional, Hovnanian, André, additional, Dias, André Roncon, additional, Carvalho, André Ywata de, additional, Pereira, Andrea Arvai, additional, Sala, Andréa Diogo, additional, Soares, Andrey, additional, Fernandes, Angelo, additional, Avertano, Antonio Bomfim Marçal, additional, Buzaid, Antonio Carlos, additional, Marttos, Antonio, additional, Santos Júnior, Antonio Oliveira dos, additional, Segurado, Arthur, additional, Pereira, Artur Eugênio de Azevedo, additional, Katz, Artur, additional, Ishy, Augusto, additional, Bryant, Ayesha S., additional, Pereira, Bruno Monteiro Tavares, additional, Saba, Bruno Sampaio, additional, Nunes, Carina Silveira Mariano, additional, Buchpiguel, Carlos Alberto, additional, Teixeira, Carlos Henrique Andrade, additional, Yen, Cheng Tzu, additional, Colovos, Christos, additional, Simões, Cláudia Marquez, additional, Costa, Clèdicyon Eloy da, additional, Deheinzelin, Daniel, additional, Sugarbaker, David J., additional, Rivas, Diego González, additional, Pontes, Edgard Porto de Oliveira, additional, Hirano, Elcio Shiyoiti, additional, Negri, Elnara Márcia, additional, Donizetti, Enis, additional, Stanzani, Fabiana, additional, Jatene, Fábio Biscegli, additional, Antoniali, Fernando, additional, Abrão, Fernando Conrado, additional, Oliveira, Fernando Nunes Galvão de, additional, Westphal, Fernando, additional, Zampieri, Fernando Godinho, additional, Akar, Firas Abu, additional, Castro Junior, Gilberto de, additional, Soares, Gregório Pinheiro, additional, Haddad, Guilherme Saraiva, additional, Mendonça Filho, Guilherme Vieira de, additional, Ribeiro, Gustavo Calado de Aguiar, additional, Fortunato, Gustavo, additional, Fraga, Gustavo Pereira, additional, Olivetti, Gustavo Tadeu, additional, Minamoto, Hélio, additional, Asamura, Hisao, additional, Abreu, Igor Renato Louro Bruno de, additional, Caires, Inacelli Queiroz de Souza, additional, Medeiros, Israel Lopes de, additional, Deslauriers, Jean, additional, Pereira, João Carlos das Neves, additional, Breda, João Roberto, additional, Valverde, João, additional, Cooper, Joel David, additional, Camargo, José de Jesus Peixoto, additional, Parreira, José Gustavo, additional, Trindade, Juliana Mol, additional, Franceschini, Juliana P., additional, Turaça, Karina, additional, Mattox, Kenneth, additional, Castro, Lara Reinel de, additional, Bittencourt, Lia Rita Azeredo, additional, Kowalski, Luis Paulo, additional, Losso, Luiz Carlos, additional, Reis, Luiz Fernando, additional, Ximenes Neto, Manoel, additional, DaSilva, Marcelo C., additional, Sampaio, Marcelo Ferraz, additional, Oliveira, Márcia Gonçalves de, additional, Zielinski, Marcin, additional, Samano, Marcos Naoyuki, additional, Lourenço, Maria Teresa D. P. Cruz, additional, Laloni, Mariana Tosello, additional, Moscardi, Mariana F. Jucá, additional, Ferguson, Mark K., additional, Coelho, Marlos de Souza, additional, Lourenço, Matheus P. C. Gomes, additional, Lopes, Mauricio Marson, additional, Madani, Michael, additional, Dias, Olívia Meira, additional, Ugalde, Paula, additional, Cardoso, Paulo Francisco Guerreiro, additional, Hoff, Paulo Marcelo Gehm, additional, Fernandes, Paulo Manuel Pêgo, additional, Adusumilli, Prasad S., additional, Mendes, Pedro Vitale, additional, Gurung, Puncho, additional, Lima, Rafael Caires Alvino de, additional, Rami-Porta, Ramón, additional, Moreira, Raphael Brandão, additional, Peixoto, Renata DAlpino, additional, Ferrarotto, Renata, additional, Younes, Riad Naim, additional, Fogaroli, Ricardo Cesar, additional, Bammann, Ricardo Helbert, additional, Terra, Ricardo Mingarini, additional, Santos, Ricardo Sales dos, additional, Cerfolio, Robert James, additional, Sardenberg, Rodrigo Afonso da Silva, additional, Guedes, Rodrigo Antonio Vieira, additional, Brock, Roger Schmidt, additional, Haddad, Rui, additional, Swanson, Scott James, additional, Wightman, Sean C., additional, Simon, Sérgio Daniel, additional, Kremer, Sérgio, additional, Keshavjee, Shaf, additional, Meireles, Sibele Inácio, additional, Farezin, Sonia Maria, additional, Canas, Sonia Raquelline Roque, additional, Ujvari, Stefan Cunha, additional, Kasabkojian, Stephanie Toscano, additional, Sahn, Steven Alan, additional, Jamieson, Stuart, additional, Bianchini, Suzana Maria, additional, Takahashi, Tiago Kenji, additional, Machuca, Tiago Noguchi, additional, Ribeiro Jr, Ulysses, additional, Rusch, Valerie W., additional, Felix, Valter Nilton, additional, Cruz, Vasco Moscovici, additional, Pretorius, Victor, additional, Figueiredo, Viviane Rossi, additional, and Pereira Júnior, Wladimir, additional
Published: 2024
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38. AVALIAÇÃO DA EXPERIÊNCIA DE ESTUDANTES INTERCAMBISTAS EM ESTÁGIOS NA FACULDADE DE CIÊNCIAS MÉDICAS DA UNICAMP

Author: Warrak, Leonardo Saint Clair Assad, primary, Mattos, Guilherme Barros de, additional, Diniz, Victor Hugo Alves, additional, Figueiredo, Maria Clara Pimenta de, additional, Colombani, Isabella, additional, Maria, Leonardo Albano Alves, additional, Rocha, Vitor Eikmeier, additional, Santos, Guilherme Bezerra, additional, Hamamura, Mateus Kawasaki, additional, and Fraga, Gustavo Pereira, additional
Published: 2024
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39. ATUALIZAÇÃO SOBRE OS ACHADOS DO ELETROCARDIOGRAMA NO ATLETA

Author: Mendes, Victor, primary, Fraga, Gustavo, additional, Lepera, João Pedro, additional, and Eustáquio, José Martins, additional
Published: 2022
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40. Splenic trauma: WSES classification and guidelines for adult and pediatric patients

Author: Coccolini, Federico, Montori, Giulia, Catena, Fausto, Kluger, Yoram, Biffl, Walter, Moore, Ernest E, Reva, Viktor, Bing, Camilla, Bala, Miklosh, Fugazzola, Paola, Bahouth, Hany, Marzi, Ingo, Velmahos, George, Ivatury, Rao, Soreide, Kjetil, Horer, Tal, ten Broek, Richard, Pereira, Bruno M, Fraga, Gustavo P, Inaba, Kenji, Kashuk, Joseph, Parry, Neil, Masiakos, Peter T, Mylonas, Konstantinos S, Kirkpatrick, Andrew, Abu-Zidan, Fikri, Gomes, Carlos Augusto, Benatti, Simone Vasilij, Naidoo, Noel, Salvetti, Francesco, Maccatrozzo, Stefano, Agnoletti, Vanni, Gamberini, Emiliano, Solaini, Leonardo, Costanzo, Antonio, Celotti, Andrea, Tomasoni, Matteo, Khokha, Vladimir, Arvieux, Catherine, Napolitano, Lena, Handolin, Lauri, Pisano, Michele, Magnone, Stefano, Spain, David A, de Moya, Marc, Davis, Kimberly A, De Angelis, Nicola, Leppaniemi, Ari, Ferrada, Paula, Latifi, Rifat, Navarro, David Costa, Otomo, Yashuiro, Coimbra, Raul, Maier, Ronald V, Moore, Frederick, Rizoli, Sandro, Sakakushev, Boris, Galante, Joseph M, Chiara, Osvaldo, Cimbanassi, Stefania, Mefire, Alain Chichom, Weber, Dieter, Ceresoli, Marco, Peitzman, Andrew B, Wehlie, Liban, Sartelli, Massimo, Di Saverio, Salomone, and Ansaloni, Luca
Subjects: Physical Injury - Accidents and Adverse Effects, Childhood Injury, Emergency Care, Patient Safety, Pediatric, Hematology, Injuries and accidents, Abdominal Injuries, Adult, Conservative Treatment, Guidelines as Topic, Hemodynamics, Humans, Spleen, Wounds and Injuries, Trauma, Classification, Guidelines, Embolization, Surgery, Non-operative, Conservative
Abstract: Spleen injuries are among the most frequent trauma-related injuries. At present, they are classified according to the anatomy of the injury. The optimal treatment strategy, however, should keep into consideration the hemodynamic status, the anatomic derangement, and the associated injuries. The management of splenic trauma patients aims to restore the homeostasis and the normal physiopathology especially considering the modern tools for bleeding management. Thus, the management of splenic trauma should be ultimately multidisciplinary and based on the physiology of the patient, the anatomy of the injury, and the associated lesions. Lastly, as the management of adults and children must be different, children should always be treated in dedicated pediatric trauma centers. In fact, the vast majority of pediatric patients with blunt splenic trauma can be managed non-operatively. This paper presents the World Society of Emergency Surgery (WSES) classification of splenic trauma and the management guidelines.
Published: 2017

41. Physical Activity at Adulthood and Old Age

Author: Piedade, Sérgio Rocha, Inada, Mauro Mitsuo, Laurito, Gerson Muraro, Navarro e Paiva, Diego, Fraga, Gustavo Pereira, Pagnano, Rodrigo Goncalves, de Andrade, Andre luis Lugnani, Cardoso, Tulio Pereira, Rocha Piedade, Sérgio, editor, Imhoff, Andreas B., editor, Clatworthy, Mark, editor, Cohen, Moises, editor, and Espregueira-Mendes, João, editor
Published: 2019
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42. Open abdomen management for severe peritonitis in elderly. Results from the prospective International Register of Open Abdomen (IROA): Cohort study

Author: Montori, Giulia, Salvetti, Fracensco, Fugazzola, Paola, Negoi, Ionut, Zese, Monica, Occhionorelli, Savino, Shlyapnikov, Sergei, Kirkpatrick, Andrew, Demetrashvili, Zaza, Dondossola, Daniele, Ioannidis, Orestis, Novelli, Giuseppe, Nacoti, Mirco, Khor, Desmond, Inaba, Kenji, Demetriades, Demetrios, Kaussen, Torsten, Jusoh, Asri Che, Ghannam, Wagih, Sakakushev, Boris, Guetta, Ohad, Dogjani, Agron, Costa, Stefano, Singh, Sandeep, Damaskos, Dimitrios, Isik, Arda, Yuan, Kuo-Ching, Trotta, Francesco, Rausei, Stefano, Martinez-Perez, Aleix, Bellanova, Giovanni, Fonseca, Vinicius Cordeiro, Hernández, Fernando, Marinis, Athanasios, Fernandes, Wellington, Quiodettis, Martha, Bala, Miklosh, Vereczkei, Andras, Curado, Rafael, Fraga, Gustavo Pereira, Pereira, Bruno M., Gachabayov, Mahir, Chagerben, Guillermo Perez, Arellano, Miguel Leon, Ozyazici, Sefa, Costa, Gianluca, Tezcaner, Tugan, Porta, Matteo, Li, Yousheng, Karateke, Faruk, Manatakis, Dimitrios, Mariani, Federico, Lora, Federico, Sahderov, Ivan, Atanasov, Boyko, Zegarra, Sergio, Fattori, Luca, Ivatury, Rao, Xiao, Jimmy, Kluger, Yoram, Lippi, Andrea, Improta, Mario, Gubbiotti, Francesca, Zharikov, Andrey, Dubuisson, Vincent, Sugrue, Michael, Pappalardo, Vincenzo, Ceresoli, Marco, Catena, Fausto, Sartelli, Massimo, Chiarugi, Massimo, Ansaloni, Luca, and Coccolini, Federico
Published: 2020
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43. Management of intra-abdominal-infections: 2017 World Society of Emergency Surgery guidelines summary focused on remote areas and low-income nations

Author: Perrone, Gennaro, Sartelli, Massimo, Mario, Giuffrida, Chichom-Mefire, Alain, Labricciosa, Francesco Maria, Abu-Zidan, Fikri M., Ansaloni, Luca, Biffl, Walter L., Ceresoli, Marco, Coccolini, Federico, Coimbra, Raul, Demetrashvili, Zaza, Di Saverio, Salomone, Fraga, Gustavo Pereira, Khokha, Vladimir, Kirkpatrick, Andrew W., Kluger, Yoram, Leppaniemi, Ari, Maier, Ronald V., Moore, Ernest Eugene, Negoi, Ionut, Ordonez, Carlos A., Sakakushev, Boris, Lohse, Helmut A. Segovia, Velmahos, George C., Wani, Imtaz, Weber, Dieter G., Bonati, Elena, and Catena, Fausto
Published: 2020
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44. Prevenção e vigilância de sinistros no trânsito

Author: Fraga, Gustavo Pereira, primary, Oliveira, Karina Diniz, additional, and Silveira, Naoko Yanagizawa J. da, additional
Published: 2021
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45. Telemedicine: a Bridge Over Knowledge Gaps in Healthcare

Author: Eisenstein, Evelyn, Kopacek, Cristiane, Cavalcante, Suzy Santana, Neves, Almir C., Fraga, Gustavo P., and Messina, Luiz Ary
Published: 2020
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46. Improving Intraoperative Communication in Trauma: The Educational Effect of the Joint DSTC™–DATC™ Courses

Author: Alexandrino, Henrique, Baptista, Sérgio, Vale, Luís, Júnior, José Hélio Zen, Espada, Paulo César, Junior, Danilo Stanzani, Vane, Luiz Antonio, Carvalho, Vanessa Henriques, Marcelo, Lara, Madeira, Filipa, Duarte, Ricardo, Ferreira, Luís, Pereira, Jorge, Pinheiro, Luís Filipe, Fraga, Gustavo Pereira, and Mesquita, Carlos
Published: 2020
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47. High-Risk Patients and Prognostic Factors for Abdominal Sepsis

Author: Pereira, Bruno M., Fraga, Gustavo P., Coccolini, Federico, Series Editor, Coimbra, Raul, Series Editor, Kirkpatrick, Andrew W, Series Editor, Di Saverio, Salomone, Series Editor, Sartelli, Massimo, editor, Bassetti, Matteo, editor, and Martin-Loeches, Ignacio, editor
Published: 2018
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48. CT Scan in Blunt Gastrointestinal Trauma

Author: Fraga, Gustavo Pereira, Ivatury, Rao, Coccolini, Federico, Series Editor, Coimbra, Raul, Series Editor, Kirkpatrick, Andrew W., Series Editor, Di Saverio, Salomone, Series Editor, Catena, Fausto, editor, Ansaloni, Luca, editor, and Sartelli, Massimo, editor
Published: 2018
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49. Complicated Peptic Ulcer Findings on Abdominal CT Scan

Author: Pereira, Bruno M., Penachim, Thiago J., Fraga, Gustavo P., Coccolini, Federico, Series Editor, Coimbra, Raul, Series Editor, Kirkpatrick, Andrew W., Series Editor, Di Saverio, Salomone, Series Editor, Catena, Fausto, editor, Ansaloni, Luca, editor, and Sartelli, Massimo, editor
Published: 2018
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50. The management of surgical patients in the emergency setting during COVID-19 pandemic: the WSES position paper

Author: De Simone, Belinda, Chouillard, Elie, Sartelli, Massimo, Biffl, Walter L., Di Saverio, Salomone, Moore, Ernest E., Kluger, Yoram, Abu-Zidan, Fikri M., Ansaloni, Luca, Coccolini, Federico, Leppänemi, Ari, Peitzmann, Andrew B., Pagani, Leonardo, Fraga, Gustavo P., Paolillo, Ciro, Picetti, Edoardo, Valentino, Massimo, Pikoulis, Emmanouil, Baiocchi, Gian Luca, and Catena, Fausto
Published: 2021
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