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1. Overview of the Trauma THOMPSON Challenge at MICCAI 2023

Author

Zhuo, Yupeng, Kirkpatrick, Andrew W., Couperus, Kyle, Tran, Oanh, Beck, Jonah, DeVane, DeAnna, Candelore, Ross, McKee, Jessica, Colombo, Christopher, Gorbatkin, Chad, Birch, Eleanor, Duerstock, Bradley, Wachs, Juan, Goos, Gerhard, Series Editor, Hartmanis, Juris, Founding Editor, Bertino, Elisa, Editorial Board Member, Gao, Wen, Editorial Board Member, Steffen, Bernhard, Editorial Board Member, Yung, Moti, Editorial Board Member, Bao, Rina, editor, Grant, Ellen, editor, Kirkpatrick, Andrew, editor, Wachs, Juan, editor, and Ou, Yangming, editor

Published
2025
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2. International cross-sectional survey on current and updated definitions of intra-abdominal hypertension and abdominal compartment syndrome

Author

Nasa, Prashant, Wise, Robert D., Smit, Marije, Acosta, Stefan, D’Amours, Scott, Beaubien–Souligny, William, Bodnar, Zsolt, Coccolini, Federico, Dangayach, Neha S., Dabrowski, Wojciech, Duchesne, Juan, Ejike, Janeth C., Augustin, Goran, De Keulenaer, Bart, Kirkpatrick, Andrew W., Khanna, Ashish K., Kimball, Edward, Koratala, Abhilash, Lee, Rosemary K., Leppaniemi, Ari, Lerma, Edgar V., Marmolejo, Valerie, Meraz–Munoz, Alejando, Myatra, Sheila N., Niven, Daniel, Olvera, Claudia, Ordoñez, Carlos, Petro, Clayton, Pereira, Bruno M., Ronco, Claudio, Regli, Adrian, Roberts, Derek J., Rola, Philippe, Rosen, Michael, Shrestha, Gentle S., Sugrue, Michael, Velez, Juan Carlos Q., Wald, Ron, De Waele, Jan, Reintam Blaser, Annika, and Malbrain, Manu L. N. G.

Published
2024
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3. Surgical stabilization of rib fractures (SSRF): the WSES and CWIS position paper

Author

Sermonesi, Giacomo, Bertelli, Riccardo, Pieracci, Fredric M., Balogh, Zsolt J., Coimbra, Raul, Galante, Joseph M., Hecker, Andreas, Weber, Dieter, Bauman, Zachary M., Kartiko, Susan, Patel, Bhavik, Whitbeck, SarahAnn S., White, Thomas W., Harrell, Kevin N., Perrina, Daniele, Rampini, Alessia, Tian, Brian, Amico, Francesco, Beka, Solomon G., 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 P., Gomes, Carlos Augusto, Khan, Jim S., Kirkpatrick, Andrew W., Kruger, Vitor F., Leppäniemi, Ari, Litvin, Andrey, Mingoli, Andrea, Navarro, David Costa, Passera, Eliseo, Pisano, Michele, Podda, Mauro, Russo, Emanuele, Sakakushev, Boris, Santonastaso, Domenico, Sartelli, Massimo, Shelat, Vishal G., Tan, Edward, Wani, Imtiaz, Abu-Zidan, Fikri M., Biffl, Walter L., Civil, Ian, Latifi, Rifat, Marzi, Ingo, Picetti, Edoardo, Pikoulis, Manos, Agnoletti, Vanni, Bravi, Francesca, Vallicelli, Carlo, Ansaloni, Luca, Moore, Ernest E., and Catena, Fausto

Published
2024
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4. Intra-abdominal infections survival guide: a position statement by the Global Alliance For Infections In Surgery

Author

Sartelli, Massimo, Barie, Philip, Agnoletti, Vanni, Al-Hasan, Majdi N., Ansaloni, Luca, Biffl, Walter, Buonomo, Luis, Blot, Stijn, Cheadle, William G., Coimbra, Raul, De Simone, Belinda, Duane, Therese M., Fugazzola, Paola, Giamarellou, Helen, Hardcastle, Timothy C., Hecker, Andreas, Inaba, Kenji, Kirkpatrick, Andrew W., Labricciosa, Francesco M., Leone, Marc, Martin-Loeches, Ignacio, Maier, Ronald V., Marwah, Sanjay, Maves, Ryan C., Mingoli, Andrea, Montravers, Philippe, Ordóñez, Carlos A., Palmieri, Miriam, Podda, Mauro, Rello, Jordi, Sawyer, Robert G., Sganga, Gabriele, Tattevin, Pierre, Thapaliya, Dipendra, Tessier, Jeffrey, Tolonen, Matti, Ulrych, Jan, Vallicelli, Carlo, Watkins, Richard R., Catena, Fausto, and Coccolini, Federico

Published
2024
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5. 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 Grazia, Kruger, Vitor, Fraga, Gustavo P., 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 E., Romeo, Oreste Marco, Abu-Zidan, Fikri M., Beka, Solomon Gurmu, Weber, Dieter G., Tan, Edward C. T. H., Paolillo, Ciro, Cui, Yunfeng, Kim, Fernando, Picetti, Edoardo, Di Carlo, Isidoro, Toro, Adriana, Sganga, Gabriele, Sganga, Federica, Testini, Mario, Di Meo, Giovanna, Kirkpatrick, Andrew W., Marzi, Ingo, déAngelis, Nicola, Kelly, Michael Denis, Wani, Imtiaz, Sakakushev, Boris, Bala, Miklosh, Bonavina, Luigi, Galante, Joseph M., Shelat, Vishal G., Cobianchi, Lorenzo, Mas, Francesca Dal, Pikoulis, Manos, Damaskos, Dimitrios, Coimbra, Raul, Dhesi, Jugdeep, Hoffman, Melissa Red, Stahel, Philip F., Maier, Ronald V., Litvin, Andrey, Latifi, Rifat, Biffl, Walter L., and Catena, Fausto

Published
2024
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6. Early management of adult traumatic spinal cord injury in patients with polytrauma: a consensus and clinical recommendations jointly developed by the World Society of Emergency Surgery (WSES) & the European Association of Neurosurgical Societies (EANS)

Author

Picetti, Edoardo, Demetriades, Andreas K., Catena, Fausto, Aarabi, Bizhan, Abu-Zidan, Fikri M., Alves, Oscar L., Ansaloni, Luca, Armonda, Rocco A., Badenes, Rafael, Bala, Miklosh, Balogh, Zsolt J., Barbanera, Andrea, Bertuccio, Alessandro, Biffl, Walter L., Bouzat, Pierre, Buki, Andras, Castano-Leon, Ana Maria, Cerasti, Davide, Citerio, Giuseppe, Coccolini, Federico, Coimbra, Raul, Coniglio, Carlo, Costa, Francesco, De Iure, Federico, Depreitere, Bart, Fainardi, Enrico, Fehlings, Michael J., Gabrovsky, Nikolay, Godoy, Daniel Agustin, Gruen, Peter, Gupta, Deepak, Hawryluk, Gregory W. J., Helbok, Raimund, Hossain, Iftakher, Hutchinson, Peter J., Iaccarino, Corrado, Inaba, Kenji, Ivanov, Marcel, Kaprovoy, Stanislav, Kirkpatrick, Andrew W., Klein, Sam, Kolias, Angelos, Konovalov, Nikolay A., Lagares, Alfonso, Lippa, Laura, Loza-Gomez, Angelica, Luoto, Teemu M., Maas, Andrew I. R., Maciejczak, Andrzej, Maier, Ronald V., Marklund, Niklas, Martin, Matthew J., Melloni, Ilaria, Mendoza-Lattes, Sergio, Meyfroidt, Geert, Munari, Marina, Napolitano, Lena M., Okonkwo, David O., Otomo, Yasuhiro, Papadopoulos, Marios C., Petr, Ondra, Peul, Wilco C., Pudkrong, Aichholz K., Qasim, Zaffer, Rasulo, Frank, Reizinho, Carla, Ringel, Florian, Rizoli, Sandro, Rostami, Elham, Rubiano, Andres M., Russo, Emanuele, Sarwal, Aarti, Schwab, Jan M., Servadei, Franco, Sharma, Deepak, Sharif, Salman, Shiban, Ehab, Shutter, Lori, Stahel, Philip F., Taccone, Fabio S., Terpolilli, Nicole A., Thomé, Claudius, Toth, Peter, Tsitsopoulos, Parmenion P., Udy, Andrew, Vaccaro, Alexander R., Varon, Albert J., Vavilala, Monica S., Younsi, Alexander, Zackova, Monika, Zoerle, Tommaso, and Robba, Chiara

Published
2024
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9. The Operating Room management for emergency Surgical Activity (ORSA) study: a WSES international survey

Author

De Simone, Belinda, Agnoletti, Vanni, Abu-Zidan, Fikri M., Biffl, Walter L., Moore, Ernest E., Chouillard, Elie, Coccolini, Federico, Sartelli, Massimo, Podda, Mauro, Di Saverio, Salomone, Kaafarani, Haytham, Balogh, Zsolt J., Bala, Miklosh, Leppäniemi, Ari K., Kirkpatrick, Andrew W., Pikoulis, Emmanouil, Rasa, Kemal, Rosato, Chiara, Sawyer, Robert, Ansaloni, Luca, de’Angelis, Nicola, Damaskos, Dimitris, Stahel, Philip F., Kluger, Yoram, Coimbra, Raul, and Catena, Fausto

Published
2024
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10. Baseline Models for Action Recognition of Unscripted Casualty Care Dataset

Author

Jiang, Nina, Zhuo, Yupeng, Kirkpatrick, Andrew W., Couperus, Kyle, Tran, Oanh, Beck, Jonah, DeVane, DeAnna, Candelore, Ross, McKee, Jessica, Gorbatkin, Chad, Birch, Eleanor, Colombo, Christopher, Duerstock, Bradley, Wachs, Juan, Goos, Gerhard, Founding Editor, Hartmanis, Juris, Founding Editor, Bertino, Elisa, Editorial Board Member, Gao, Wen, Editorial Board Member, Steffen, Bernhard, Editorial Board Member, Yung, Moti, Editorial Board Member, Waiter, Gordon, editor, Lambrou, Tryphon, editor, Leontidis, Georgios, editor, Oren, Nir, editor, Morris, Teresa, editor, and Gordon, Sharon, editor

Published
2024
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11. TON-ViT: A Neuro-Symbolic AI Based on Task Oriented Network with a Vision Transformer

Author

Zhuo, Yupeng, Jiang, Nina, Kirkpatrick, Andrew W., Couperus, Kyle, Tran, Oanh, Beck, Jonah, DeVane, DeAnna, Candelore, Ross, McKee, Jessica, Gorbatkin, Chad, Birch, Eleanor, Colombo, Christopher, Duerstock, Bradley, Wachs, Juan, Goos, Gerhard, Founding Editor, Hartmanis, Juris, Founding Editor, Bertino, Elisa, Editorial Board Member, Gao, Wen, Editorial Board Member, Steffen, Bernhard, Editorial Board Member, Yung, Moti, Editorial Board Member, Waiter, Gordon, editor, Lambrou, Tryphon, editor, Leontidis, Georgios, editor, Oren, Nir, editor, Morris, Teresa, editor, and Gordon, Sharon, editor

Published
2024
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15. Comparing Unit Trains versus Manifest Trains for the Risk of Rail Transport of Hazardous Materials -- Part II: Application and Case Study

Author

Kang, Di, Zhao, Jiaxi, Dick, C. Tyler, Liu, Xiang, Bian, Zheyong, Kirkpatrick, Steven W., and Lin, Chen-Yu

Subjects
Statistics - Applications
Abstract

Built upon the risk analysis methodology (presented in the part I paper), this part II paper focuses on applying this methodology. Five illustrative scenarios were used to analyze the best or worst cases and compare the transportation risk differences between service options using unit trains and manifest trains. The comparison results indicate that if all tank cars are placed at the positions with the lowest probability of derailing and if switching tank cars alone in classification yards, it could provide the lowest risk estimate given the same transportation demand (i.e., number of tank cars to transport). This paper also shows that based on the data and parameters in the case study, risks during arrival/departure events and yard switching events could be as significant as risks that on mainlines. This paper provides a way to use the risk analysis methodology for rail safety decisions. The methodology and its application can be tailored to specific infrastructure and rolling stock characteristics.

Published
2022

16. Comparing Unit Trains versus Manifest Trains for the Risk of Rail Transport of Hazardous Materials -- Part I: Risk Analysis Methodology

Author

Kang, Di, Zhao, Jiaxi, Dick, C. Tyler, Liu, Xiang, Bian, Zheyong, Kirkpatrick, Steven W., and Lin, Chen-Yu

Subjects
Statistics - Applications, Statistics - Methodology
Abstract

Transporting hazardous materials (hazmats) using tank cars has more significant economic benefits than other transportation modes. Although railway transportation is roughly four times more fuel-efficient than roadway transportation, a train derailment has greater potential to cause more disastrous consequences than a truck incident. Train types, such as unit train or manifest train (also called mixed train), can influence transport risks in several ways. For example, unit trains only experience risks on mainlines and when arriving at or departing from terminals, while manifest trains experience additional switching risks in yards. Based on prior studies and various data sources covering the years 1996-2018, this paper constructs event chains for line-haul risks on mainlines (for both unit trains and manifest trains), arrival/departure risks in terminals (for unit trains) and yards (for manifest trains), and yard switching risks for manifest trains using various probabilistic models, and finally determines expected casualties as the consequences of a potential train derailment and release incident. This is the first analysis to quantify the total risks a train may encounter throughout the shipment process, either on mainlines or in yards/terminals, distinguishing train types. It provides a methodology applicable to any train to calculate the expected risks (quantified as expected casualties in this paper) from an origin to a destination.

Published
2022

17. Does the type of biomesh influence recurrence in abdominal wall reconstruction? A long-term follow-up to a randomized controlled trial

Author

Punia, Jaiden, Ball, Chad G., Kirkpatrick, Andrew W., and Clements, Thomas

Subjects
Care and treatment, Evaluation, Usage, Patient outcomes, Methods, Hernia -- Care and treatment, Abdominal surgery -- Methods -- Patient outcomes, Surgical mesh -- Usage -- Evaluation
Abstract

Complex abdominal wall reconstruction remains a challenging technical procedure in a subset of patients who often have important medical comorbidities and have suffered substantially in the domains of both physical [...], This discussion describes the long-term follow-up of a prospective randomized controlled trial evaluating the performance of the 2 most common biomesh products utilized in the context of complex abdominal wall reconstructions. Although the incidence of hernia recurrence increased over time to 26% (median follow-up 62 mo), both biomesh products performed similarly. Biomesh product choice should remain cost-conscious.

Published
2024

19. Considering human cognitive architecture in stressful medical prehospital interventions might benefit care providers

Author

Kirkpatrick, Andrew W., McKee, Jessica L., Barrett, Robert, Couperus, Kyle, and Wachs, Juan

Subjects
Psychological aspects, Care and treatment, Analysis, Health aspects, Emergency medical personnel -- Health aspects -- Psychological aspects, Injuries -- Care and treatment, Mental health -- Analysis, Cognitive load -- Analysis, Wounds and injuries -- Care and treatment
Abstract

Traumatic injury is the greatest cause of potentially salvageable years of life lost. Unfortunately, similar to other catastrophic conditions such as respiratory arrest or cardiovascular collapse, most potentially preventable deaths [...], People suffering from critical injuries/illness face marked challenges before transportation to definitive care. Solutions to diagnose and intervene in the prehospital setting are required to improve outcomes. Despite advances in artificial intelligence and robotics, near-term practical interventions for catastrophic injuries/illness will require humans to perform unfamiliar, uncomfortable and risky interventions. Development of posttraumatic stress disorder is already disproportionately high among first responders and correlates with uncertainty and doubts concerning decisions, actions and inactions. Technologies such as remote telementoring (RTM) may enable such interventions and will hopefully decrease potential stress for first responders. How thought processes may be remotely assisted using RTM and other technologies should be studied urgently. We need to understand if the use of cognitively offloading technologies such as RTM will alleviate, or at least not exacerbate, the psychological stresses currently disabling first responders.

Published
2023
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22. Cesena guidelines: WSES consensus statement on laparoscopic-first approach to general surgery emergencies and abdominal trauma

Author

Sermonesi, Giacomo, Tian, Brian W. C. A., Vallicelli, Carlo, Abu‑Zidan, Fikri M., Damaskos, Dimitris, Kelly, Michael Denis, Leppäniemi, Ari, Galante, Joseph M., Tan, Edward, Kirkpatrick, Andrew W., Khokha, Vladimir, Romeo, Oreste Marco, Chirica, Mircea, Pikoulis, Manos, Litvin, Andrey, Shelat, Vishal Girishchandra, Sakakushev, Boris, Wani, Imtiaz, Sall, Ibrahima, Fugazzola, Paola, Cicuttin, Enrico, Toro, Adriana, Amico, Francesco, Mas, Francesca Dal, De Simone, Belinda, Sugrue, Michael, Bonavina, Luigi, Campanelli, Giampiero, Carcoforo, Paolo, Cobianchi, Lorenzo, Coccolini, Federico, Chiarugi, Massimo, Di Carlo, Isidoro, Di Saverio, Salomone, Podda, Mauro, Pisano, Michele, Sartelli, Massimo, Testini, Mario, Fette, Andreas, Rizoli, Sandro, Picetti, Edoardo, Weber, Dieter, Latifi, Rifat, Kluger, Yoram, Balogh, Zsolt Janos, Biffl, Walter, Jeekel, Hans, Civil, Ian, Hecker, Andreas, Ansaloni, Luca, Bravi, Francesca, Agnoletti, Vanni, Beka, Solomon Gurmu, Moore, Ernest Eugene, and Catena, Fausto

Published
2023
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23. 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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24. Enhanced perioperative care in emergency general surgery: the WSES position paper

Author

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

Published
2023
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25. 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 Luca, Bendinelli, Cino, Biffl, Walter L., Bonavina, Luigi, Bravi, Francesca, Carcoforo, Paolo, Ceresoli, Marco, Chichom-Mefire, Alain, Coccolini, Federico, Coimbra, Raul, de’Angelis, Nicola, de Moya, Marc, De Simone, Belinda, Di Saverio, Salomone, Fraga, Gustavo Pereira, Galante, Joseph, Ivatury, Rao, Kashuk, Jeffry, Kelly, Michael Denis, Kirkpatrick, Andrew W., Kluger, Yoram, Koike, Kaoru, Leppaniemi, Ari, Maier, Ronald V., Moore, Ernest Eugene, Peitzmann, Andrew, Sakakushev, Boris, Sartelli, Massimo, Sugrue, Michael, Tian, Brian W. C. A., Broek, Richard Ten, Vallicelli, Carlo, Wani, Imtaz, Weber, Dieter G., Docimo, Giovanni, and Catena, Fausto

Published
2023
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26. Source control in emergency general surgery: WSES, GAIS, SIS-E, SIS-A guidelines

Author

Coccolini, Federico, Sartelli, Massimo, Sawyer, Robert, Rasa, Kemal, Viaggi, Bruno, Abu-Zidan, Fikri, Soreide, Kjetil, Hardcastle, Timothy, Gupta, Deepak, Bendinelli, Cino, Ceresoli, Marco, Shelat, Vishal G., Broek, Richard ten, Baiocchi, Gian Luca, Moore, Ernest E., Sall, Ibrahima, Podda, Mauro, Bonavina, Luigi, Kryvoruchko, Igor A., Stahel, Philip, Inaba, Kenji, Montravers, Philippe, Sakakushev, Boris, Sganga, Gabriele, Ballestracci, Paolo, Malbrain, Manu L. N. G., Vincent, Jean-Louis, Pikoulis, Manos, Beka, Solomon Gurmu, Doklestic, Krstina, Chiarugi, Massimo, Falcone, Marco, Bignami, Elena, Reva, Viktor, Demetrashvili, Zaza, Di Saverio, Salomone, Tolonen, Matti, Navsaria, Pradeep, Bala, Miklosh, Balogh, Zsolt, Litvin, Andrey, Hecker, Andreas, Wani, Imtiaz, Fette, Andreas, De Simone, Belinda, Ivatury, Rao, Picetti, Edoardo, Khokha, Vladimir, Tan, Edward, Ball, Chad, Tascini, Carlo, Cui, Yunfeng, Coimbra, Raul, Kelly, Michael, Martino, Costanza, Agnoletti, Vanni, Boermeester, Marja A., De’Angelis, Nicola, Chirica, Mircea, Biffl, Walt L., Ansaloni, Luca, Kluger, Yoram, Catena, Fausto, and Kirkpatrick, Andrew W.

Published
2023
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28. Training curriculum in minimally invasive emergency digestive surgery: 2022 WSES position paper

Author

de’Angelis, Nicola, Marchegiani, Francesco, Schena, Carlo Alberto, Khan, Jim, Agnoletti, Vanni, Ansaloni, Luca, Barría Rodríguez, Ana Gabriela, Bianchi, Paolo Pietro, Biffl, Walter, Bravi, Francesca, Ceccarelli, Graziano, Ceresoli, Marco, Chiara, Osvaldo, Chirica, Mircea, Cobianchi, Lorenzo, Coccolini, Federico, Coimbra, Raul, Cotsoglou, Christian, D’Hondt, Mathieu, Damaskos, Dimitris, De Simone, Belinda, Di Saverio, Salomone, Diana, Michele, Espin‐Basany, Eloy, Fichtner‐Feigl, Stefan, Fugazzola, Paola, Gavriilidis, Paschalis, Gronnier, Caroline, Kashuk, Jeffry, Kirkpatrick, Andrew W., Ammendola, Michele, Kouwenhoven, Ewout A., Laurent, Alexis, Leppaniemi, Ari, Lesurtel, Mickaël, Memeo, Riccardo, Milone, Marco, Moore, Ernest, Pararas, Nikolaos, Peitzmann, Andrew, Pessaux, Patrick, Picetti, Edoardo, Pikoulis, Manos, Pisano, Michele, Ris, Frederic, Robison, Tyler, Sartelli, Massimo, Shelat, Vishal G., Spinoglio, Giuseppe, Sugrue, Michael, Tan, Edward, Van Eetvelde, Ellen, Kluger, Yoram, Weber, Dieter, and Catena, Fausto

Published
2023
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29. The unrestricted global effort to complete the COOL trial

Author

Kirkpatrick, Andrew W., Coccolini, Federico, Tolonen, Matti, Minor, Samuel, Catena, Fausto, Gois, Jr., Emanuel, Doig, Christopher J., Hill, Michael D., Ansaloni, Luca, Chiarugi, Massimo, Tartaglia, Dario, Ioannidis, Orestis, Sugrue, Michael, Colak, Elif, Hameed, S. Morad, Lampela, Hanna, Agnoletti, Vanni, McKee, Jessica L., Garraway, Naisan, Sartelli, Massimo, Ball, Chad G., Parry, Neil G., Voght, Kelly, Julien, Lisa, Kroeker, Jenna, Roberts, Derek J., Faris, Peter, Tiruta, Corina, Moore, Ernest E., Ammons, Lee Anne, Anestiadou, Elissavet, Bendinelli, Cino, Bouliaris, Konstantinos, Carroll, Rosemarry, Ceresoli, Marco, Favi, Francesco, Gurrado, Angela, Rezende-Neto, Joao, Isik, Arda, Cremonini, Camilla, Strambi, Silivia, Koukoulis, Georgios, Testini, Mario, Trpcic, Sandy, Pasculli, Alessandro, Picariello, Erika, Abu-Zidan, Fikri, Adeyeye, Ademola, Augustin, Goran, Alconchel, Felipe, Altinel, Yuksel, Hernandez Amin, Luz Adriana, Aranda-Narváez, José Manuel, Baraket, Oussama, Biffl, Walter L., Baiocchi, Gian Luca, Bonavina, Luigi, Brisinda, Giuseppe, Cardinali, Luca, Celotti, Andrea, Chaouch, Mohamed, Chiarello, Maria, Costa, Gianluca, de’Angelis, Nicola, De Manzini, Nicolo, Delibegovic, Samir, Di Saverio, Salomone, De Simone, Belinda, Dubuisson, Vincent, Fransvea, Pietro, Garulli, Gianluca, Giordano, Alessio, Gomes, Carlos, Hayati, Firdaus, Huang, Jinjian, Ibrahim, Aini Fahriza, Huei, Tan Jih, Jailani, Ruhi Fadzlyana, Khan, Mansoor, Luna, Alfonso Palmieri, Malbrain, Manu L. N. G., Marwah, Sanjay, McBeth, Paul, Mihailescu, Andrei, Morello, Alessia, Mulita, Francesk, Murzi, Valentina, Mohammad, Ahmad Tarmizi, Parmar, Simran, Pak, Ajay, Wong, Michael Pak-Kai, Pantalone, Desire, Podda, Mauro, Puccioni, Caterina, Rasa, Kemal, Ren, Jianan, Roscio, Francesco, Gonzalez-Sanchez, Antonio, Sganga, Gabriele, Scheiterle, Maximilian, Slavchev, Mihail, Smirnov, Dmitry, Tosi, Lorenzo, Trivedi, Anand, Vega, Jaime Andres Gonzalez, Waledziak, Maciej, Xenaki, Sofia, Winter, Desmond, Wu, Xiuwen, Zakaria, Andee Dzulkarnean, and Zakaria, Zaidi

Published
2023
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30. The new timing in acute care surgery (new TACS) classification: a WSES Delphi consensus study

Author

De Simone, Belinda, Kluger, Yoram, Moore, Ernest E., Sartelli, Massimo, Abu-Zidan, Fikri M., Coccolini, Federico, Ansaloni, Luca, Tebala, Giovanni D., Di Saverio, Salomone, Di Carlo, Isidoro, Sakakushev, Boris E., Bonavina, Luigi, Sugrue, Michael, Galante, Joseph M., Ivatury, Rao, Picetti, Edoardo, Chirica, Mircea, Wani, Imtiaz, Bala, Miklosh, Sall, Ibrahima, Kirkpatrick, Andrew W., Shelat, Vishal G., Pikoulis, Emmanouil, Leppäniemi, Ari, Tan, Edward, Broek, Richard P. G. ten, Gurmu Beka, Solomon, Litvin, Andrey, Chouillard, Elie, Coimbra, Raul, Cui, Yunfeng, De’ Angelis, Nicola, Sganga, Gabriele, Stahel, Philip F., Agnoletti, Vanni, Rampini, Alessia, Testini, Mario, Bravi, Francesca, Maier, Ronald V., Biffl, Walter L., and Catena, Fausto

Published
2023
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33. Definition, Pathophysiology, and Pathobiology of Intra-Abdominal Hypertension and the Abdominal Compartment Syndrome

Author

Kirkpatrick, Andrew W., Coccolini, Federico, McDonald, Braedon, Roberts, Derek J., 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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34. It all doesn't always have to go: abdominal wall reconstruction involving selective synthetic mesh explantation with biologic mesh salvage

Author

Ober, Isha, Stuleanu, Tommy, Ball, Chad G., Nickerson, Duncan, and Kirkpatrick, Andrew W.

Subjects
Care and treatment, Complications and side effects, Patient outcomes, Hernia -- Care and treatment -- Patient outcomes, Abdominal surgery -- Complications and side effects -- Patient outcomes
Abstract

The use of synthetic and/or biologic meshes have become standard of care in most abdominal surgeries involving ventral abdominal wall reconstruction. Surgeons have largely abandoned suture repair in favour of [...], The comparative performance of synthetic and biologic meshes in complex and contaminated abdominal wall repairs remains controversial. Though biologic meshes are generally favoured in contaminated fields, this practice is based on limited data. Standard dictum regarding infected mesh is to either explant it early or pursue aggressive conservation measures depending on mesh position and composition. Explantation is typically morbid, leaving the patient with recurrent hernias and few reconstructive options. We report a case in which a hernia repaired with synthetic mesh recurred and was reconstructed with underlay biologic mesh. Delayed wound hematoma occurred after initiating anticoagulation for late postoperative pulmonary embolism, which became chronically infected. After multiple failed attempts at medical and interventional salvage of the mesh infection, the patient underwent selective explantation of synthetic mesh with conservation of the underlying biological mesh. She recovered completely without recurrent abdominal wall failure at long-term follow-up. We suggest the "salvageable" characteristics of biologic meshes may allow conservation, rather than explantation, in select cases of infection.

Published
2023

38. Simultaneous versus rapid serial interventions in a hybrid operating suite for severely injured patients: a prospective evaluation of differences in RAPTOR techniques and outcomes

Author

Ball, Chad G., Kirkpatrick, Andrew W., Wong, Jason K., and Clements, Thomas

Subjects
Care and treatment, Evaluation, Patient outcomes, Medical care quality -- Evaluation, Hemorrhage -- Care and treatment -- Patient outcomes, Transitional care -- Evaluation, Medical care -- Quality management
Abstract

Ongoing hemorrhage remains the dominant cause of death after severe injury. (1-8) There is an increasing variety of instruments aimed at technical hemorrhage control and concurrent resuscitation. (6,9) One of [...], Background: Open surgical and percutaneous endovascular procedures aimed at arresting traumatic life-threatening hemorrhage are usually performed in rapid serial fashion by surgeons and interventional radiologists; truly simultaneous procedures require modifications in technique, workfow and team collaboration. The primary objective of this study was to prospectively audit outcomes in patients with ongoing hemorrhage who underwent truly simultaneous open and percutaneous procedures. Methods: We prospectively evaluated the cases of all severely injured patients who required an open and percutaneous procedure within the hybrid RAPTOR (resuscitation with angiography, percutaneous techniques and operative repair) suite at the Foothills Medical Centre, Calgary, Alberta, Canada, between Apr. 4, 2013, and Dec. 5, 2019. We compared outcomes between the truly simultaneous and rapid serial cases. Results: Thirty-five patients (31 [89%] male, median age 46 yr, median Injury Severity Score 30, blunt mechanism in 26 cases [74%]) underwent a hybrid intervention in the RAPTOR suite to stop ongoing hemorrhage during the study period. Twenty-three patients (66%) had a rapid serial procedure, and 12 (34%) had a truly simultaneous procedure. Demographic characteristics were similar between the 2 groups. Compared to the rapid serial group, a higher proportion of patients in the truly simultaneous group were hemodynamically unstable (11 [92%] v. 13 [56%], p = 0.03) and required damage-control procedures (10 [83%] v. 12 [52%], p = 0.03). The time from hospital arrival to procedure initiation was shorter for the truly simultaneous group (mean 31 min v. 59 min, p = 0.02), and a lower proportion had initial radiologic studies (3 [25%] v. 16 [70%], p = 0.01). The median hospital length of stay, intensive care unit stay and mortality rate were similar between the 2 groups. Conclusion: Truly simultaneous open and percutaneous procedures to stop ongoing hemorrhage were unique in both patient and procedural details. For the most severely injured patients, the provision of truly simultaneous modalities is necessary to achieve clinical outcomes equivalent to those of less ill patients. Contexte : Les interventions endovasculaires ouvertes et percutanees visant a enrayer une hemorragie post-traumatique menacant le pronostic vital sont habituellement effectuees en sequence rapide par des chirurgiens et des radiologues interventionnistes; les interventions reellement simultanees requierent des modifications de la technique, du deroulement des taches et de la collaboration des membres de l'equipe. L'objectif principal de cette etude etait de verifer de maniere prospective les resultats des interventions ouvertes et percutanees reellement simultanees chez des patients en hemorragie. Methodes : Nous avons evalue de maniere prospective tous les cas de traumatismes graves ayant necessite une intervention ouverte et percutanee effectuee au bloc operatoire hybride RAPTOR (resuscitation with angiography, percutaneous techniques and operative repair) du Centre medical Foothills, a Calgary, en Alberta, au Canada, entre le 4 avril 2013 et le 5 decembre 2019. Nous avons compare les resultats de l'intervention reellement simultanee a ceux de l'intervention en sequence rapide. Resultats : Trente-cinq patients (31 hommes [89 %], age median 46 ans, score median de gravite de la blessure 30 et traumatisme ferme dans 26 cas [74 %]) ont subi une intervention hybride au bloc RAPTOR pour arreter une hemorragie en cours pendant la periode de l'etude. Vingt-trois patients (66 %) ont subi l'intervention en sequence rapide et 12 (34 %) ont subi une intervention reellement simultanee. Les caracteristiques demographiques etaient similaires entre les 2 groupes. Comparativement au groupe soumis a l'intervention en sequence rapide, une proportion plus grande de patients du groupe soumis a l'intervention reellement simultanee etait instable au plan hemodynamique (11 [92 %] c. 13 [56 %], p = 0,03) et a eu besoin d'une intervention pour limiter les degats (10 [83 %] c. 12 [52 %], p = 0,03). Le temps entre l'arrivee a l'hopital et le debut de l'intervention a ete plus court dans le groupe soumis a l'intervention reellement simultanee (moyenne 31 minutes c. 59 minutes, p = 0,02) et une proportion moindre a subi des examens radiologiques au depart (3 [25 %] c. 16 [70 %], p = 0,01). La duree mediane du sejour hospitalier, du sejour a l'unite des soins intensifs et le taux de mortalite ont ete similaires entre les 2 groupes. Conclusion : Les interventions ouvertes et percutanees reellement simultanees pour enrayer une hemorragie en cours etaient uniques au plan des details concernant les patients et les interventions. Chez les patients plus gravement atteints, il faut appliquer des modalites reellement simultanees pour obtenir des resultats cliniques equivalents a ceux que l'on observe chez les patients moins gravement atteints.

Published
2022
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42. Is the type of biomesh relevant in the prevention of recurrence following abdominal wall reconstruction? A randomized controlled trial

Author

Ball, Chad G., Kirkpatrick, Andrew W., Stuleanu, Tommy, Rosen, Michael J., and Eberle, Tammy L.

Subjects
Testing, Prevention, Care and treatment, Complications and side effects, Risk factors, Methods, Abdominal hernia -- Care and treatment, Recurrence (Disease) -- Risk factors -- Prevention, Postoperative complications -- Risk factors -- Prevention, Biomaterials -- Testing, Plastic surgery -- Methods, Abdominal surgery -- Methods -- Complications and side effects, Surgical mesh -- Testing, Diseases -- Relapse, Surgery, Plastic -- Methods, Biomedical materials -- Testing, Surgery -- Complications
Abstract

Incisional hernias after abdominal operations are unfortunately common for patients (up to 23%) and costly to health care systems. (1-6) In patients who pursue surgical repair by way of abdominal [...], Background: Complex abdominal wall reconstruction technique remains controversial. The use of biologic mesh products is also debated in active infection, sepsis prophylaxis and high-risk patients. Differences in biologic mesh technology and cost remain significant. We aimed to compare the efficacy of 2 commonly used biologic meshes in regards to hernia recurrence at 1 year. Methods: This study was a parallel, dual-arm, double-blind randomized controlled trial involving adult patients undergoing complex abdominal wall reconstruction with a biologic mesh at a quaternary care institution (2017-2020). Patients were randomly assigned to receive Permacol (cross-linked) compared with Strattice (not crosslinked). The main outcome measure was hernia recurrence at 1 or more years following the index repair. Results: We included 94 patients randomized to undergo reconstruction with 1 of 2 commonly used biologic mesh products (mean age 59.4 yr, standard deviation [SD] 9.9; 51% female; body mass index 32.9, SD 6.8). We found no significant differences between the groups (patient comorbidities, hernia recurrence risk factors, hernia size or infection profiles). Hernia recurrence rates (15%) were similar between groups (median 783 days of follow up, interquartile range 119). We found there was significantly less of a need for a component separation technique in the Strattice group (69% v. 87%). All other secondary outcome measures were equivalent between study arms. Multivariate analysis identified hepatic transplantation (odds ratio [OR] 1.94, 95% confidence intervals [CI] 0.33-4.41), active abdominal wall infection (OR 2.01, 95% CI 0.50-7.01), and more than 1 previous hernia repair (OR 2.68, 95% CI 0.41-5.99) as risk factors for subsequent hernia recurrence; however, there was no difference in recurrence factors between patient study groups. Conclusion: Given similar clinical performance between the 2 most commonly used biologic mesh products, the most cost effective mesh should be used in cost-conscious health care systems. Contexte : Les techniques de reconstruction complexe de la paroi abdominale demeurent un sujet controverse. L'utilisation de treillis biologique ne fait pas non plus consensus dans les cas d'infection active et de prophylaxie du sepsis, ni chez les patients a risque eleve. Les differences dans la technologie employee et le cout des divers produits sur le marche demeurent considerables. Nous avons cherche a comparer l'efficacite de 2 treillis biologiques couramment utilises a prevenir la recidive de hernie apres 1 an. Methodes : Le modele d'etude choisi etait un essai clinique randomise a double insu en 2 bras paralleles auquel ont participe des patients qui subissaient une reconstruction complexe de la paroi abdominale a l'aide d'un treillis biologique dans un etablissement de soins quaternaires (de 2017 a 2020). Apres repartition aleatoire, les patients ont recu le treillis Permacol (reticule) ou le treillis Strattice (non reticule). L'indicateur de resultat principal etait la recurrence de hernie 1 an ou plus apres la reconstruction initiale. Resultats : Nous avons inclus 94 patients qui, apres repartition aleatoire, ont subi une reconstruction avec 1 des 2 treillis biologiques couramment utilises ici a l'etude (age moyen 59,4 ans, ecart-type [E.-T.] 9,9, proportion de femmes 51 %, indice de masse corporelle 32,9, E.-T 6,8). Nous n'avons observe aucune difference significative entre les groupes (comorbidite, facteurs de risque de recidive de la hernie, taille de la hernie ou profil infectieux). Les taux de recidive des hernies (15 %) etaient similaires dans les 2 groupes (mediane 783 j post-intervention; ecart interquartile 119). Nous avons observe un besoin moins frequent de la technique de separation des composants dans le groupe (69 % c. 87 %). Tous les autres indicateurs de resultats secondaires etaient comparables dans les 2 bras de l'etude. Selon l'analyse multivariee, la transplantation hepatique (rapport des cotes [RC] 1,94, intervalle de confiance [IC] de 95 % 0,33-4,41), l'infection active de la paroi abdominale (RC 2,01, IC de 95 % 0,50-7,01) et des antecedents de plus d'une chirurgie de la hernie (RC 2,68, IC de 95 % 0,41-5,99) seraient des facteurs de risque de recidive subsequente de la hernie; cependant, aucune difference dans les facteurs de recurrence n'a ete constatee entre les 2 groupes. Conclusion : Compte tenu des resultats cliniques similaires obtenus avec les 2 treillis biologiques les plus couramment utilises, les systemes de sante pour lesquels la rationalisation des couts est importante devraient choisir le produit le plus economique.

Published
2022
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46. Robotically applied hemostatic clamping for care-under-fire: harnessing bomb robots for hemorrhage control

Author

Kirkpatrick, Andrew W., McKee, Ian A., Knudsen, Brian, Shelton, Ryan, LaPorta, Anthony J., Wachs, Juan, and McKee, Jessica L.

Subjects
Care and treatment, Usage, Methods, Health aspects, Hemostatic techniques -- Methods, Robotics -- Usage -- Health aspects, Hemorrhage -- Care and treatment
Abstract

Although primary prevention of mass shootings would be a laudable goal, these incidents continue to occur frequently and they represent a potential threat to the life of every citizen where [...], Background: Early hemorrhage control after interpersonal violence is the most urgent requirement to preserve life and is now recognized as a responsibility of law enforcement. Although earlier entry of first responders is advocated, many shooting scenes remain unsafe for humans, necessitating first responses conducted by robots. Thus, robotic hemorrhage control warrants study as a care-under-fire treatment option. Methods: Two bomb disposal robots (Wolverine and Dragon Runner) were retrofitted with hemostatic wound clamps. The robots&apos; ability to apply a wound clamp to a simulated extremity exsanguination while controlled by 4 experienced operators was tested. The operators were randomly assigned to perform 10 trials using 1 robot each. A third surveillance robot (Stair Climber) provided further visualization for the operators. We assessed the success rate of the application of the wound clamp to the simulated wound, the time to application of the wound clamp and the amount of fluid loss. We also assessed the operators&apos; efforts to apply the wound clamp after an initial attempt was unsuccessful or after the wound clamp was dropped. Results: Remote robotic application of a wound clamp was demonstrated to be feasible, with complete cessation of simulated bleeding in 60% of applications. This finding was consistent across all operators and both robots. There was no difference in the success rates with the 2 robots (p = 1.00). However, there were differences in fluid loss (p = 0.004) and application time (p < 0.001), with the larger (Wolverine) robot being faster and losing less fluid. Conclusion: Law enforcement tactical robots were consistently able to provide partial to complete hemorrhage control in a simulated extremity exsanguination. Consideration should be given to using this approach in care-under-fire and care-behind-the-barricade scenarios as well as further developing the technology and doctrine for robotic hemorrhage control. Contexte : Le contrdle precoce d&apos;une hemorragie apres un acte de violence inter-personnelle est la condition la plus urgente pour preserver la vie et est desormais considere comme une responsabilite des forces de l&apos;ordre. Une intervention plus precoce des premiers repondants est donc preconisee, mais comme de nombreuses scenes de fusillade sont trop dangereuses pour les humains, on utilise des robots. Par consequent, le contrdle robotique des hemorragies merite d&apos;etre etudie en tant qu&apos;option de traitement sous les tirs. Methodes : Deux robots de neutralisation d&apos;explosifs (Wolverine et Dragon Runner) ont ete munis de clamps hemostatiques. La capacite des robots--contrdles par 4 operateurs experimentes--a appliquer un clamp sur une exsanguination de membre simulee a ete testee. Les operateurs etaient affectes au hasard pour effectuer 10 essais a l&apos;aide d&apos;un robot chacun. Un troisieme robot << de surveillance >> (Stair Climber) leur procurait une vue supplementaire. Nous avons evalue le taux de reussite de l&apos;application du clamp sur la plaie simulee, le delai d&apos;application du clamp et la quantite de liquide perdu. Nous avons egalement evalue les efforts deployes par les operateurs pour appliquer le clamp apres une premiere tentative infructueuse ou apres la chute d&apos;un clamp. Resultats : Il a ete conclu que l&apos;application robotique de clamp a distance etait faisable, un arret complet du saignement simule ayant ete obtenu dans 60 % des applications. Cette conclusion s&apos;est averee pour tous les operateurs et les 2 robots. Il n&apos;y a eu aucune difference sur le plan du taux de reussite des 2 robots (p = 1,00). Cependant, des differences ont ete observees au chapitre de la perte de liquide (p = 0,004) et du delai d&apos;application (p < 0,001), une plus grande rapidite et une perte de liquide moindre ayant ete enregistrees pour le plus grand robot (Wolverine). Conclusion : Les robots tactiques des forces de l&apos;ordre ont ete systematiquement en mesure d&apos;offrir un contrdle partiel ou complet des hemorragies lors de simulations d&apos;exsanguination de membre. Il faudrait envisager d&apos;utiliser cette approche dans des situations critiques dangereuses, et de favoriser le developpement des technologies et de la theorie du contrdle robotique des hemorragies.

Published
2022
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47. 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

48. 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

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

Author

Bala, Miklosh, Catena, Fausto, Kashuk, Jeffry, De Simone, Belinda, Gomes, Carlos Augusto, Weber, Dieter, Sartelli, Massimo, Coccolini, Federico, Kluger, Yoram, Abu-Zidan, Fikri M., Picetti, Edoardo, Ansaloni, Luca, Augustin, Goran, Biffl, Walter L., Ceresoli, Marco, Chiara, Osvaldo, Chiarugi, Massimo, Coimbra, Raul, Cui, Yunfeng, Damaskos, Dimitris, Di Saverio, Salomone, Galante, Joseph M., Khokha, Vladimir, Kirkpatrick, Andrew W., Inaba, Kenji, Leppäniemi, Ari, Litvin, Andrey, Peitzman, Andrew B., Shelat, Vishal G., Sugrue, Michael, Tolonen, Matti, Rizoli, Sandro, Sall, Ibrahima, Beka, Solomon G., Di Carlo, Isidoro, Ten Broek, Richard, Mircea, Chirika, Tebala, Giovanni, Pisano, Michele, van Goor, Harry, Maier, Ronald V., Jeekel, Hans, Civil, Ian, Hecker, Andreas, Tan, Edward, Soreide, Kjetil, Lee, Matthew J., Wani, Imtiaz, Bonavina, Luigi, Malangoni, Mark A., Koike, Kaoru, Velmahos, George C., Fraga, Gustavo P., Fette, Andreas, de’Angelis, Nicola, Balogh, Zsolt J., Scalea, Thomas M., Sganga, Gabriele, Kelly, Michael D., Khan, Jim, Stahel, Philip F., and Moore, Ernest E.

Published
2022
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50. It is time to define an organizational model for the prevention and management of infections along the surgical pathway: a worldwide cross-sectional survey

Author

Sartelli, Massimo, Labricciosa, Francesco M., Coccolini, Federico, Coimbra, Raul, Abu-Zidan, Fikri M., Ansaloni, Luca, Al-Hasan, Majdi N., Ansari, Shamshul, Barie, Philip S., Caínzos, Miguel Angel, Ceresoli, Marco, Chiarugi, Massimo, Claridge, Jeffrey A., Cicuttin, Enrico, Dellinger, Evan Patchen, Fry, Donald E., Guirao, Xavier, Hardcastle, Timothy Craig, Hecker, Andreas, Leppäniemi, Ari K., Litvin, Andrey, Marwah, Sanjay, Maseda, Emilio, Mazuski, John E., Memish, Ziad Ahmed, Kirkpatrick, Andrew W., Pagani, Leonardo, Podda, Mauro, Rasa, Huseyin Kemal, Sakakushev, Boris E., Sawyer, Robert G., Tumietto, Fabio, Xiao, Yonghong, Aboubreeg, Wedad Faraj, Adamou, Harissou, Akhmeteli, Lali, Akin, Emrah, Alberio, Maria Grazia, Alconchel, Felipe, Magagi, Ibrahim Amadou, Araúz, Ana Belén, Argenio, Giulio, Atanasov, Boyko C., Atici, Semra Demirli, Awad, Selmy Sabry, Baili, Efstratia, Bains, Lovenish, Bala, Miklosh, Baraket, Oussama, Baral, Suman, Belskii, Vladislav A., Benboubker, Moussa, Ben-Ishay, Offir, Bordoni, Pierpaolo, Boumédiène, Abdalia, Brisinda, Giuseppe, Cavazzuti, Laura, Chandy, Sujith J., Chiarello, Maria Michela, Cillara, Nicola, Clarizia, Guglielmo, Cocuz, Maria-Elena, Cocuz, Iuliu Gabriel, Conti, Luigi, Coppola, Raffaella, Cui, Yunfeng, Czepiel, Jacek, D’Acapito, Fabrizio, Damaskos, Dimitrios, Das, Koray, De Simone, Belinda, Delibegovic, Samir, Demetrashvili, Zaza, Detanac, Dzemail S., Dhingra, Sameer, Di Bella, Stefano, Dimitrov, Evgeni N., Dogjani, Agron, D’Oria, Mario, Dumitru, Irina Magdalena, Elmangory, Mutasim M., Enciu, Octavian, Fantoni, Massimo, Filipescu, Daniela, Fleres, Francesco, Foghetti, Domitilla, Fransvea, Pietro, Gachabayov, Mahir, Galeiras, Rita, Gattuso, Gianni, Ghannam, Wagih M., Ghisetti, Valeria, Giraudo, Giorgio, Gonfa, Kebebe Bekele, Gonullu, Emre, Hamad, Yousif Tag Elsir Y., Hecker, Matthias, Isik, Arda, Ismail, Nizar, Ismail, Azzain, Jain, Sumita Agarwal, Kanj, Souha S., Kapoor, Garima, Karaiskos, Ilias, Kavalakat, Alfie J., Kenig, Jakub, Khamis, Faryal, Khokha, Vladimir, Kiguba, Ronald, Kim, Jae Il, Kobe, Yoshiro, Kok, Kenneth Yuh Yen, Kovacevic, Bojan M., Kryvoruchko, Igor Andreevich, Kuriyama, Akira, Landaluce-Olavarria, Aitor, Lasithiotakis, Konstantinos, Lohsiriwat, Varut, Lostoridis, Eftychios, Luppi, Davide, Vega, Gustavo Miguel Machain, Maegele, Marc, Marinis, Athanasios, Martines, Gennaro, Martínez-Pérez, Aleix, Massalou, Damien, Mesina, Cristian, Metan, Gökhan, Miranda-Novales, María Guadalupe, Mishra, Shyam Kumar, Mohamed, Mohaned Ibrahim Hussein, Mohamedahmed, Ali Yasen Y., Mora-Guzmán, Ismael, Mulita, Francesk, Musina, Ana-Maria, Navsaria, Pradeep H., Negoi, Ionut, Nita, Gabriela Elisa, O’Connor, Donal B., Ordoñez, Carlos Alberto, Pantalone, Desiré, Panyko, Arpád, Papadopoulos, Aristeidis, Pararas, Nikolaos, Pata, Francesco, Patel, Tapan, Pellino, Gianluca, Perra, Teresa, Perrone, Gennaro, Pesce, Antonio, Pintar, Tadeja, Popivanov, Georgi Ivanov, Porcu, Alberto, Quiodettis, Martha Alexa, Rahim, Razrim, Mitul, Ashrarur Rahman, Reichert, Martin, Rems, Miran, Campbell, Glendee Yolande Reynolds, Rocha-Pereira, Nuno, Rodrigues, Gabriel, Villamil, Gustavo Eduardo Roncancio, Rossi, Stefano, Sall, Ibrahima, Kafil, Hossein Samadi, Sasia, Diego, Seni, Jeremiah, Seretis, Charalampos, Serradilla-Martín, Mario, Shelat, Vishal G., Siribumrungwong, Boonying, Slavchev, Mihail, Solaini, Leonardo, Tan, Boun Kim, Tarasconi, Antonio, Tartaglia, Dario, Toma, Elena Adelina, Tomadze, Gia, Toro, Adriana, Tovani-Palone, Marcos Roberto, van Goor, Harry, Vasilescu, Alin, Vereczkei, Andras, Veroux, Massimiliano, Weckmann, Sergio Alberto, Widmer, Lukas Werner, Yahya, AliIbrahim, Zachariah, Sanoop K., Zakaria, Andee Dzulkarnaen, Zubareva, Nadezhda, Zuidema, Wietse P., Di Carlo, Isidoro, Cortese, Francesco, Baiocchi, Gian Luca, Maier, Ronald V., and Catena, Fausto

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2022
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