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384 results on '"Moore E.E."'

9. WSES consensus guidelines on sigmoid volvulus management.

Author

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

Abstract

Item does not contain fulltext, Sigmoid volvulus is a common surgical emergency, especially in elderly patients. Patients can present with a wide range of clinical states: from asymptomatic, to frank peritonitis secondary to colonic perforation. These patients generally need urgent treatment, be it endoscopic decompression of the colon or an upfront colectomy. The World Society of Emergency Surgery united a worldwide group of international experts to review the current evidence and propose a consensus guidelines on the management of sigmoid volvulus.

Published
2023

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

Author

Simone, B. De, Kluger, Y., Moore, E.E., Sartelli, M., Abu-Zidan, F.M., Coccolini, F., Ansaloni, L., Tebala, G.D., Saverio, S. Di, Carlo, I. Di, Sakakushev, B.E., Bonavina, L., Sugrue, M., Galante, J.M., Ivatury, R., Picetti, E., Chirica, M., Wani, I., Bala, M., Sall, I., Kirkpatrick, A.W., Shelat, V.G., Pikoulis, E., Leppäniemi, A., Tan, E., Broek, R.P.G ten, Gurmu Beka, S., Litvin, A., Chouillard, E., Coimbra, R., Cui, Y., De' Angelis, N., Sganga, G., Stahel, P.F., Agnoletti, V., Rampini, A., Testini, M., Bravi, F., Maier, R.V., Biffl, W.L., Catena, F., Simone, B. De, Kluger, Y., Moore, E.E., Sartelli, M., Abu-Zidan, F.M., Coccolini, F., Ansaloni, L., Tebala, G.D., Saverio, S. Di, Carlo, I. Di, Sakakushev, B.E., Bonavina, L., Sugrue, M., Galante, J.M., Ivatury, R., Picetti, E., Chirica, M., Wani, I., Bala, M., Sall, I., Kirkpatrick, A.W., Shelat, V.G., Pikoulis, E., Leppäniemi, A., Tan, E., Broek, R.P.G ten, Gurmu Beka, S., Litvin, A., Chouillard, E., Coimbra, R., Cui, Y., De' Angelis, N., Sganga, G., Stahel, P.F., Agnoletti, V., Rampini, A., Testini, M., Bravi, F., Maier, R.V., Biffl, W.L., and Catena, F.

Abstract

Item does not contain fulltext, BACKGROUND: Timely access to the operating room for emergency general surgery (EGS) indications remains a challenge across the globe, largely driven by operating room availability and staffing constraints. The "timing in acute care surgery" (TACS) classification was previously published to introduce a new tool to triage the timely and appropriate access of EGS patients to the operating room. However, the clinical and operational effectiveness of the TACS classification has not been investigated in subsequent validation studies. This study aimed to improve the TACS classification and provide further consensus around the appropriate use of the new TACS classification through a standardized Delphi approach with international experts. METHODS: This is a validation study of the new TACS by a selected international panel of experts using the Delphi method. The TACS questionnaire was designed as a web-based survey. The consensus agreement level was established to be ≥ 75%. The collective consensus agreement was defined as the sum of the percentage of the highest Likert scale levels (4-5) out of all participants. Surgical emergency diseases and correlated clinical scenarios were defined for each of the proposed classes. Subsequent rounds were carried out until a definitive level of consensus was reached. Frequencies and percentages were calculated to determine the degree of agreement for each surgical disease. RESULTS: Four polling rounds were carried out. The new TACS classification provides 6 colour-code classes correlated to a precise timing to surgery, defined scenarios and surgical condition. The WHITE colour-code class was introduced to rapidly (within a week) reschedule cancelled or postponed surgical procedures. Haemodynamic stability is the main tool to stratify patients for immediate surgery or not in the presence of sepsis/septic shock. Fifty-one surgical diseases were included in the different colour-code classes of priority. CONCLUSION: The new TACS classificat

Published
2023

11. Management of complicated diaphragmatic hernia in the acute setting: a WSES position paper.

Author

Giuffrida, M., Perrone, G., Abu-Zidan, F., Agnoletti, V., Ansaloni, L., Baiocchi, G.L., Bendinelli, C., Biffl, W.L., Bonavina, L., Bravi, F., Carcoforo, P., Ceresoli, M., Chichom-Mefire, A., Coccolini, F., Coimbra, R., De'Angelis, N., Moya, M. de, Simone, B. De, Saverio, S. Di, Fraga, G.P., Galante, J., Ivatury, R., Kashuk, J., Kelly, M.D., Kirkpatrick, A.W., Kluger, Y., Koike, Kaoru, Leppaniemi, A., Maier, R.V., Moore, E.E., Peitzmann, A., Sakakushev, B., Sartelli, M., Sugrue, M., Tian, B.W.C.A., Broek, R.P.G ten, Vallicelli, C., Wani, I., Weber, D.G., Docimo, G., Catena, F., Giuffrida, M., Perrone, G., Abu-Zidan, F., Agnoletti, V., Ansaloni, L., Baiocchi, G.L., Bendinelli, C., Biffl, W.L., Bonavina, L., Bravi, F., Carcoforo, P., Ceresoli, M., Chichom-Mefire, A., Coccolini, F., Coimbra, R., De'Angelis, N., Moya, M. de, Simone, B. De, Saverio, S. Di, Fraga, G.P., Galante, J., Ivatury, R., Kashuk, J., Kelly, M.D., Kirkpatrick, A.W., Kluger, Y., Koike, Kaoru, Leppaniemi, A., Maier, R.V., Moore, E.E., Peitzmann, A., Sakakushev, B., Sartelli, M., Sugrue, M., Tian, B.W.C.A., Broek, R.P.G ten, Vallicelli, C., Wani, I., Weber, D.G., Docimo, G., and Catena, F.

Abstract

Contains fulltext : 296002.pdf (Publisher’s version ) (Open Access), 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

12. ECLAPTE: Effective Closure of LAParoTomy in Emergency-2023 World Society of Emergency Surgery guidelines for the closure of laparotomy in emergency settings.

Author

Frassini, S., Cobianchi, L., Fugazzola, P., Biffl, W.L., Coccolini, F., Damaskos, D., Moore, E.E., Kluger, Y., Ceresoli, M., Coimbra, R., Davies, J., Kirkpatrick, A., Carlo, I. Di, Hardcastle, T.C., Isik, A., Chiarugi, M., Gurusamy, K., Maier, R.V., Segovia Lohse, H.A., Jeekel, H., Boermeester, M.A., Abu-Zidan, F., Inaba, K., Weber, D.G., Augustin, G., Bonavina, L., Velmahos, G., Sartelli, M., Saverio, S. Di, Broek, R.P.G ten, Granieri, S., Mas, F. Dal, Farè, C.N., Peverada, J., Zanghì, S., Viganò, J., Tomasoni, M., Dominioni, T., Cicuttin, E., Hecker, A., Tebala, G.D., Galante, J.M., Wani, I., Khokha, V., Sugrue, M., Scalea, T.M., Tan, E.C.T.H., Malangoni, M.A., Pararas, N., Podda, M., Simone, B. De, Ivatury, R., Cui, Y., Kashuk, J., Peitzman, A., Kim, F., Pikoulis, E., Sganga, G., Chiara, O., Kelly, M.D., Marzi, I., Picetti, E., Agnoletti, V., De'Angelis, N., Campanelli, G., Moya, M. de, Litvin, A., Martínez-Pérez, A., Sall, I., Rizoli, S., Tomadze, G., Sakakushev, B., Stahel, P.F., Civil, I., Shelat, V., Costa, D., Chichom-Mefire, A., Latifi, R., Chirica, M., Amico, F., Pardhan, A., Seenarain, V., Boyapati, N., Hatz, B., Ackermann, T., Abeyasundara, S., Fenton, L., Plani, F., Sarvepalli, R., Rouhbakhshfar, O., Caleo, P., Ho-Ching Yau, V., Clement, K., Christou, E., Castillo, A.M.G., Gosal, P.K.S., Balasubramaniam, S., Hsu, J., Banphawatanarak, K., Pisano, M., Adriana, T., Michele, A., Cioffi, S.P.B., Spota, A., Catena, F., Ansaloni, L., Frassini, S., Cobianchi, L., Fugazzola, P., Biffl, W.L., Coccolini, F., Damaskos, D., Moore, E.E., Kluger, Y., Ceresoli, M., Coimbra, R., Davies, J., Kirkpatrick, A., Carlo, I. Di, Hardcastle, T.C., Isik, A., Chiarugi, M., Gurusamy, K., Maier, R.V., Segovia Lohse, H.A., Jeekel, H., Boermeester, M.A., Abu-Zidan, F., Inaba, K., Weber, D.G., Augustin, G., Bonavina, L., Velmahos, G., Sartelli, M., Saverio, S. Di, Broek, R.P.G ten, Granieri, S., Mas, F. Dal, Farè, C.N., Peverada, J., Zanghì, S., Viganò, J., Tomasoni, M., Dominioni, T., Cicuttin, E., Hecker, A., Tebala, G.D., Galante, J.M., Wani, I., Khokha, V., Sugrue, M., Scalea, T.M., Tan, E.C.T.H., Malangoni, M.A., Pararas, N., Podda, M., Simone, B. De, Ivatury, R., Cui, Y., Kashuk, J., Peitzman, A., Kim, F., Pikoulis, E., Sganga, G., Chiara, O., Kelly, M.D., Marzi, I., Picetti, E., Agnoletti, V., De'Angelis, N., Campanelli, G., Moya, M. de, Litvin, A., Martínez-Pérez, A., Sall, I., Rizoli, S., Tomadze, G., Sakakushev, B., Stahel, P.F., Civil, I., Shelat, V., Costa, D., Chichom-Mefire, A., Latifi, R., Chirica, M., Amico, F., Pardhan, A., Seenarain, V., Boyapati, N., Hatz, B., Ackermann, T., Abeyasundara, S., Fenton, L., Plani, F., Sarvepalli, R., Rouhbakhshfar, O., Caleo, P., Ho-Ching Yau, V., Clement, K., Christou, E., Castillo, A.M.G., Gosal, P.K.S., Balasubramaniam, S., Hsu, J., Banphawatanarak, K., Pisano, M., Adriana, T., Michele, A., Cioffi, S.P.B., Spota, A., Catena, F., and Ansaloni, L.

Abstract

Contains fulltext : 296003.pdf (Publisher’s version ) (Open Access), Laparotomy incisions provide easy and rapid access to the peritoneal cavity in case of emergency surgery. Incisional hernia (IH) is a late manifestation of the failure of abdominal wall closure and represents frequent complication of any abdominal incision: IHs can cause pain and discomfort to the patients but also clinical serious sequelae like bowel obstruction, incarceration, strangulation, and necessity of reoperation. Previous guidelines and indications in the literature consider elective settings and evidence about laparotomy closure in emergency settings is lacking. This paper aims to present the World Society of Emergency Surgery (WSES) project called ECLAPTE (Effective Closure of LAParoTomy in Emergency): the final manuscript includes guidelines on the closure of emergency laparotomy.

Published
2023

13. 2023 WSES guidelines for the prevention, detection, and management of iatrogenic urinary tract injuries (IUTIs) during emergency digestive surgery.

Author

De'Angelis, N., Schena, C.A., Marchegiani, F., Reitano, E., Simone, B. De, Wong, G.Y.M., Martínez-Pérez, A., Abu-Zidan, F.M., Agnoletti, V., Aisoni, F., Ammendola, M., Ansaloni, L., Bala, M., Biffl, W., Ceccarelli, G., Ceresoli, M., Chiara, O., Chiarugi, M., Cimbanassi, S., Coccolini, F., Coimbra, R., Saverio, S. Di, Diana, M., oguardi Burgio, M. Di, Fraga, G., Gavriilidis, P., Gurrado, A., Inchingolo, R., Ingels, A., Ivatury, R., Kashuk, J.L., Khan, J., Kirkpatrick, A.W., Kim, F.J., Kluger, Y., Lakkis, Z., Leppäniemi, A., Maier, R.V., Memeo, R., Moore, E.E., Ordoñez, C.A., Peitzman, A.B., Pellino, G., Picetti, E., Pikoulis, M., Pisano, M., Podda, M., Romeo, O., Rosa, F., Tan, E.C.T.H., Broek, R.P. ten, Testini, M., Tian Wei Cheng, B.A., Weber, D., Sacco, E., Sartelli, M., Tonsi, A., Moro, F. Dal, Catena, F., De'Angelis, N., Schena, C.A., Marchegiani, F., Reitano, E., Simone, B. De, Wong, G.Y.M., Martínez-Pérez, A., Abu-Zidan, F.M., Agnoletti, V., Aisoni, F., Ammendola, M., Ansaloni, L., Bala, M., Biffl, W., Ceccarelli, G., Ceresoli, M., Chiara, O., Chiarugi, M., Cimbanassi, S., Coccolini, F., Coimbra, R., Saverio, S. Di, Diana, M., oguardi Burgio, M. Di, Fraga, G., Gavriilidis, P., Gurrado, A., Inchingolo, R., Ingels, A., Ivatury, R., Kashuk, J.L., Khan, J., Kirkpatrick, A.W., Kim, F.J., Kluger, Y., Lakkis, Z., Leppäniemi, A., Maier, R.V., Memeo, R., Moore, E.E., Ordoñez, C.A., Peitzman, A.B., Pellino, G., Picetti, E., Pikoulis, M., Pisano, M., Podda, M., Romeo, O., Rosa, F., Tan, E.C.T.H., Broek, R.P. ten, Testini, M., Tian Wei Cheng, B.A., Weber, D., Sacco, E., Sartelli, M., Tonsi, A., Moro, F. Dal, and Catena, F.

Abstract

Contains fulltext : 296327.pdf (Publisher’s version ) (Open Access), Iatrogenic urinary tract injury (IUTI) is a severe complication of emergency digestive surgery. It can lead to increased postoperative morbidity and mortality and have a long-term impact on the quality of life. The reported incidence of IUTIs varies greatly among the studies, ranging from 0.3 to 1.5%. Given the high volume of emergency digestive surgery performed worldwide, there is a need for well-defined and effective strategies to prevent and manage IUTIs. Currently, there is a lack of consensus regarding the prevention, detection, and management of IUTIs in the emergency setting. The present guidelines, promoted by the World Society of Emergency Surgery (WSES), were developed following a systematic review of the literature and an international expert panel discussion. The primary aim of these WSES guidelines is to provide evidence-based recommendations to support clinicians and surgeons in the prevention, detection, and management of IUTIs during emergency digestive surgery. The following key aspects were considered: (1) effectiveness of preventive interventions for IUTIs during emergency digestive surgery; (2) intra-operative detection of IUTIs and appropriate management strategies; (3) postoperative detection of IUTIs and appropriate management strategies and timing; and (4) effectiveness of antibiotic therapy (including type and duration) in case of IUTIs.

Published
2023

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

Author

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

Abstract

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

Published
2023

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

Author

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

Abstract

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

Published
2023

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

Author

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

Abstract

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

Published
2023

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

Author

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

Abstract

Item does not contain fulltext, Acute mesenteric ischemia (AMI) is a group of diseases characterized by an interruption of the blood supply to varying portions of the intestine, leading to ischemia and secondary inflammatory changes. If untreated, this process may progress to life-threatening intestinal necrosis. The incidence is low, estimated at 0.09-0.2% of all acute surgical admissions, but increases with age. Although the entity is an uncommon cause of abdominal pain, diligence is required because if untreated, mortality remains in the range of 50%. Early diagnosis and timely surgical intervention are the cornerstones of modern treatment to reduce the high mortality associated with this entity. The advent of endovascular approaches in parallel with modern imaging techniques is evolving and provides new treatment options. Lastly, a focused multidisciplinary approach based on early diagnosis and individualized treatment is essential. Thus, we believe that updated guidelines from World Society of Emergency Surgery are warranted, in order to provide the most recent and practical recommendations for diagnosis and treatment of AMI.

Published
2022

19. Use of REBOA in the universe of magical realism : A real-world review

Author

Manzano-Nuñez, R., Chica-Yanten, J., Naranjo, M.P., Caicedo-Holguin, I., Ordoñez, J.M., McGreevy, David, Puyana, J.C., Hörer, Tal M., Moore, E.E., García, A.F., Manzano-Nuñez, R., Chica-Yanten, J., Naranjo, M.P., Caicedo-Holguin, I., Ordoñez, J.M., McGreevy, David, Puyana, J.C., Hörer, Tal M., Moore, E.E., and García, A.F.

Abstract

While reading the novella "Chronicle of a Death Foretold" by the Colombian Nobel Laureate Gabriel García-Marquez, we were surprised to realize that the injuries sustained by the main character could have been successfully treated had he received modern trauma care in which REBOA may have been considered. This is a discussion of Mr. Nasar's murder to explore whether he could have been saved by deploying REBOA as a surgical adjunct to bleeding control and resuscitation. In reading García-Marquez's novel we noted the events that unfolded at the time of Santiago Nasar's murder. To contextualize the claim that Mr. Nasar could have survived, had his injuries been treated with REBOA, we explored and illustrated what could have done differently and why. On the day of his death, Mr. Nasar sustained multiple penetrating stab wounds. Although he received multiple stab wounds to his torso, the book describes seven potentially fatal injuries, resulting in hollow viscus, solid viscus, and major vascular injuries. We provided a practical description of the clinical and surgical management algorithm we would have followed in Mr. Nasar's case. This algorithm included the REBOA deployment for hemorrhage control and resuscitation. The use of REBOA as part of the surgical procedures performed could have saved Mr. Nasar's life. Based on our current knowledge about REBOA in trauma surgery, we claim that its use, coupled with appropriate surgical care for hemorrhage control, could have saved Santiago Nasar's life, and thus prevent a death foretold. © 2022 Lippincott Williams and Wilkins. All rights reserved.

Published
2022
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20. Minimally invasive surgery in emergency surgery: a WSES survey

Author

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

Abstract

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

Published
2022

23. WSES-AAST guidelines: management of inflammatory bowel disease in the emergency setting

Author

De Simone, B. Davies, J. Chouillard, E. Di Saverio, S. Hoentjen, F. Tarasconi, A. Sartelli, M. Biffl, W.L. Ansaloni, L. Coccolini, F. Chiarugi, M. De’Angelis, N. Moore, E.E. Kluger, Y. Abu-Zidan, F. Sakakushev, B. Coimbra, R. Celentano, V. Wani, I. Pintar, T. Sganga, G. Di Carlo, I. Tartaglia, D. Pikoulis, M. Cardi, M. De Moya, M.A. Leppaniemi, A. Kirkpatrick, A. Agnoletti, V. Poggioli, G. Carcoforo, P. Baiocchi, G.L. Catena, F.

Abstract

Background: Despite the current therapeutic options for the treatment of inflammatory bowel disease, surgery is still frequently required in the emergency setting, although the number of cases performed seems to have decreased in recent years. The World Society of Emergency Surgery decided to debate in a consensus conference of experts, the main pertinent issues around the management of inflammatory bowel disease in the emergent situation, with the need to provide focused guidelines for acute care and emergency surgeons. Method: A group of experienced surgeons and gastroenterologists were nominated to develop the topics assigned and answer the questions addressed by the Steering Committee of the project. Each expert followed a precise analysis and grading of the studies selected for review. Statements and recommendations were discussed and voted at the Consensus Conference of the 6th World Society of Emergency Surgery held in Nijmegen (The Netherlands) in June 2019. Conclusions: Complicated inflammatory bowel disease requires a multidisciplinary approach because of the complexity of this patient group and disease spectrum in the emergency setting, with the aim of obtaining safe surgery with good functional outcomes and a decreasing stoma rate where appropriate. © 2021, The Author(s).

Published
2021

24. Acute abdomen in the immunocompromised patient: WSES, SIS-E, WSIS, AAST, and GAIS guidelines

Author

Coccolini, F., Improta, M., Sartelli, M., Rasa, K., Sawyer, R., Coimbra, R., Chiarugi, M., Litvin, A., Hardcastle, T., Forfori, F., Vincent, J.L., Hecker, A., Broek, R.P.G ten, Bonavina, L., Chirica, M., Boggi, U., Pikoulis, E., Saverio, S. Di, Montravers, P., Augustin, G., Tartaglia, D., Cicuttin, E., Cremonini, C., Viaggi, B., Simone, B. De, Malbrain, M., Shelat, V.G., Fugazzola, P., Ansaloni, L., Isik, A., Rubio, I., Kamal, I., Corradi, F., Tarasconi, A., Gitto, S., Podda, M., Pikoulis, A., Leppaniemi, A., Ceresoli, M., Romeo, O., Moore, E.E., Demetrashvili, Z., Biffl, W.L., Wani, I., Tolonen, M., Duane, T., Dhingra, S., DeAngelis, N., Tan, E.C.T.H., Abu-Zidan, F., Ordonez, C., Cui, Y., Labricciosa, F., Perrone, G., Marzo, F. Di, Peitzman, A., Sakakushev, B., Sugrue, M., Boermeester, M., Nunez, R.M., Gomes, C.A., Bala, M., Kluger, Y., Catena, F., Coccolini, F., Improta, M., Sartelli, M., Rasa, K., Sawyer, R., Coimbra, R., Chiarugi, M., Litvin, A., Hardcastle, T., Forfori, F., Vincent, J.L., Hecker, A., Broek, R.P.G ten, Bonavina, L., Chirica, M., Boggi, U., Pikoulis, E., Saverio, S. Di, Montravers, P., Augustin, G., Tartaglia, D., Cicuttin, E., Cremonini, C., Viaggi, B., Simone, B. De, Malbrain, M., Shelat, V.G., Fugazzola, P., Ansaloni, L., Isik, A., Rubio, I., Kamal, I., Corradi, F., Tarasconi, A., Gitto, S., Podda, M., Pikoulis, A., Leppaniemi, A., Ceresoli, M., Romeo, O., Moore, E.E., Demetrashvili, Z., Biffl, W.L., Wani, I., Tolonen, M., Duane, T., Dhingra, S., DeAngelis, N., Tan, E.C.T.H., Abu-Zidan, F., Ordonez, C., Cui, Y., Labricciosa, F., Perrone, G., Marzo, F. Di, Peitzman, A., Sakakushev, B., Sugrue, M., Boermeester, M., Nunez, R.M., Gomes, C.A., Bala, M., Kluger, Y., and Catena, F.

Abstract

Contains fulltext : 245653.pdf (Publisher’s version ) (Open Access), Immunocompromised patients are a heterogeneous and diffuse category frequently presenting to the emergency department with acute surgical diseases. Diagnosis and treatment in immunocompromised patients are often complex and must be multidisciplinary. Misdiagnosis of an acute surgical disease may be followed by increased morbidity and mortality. Delayed diagnosis and treatment of surgical disease occur; these patients may seek medical assistance late because their symptoms are often ambiguous. Also, they develop unique surgical problems that do not affect the general population. Management of this population must be multidisciplinary.This paper presents the World Society of Emergency Surgery (WSES), Surgical Infection Society Europe (SIS-E), World Surgical Infection Society (WSIS), American Association for the Surgery of Trauma (AAST), and Global Alliance for Infection in Surgery (GAIS) joined guidelines about the management of acute abdomen in immunocompromised patients.

Published
2021

25. Diagnosis and management of small bowel obstruction in virgin abdomen: a WSES position paper

Author

Amara, Y., Leppaniemi, A., Catena, F., Ansaloni, L., Sugrue, M., Fraga, G.P., Coccolini, F., Biffl, W.L., Peitzman, A.B., Kluger, Y., Sartelli, M., Moore, E.E., Saverio, S. Di, Darwish, E., Endo, C., Goor, H. van, Broek, R.P. ten, Amara, Y., Leppaniemi, A., Catena, F., Ansaloni, L., Sugrue, M., Fraga, G.P., Coccolini, F., Biffl, W.L., Peitzman, A.B., Kluger, Y., Sartelli, M., Moore, E.E., Saverio, S. Di, Darwish, E., Endo, C., Goor, H. van, and Broek, R.P. ten

Abstract

Contains fulltext : 238997.pdf (Publisher’s version ) (Open Access), BACKGROUND: Small bowel obstruction (SBO) is a common surgical emergency, causing high morbidity and healthcare costs. The majority of SBOs are caused by adhesions that result from previous surgeries. Bowel obstruction, however, also occurs in patients without previous operation or known pathology, a so called virgin abdomen. It is unknown if small bowel obstruction in the virgin abdomen (SBO-VA) can be managed according to the same principles as other cases of small bowel obstruction. The aim of this position paper is to evaluate the available evidence on etiology and management of small bowel obstruction in the virgin abdomen. METHODS: This is a narrative review with scoping aspects. Clinical topics covered in this review include epidemiology and etiology of SBO-VA, diagnosis and imaging, initial assessment, the role of surgical management in SBO-VA, and the role of non-operative management in SBO-VA. RESULTS: Our scoping search revealed seven original studies reporting original patient data related to SBO-VA. All the included studies are retrospective cohorts, with populations ranging between 44 and 103 patients with SBO-VA. Adhesions were found to be the cause of the obstruction in approximately half of the reported cases of SBO-VA. A relatively high number of cases of SBO-VA were managed surgically with studies reporting 39-83%. However, in cases where a trial of non-operative management was started, this was generally successful. CONCLUSION: The data available suggest that etiology and treatment results for patients with SBO-VA are largely comparable to the results in patients with SBO after previous abdominal surgery. We therefore propose that patients with a virgin abdomen could be treated according to existing guidelines for SBO and adhesive small bowel obstruction.

Published
2021

26. A pandemic recap: lessons we have learned

Author

Coccolini, F., Cicuttin, E., Cremonini, C., Tartaglia, D., Viaggi, B., Kuriyama, A., Picetti, E., Ball, C., Abu-Zidan, F., Ceresoli, M., Turri, B., Jain, S., Palombo, C., Guirao, X., Rodrigues, G., Gachabayov, M., Machado, F., Eftychios, L., Kanj, S.S., Carlo, I. Di, Saverio, S. Di, Khokha, V., Kirkpatrick, A., Massalou, D., Forfori, F., Corradi, F., Delibegovic, S., Vega, G.M. Machain, Fantoni, M., Demetriades, D., Kapoor, G., Kluger, Y., Ansari, S., Maier, R., Leppaniemi, A., Hardcastle, T., Vereczkei, A., Karamagioli, E., Pikoulis, E., Pistello, M., Sakakushev, B.E., Navsaria, P.H., Galeiras, R., Yahya, A.I., Osipov, A.V., Dimitrov, E., Doklestić, K., Pisano, M., Malacarne, P., Carcoforo, P., Sibilla, M.G., Kryvoruchko, I.A., Bonavina, L., Kim, J.I., Shelat, V.G., Czepiel, J., Maseda, E., Marwah, S., Chirica, M., Biancofiore, G., Podda, M., Cobianchi, L., Ansaloni, L., Fugazzola, P., Seretis, C., Gomez, C.A., Tumietto, F., Malbrain, M., Reichert, M., Augustin, G., Amato, B., Puzziello, A., Hecker, A., Gemignani, A., Isik, A., Cucchetti, A., Nacoti, M., Kopelman, D., Mesina, C., Ghannam, W., Ben-Ishay, O., Dhingra, S., Coimbra, R., Moore, E.E., Cui, Y., Quiodettis, M.A., Bala, M., Testini, M., Diaz, J., Girardis, M., Biffl, W.L., Hecker, M., Sall, I., Boggi, U., Materazzi, G., Ghiadoni, L., Matsumoto, J., Zuidema, W.P., Ivatury, R., Enani, M.A., Goor, H. van, Catena, Fausto, Sartelli, M., Coccolini, F., Cicuttin, E., Cremonini, C., Tartaglia, D., Viaggi, B., Kuriyama, A., Picetti, E., Ball, C., Abu-Zidan, F., Ceresoli, M., Turri, B., Jain, S., Palombo, C., Guirao, X., Rodrigues, G., Gachabayov, M., Machado, F., Eftychios, L., Kanj, S.S., Carlo, I. Di, Saverio, S. Di, Khokha, V., Kirkpatrick, A., Massalou, D., Forfori, F., Corradi, F., Delibegovic, S., Vega, G.M. Machain, Fantoni, M., Demetriades, D., Kapoor, G., Kluger, Y., Ansari, S., Maier, R., Leppaniemi, A., Hardcastle, T., Vereczkei, A., Karamagioli, E., Pikoulis, E., Pistello, M., Sakakushev, B.E., Navsaria, P.H., Galeiras, R., Yahya, A.I., Osipov, A.V., Dimitrov, E., Doklestić, K., Pisano, M., Malacarne, P., Carcoforo, P., Sibilla, M.G., Kryvoruchko, I.A., Bonavina, L., Kim, J.I., Shelat, V.G., Czepiel, J., Maseda, E., Marwah, S., Chirica, M., Biancofiore, G., Podda, M., Cobianchi, L., Ansaloni, L., Fugazzola, P., Seretis, C., Gomez, C.A., Tumietto, F., Malbrain, M., Reichert, M., Augustin, G., Amato, B., Puzziello, A., Hecker, A., Gemignani, A., Isik, A., Cucchetti, A., Nacoti, M., Kopelman, D., Mesina, C., Ghannam, W., Ben-Ishay, O., Dhingra, S., Coimbra, R., Moore, E.E., Cui, Y., Quiodettis, M.A., Bala, M., Testini, M., Diaz, J., Girardis, M., Biffl, W.L., Hecker, M., Sall, I., Boggi, U., Materazzi, G., Ghiadoni, L., Matsumoto, J., Zuidema, W.P., Ivatury, R., Enani, M.A., Goor, H. van, Catena, Fausto, and Sartelli, M.

Abstract

Contains fulltext : 238976.pdf (Publisher’s version ) (Open Access), On January 2020, the WHO Director General declared that the outbreak constitutes a Public Health Emergency of International Concern. The world has faced a worldwide spread crisis and is still dealing with it. The present paper represents a white paper concerning the tough lessons we have learned from the COVID-19 pandemic. Thus, an international and heterogenous multidisciplinary panel of very differentiated people would like to share global experiences and lessons with all interested and especially those responsible for future healthcare decision making. With the present paper, international and heterogenous multidisciplinary panel of very differentiated people would like to share global experiences and lessons with all interested and especially those responsible for future healthcare decision making.

Published
2021

27. WSES-AAST guidelines: management of inflammatory bowel disease in the emergency setting

Author

Simone, B. De, Davies, J., Chouillard, E., Saverio, S. Di, Hoentjen, F., Tarasconi, A., Sartelli, M., Biffl, W.L., Ansaloni, L., Coccolini, F., Chiarugi, M., De'Angelis, N., Moore, E.E., Kluger, Y., Abu-Zidan, F., Sakakushev, B., Coimbra, R., Celentano, V., Wani, I., Pintar, T., Sganga, G., Carlo, I. Di, Tartaglia, D., Pikoulis, M., Cardi, M., Moya, M.A. De, Leppaniemi, A., Kirkpatrick, A., Agnoletti, V., Poggioli, G., Carcoforo, P., Baiocchi, G.L., Catena, F., Simone, B. De, Davies, J., Chouillard, E., Saverio, S. Di, Hoentjen, F., Tarasconi, A., Sartelli, M., Biffl, W.L., Ansaloni, L., Coccolini, F., Chiarugi, M., De'Angelis, N., Moore, E.E., Kluger, Y., Abu-Zidan, F., Sakakushev, B., Coimbra, R., Celentano, V., Wani, I., Pintar, T., Sganga, G., Carlo, I. Di, Tartaglia, D., Pikoulis, M., Cardi, M., Moya, M.A. De, Leppaniemi, A., Kirkpatrick, A., Agnoletti, V., Poggioli, G., Carcoforo, P., Baiocchi, G.L., and Catena, F.

Abstract

Contains fulltext : 235705.pdf (Publisher’s version ) (Open Access), BACKGROUND: Despite the current therapeutic options for the treatment of inflammatory bowel disease, surgery is still frequently required in the emergency setting, although the number of cases performed seems to have decreased in recent years. The World Society of Emergency Surgery decided to debate in a consensus conference of experts, the main pertinent issues around the management of inflammatory bowel disease in the emergent situation, with the need to provide focused guidelines for acute care and emergency surgeons. METHOD: A group of experienced surgeons and gastroenterologists were nominated to develop the topics assigned and answer the questions addressed by the Steering Committee of the project. Each expert followed a precise analysis and grading of the studies selected for review. Statements and recommendations were discussed and voted at the Consensus Conference of the 6th World Society of Emergency Surgery held in Nijmegen (The Netherlands) in June 2019. CONCLUSIONS: Complicated inflammatory bowel disease requires a multidisciplinary approach because of the complexity of this patient group and disease spectrum in the emergency setting, with the aim of obtaining safe surgery with good functional outcomes and a decreasing stoma rate where appropriate.

Published
2021

30. American Association for the Surgery of Trauma-World Society of Emergency Surgery guidelines on diagnosis and management of peripheral vascular injuries

Author

Kobayashi, L. Coimbra, R. Goes, A.M.O. Reva, V. Santorelli, J. Moore, E.E. Galante, J. Abu-Zidan, F. Peitzman, A.B. Ordonez, C. Maier, R.V. Di Saverio, S. Ivatury, R. De Angelis, N. Scalea, T. Catena, F. Kirkpatrick, A. Khokha, V. Parry, N. Civil, I. Leppaniemi, A. Chirica, M. Pikoulis, E. Fraga, G.P. Chiarugi, M. Damaskos, D. Cicuttin, E. Ceresoli, M. De Simone, B. Vega-Rivera, F. Sartelli, M. Biffl, W. Ansaloni, L. Weber, D.G. Coccolini, F.

Abstract

The peripheral arteries and veins of the extremities are among the most commonly injured vessels in both civilian and military vascular trauma. Blunt causes are more frequent than penetrating except during military conflicts and in certain geographic areas. Physical examination and simple bedside investigations of pulse pressures are key in early identification of these injuries. In stable patients with equivocal physical examinations, computed tomography angiograms have become the mainstay of screening and diagnosis. Immediate open surgical repair remains the first-line therapy in most patients. However, advances in endovascular therapies and more widespread availability of this technology have resulted in an increase in the range of injuries and frequency of utilization of minimally invasive treatments for vascular injuries in stable patients. Prevention of and early detection and treatment of compartment syndrome remain essential in the recovery of patients with significant peripheral vascular injuries. The decision to perform amputation in patients with mangled extremities remains difficult with few clear indicators. The American Association for the Surgery of Trauma in conjunction with the World Society of Emergency Surgery seeks to summarize the literature to date and provide guidelines on the presentation, diagnosis, and treatment of peripheral vascular injuries. LEVEL OF EVIDENCE Review study, level IV. © Wolters Kluwer Health, Inc. All rights reserved.

Published
2020

31. American Association for the Surgery of Trauma-World Society of Emergency Surgery guidelines on diagnosis and management of abdominal vascular injuries

Author

Kobayashi, L. Coimbra, R. Goes, A.M.O. Reva, V. Santorelli, J. Moore, E.E. Galante, J.M. Abu-Zidan, F. Peitzman, A.B. Ordonez, C.A. Maier, R.V. Di Saverio, S. Ivatury, R. De Angelis, N. Scalea, T. Catena, F. Kirkpatrick, A. Khokha, V. Parry, N. Civil, I. Leppaniemi, A. Chirica, M. Pikoulis, E. Fraga, G.P. Chiarugi, M. Damaskos, D. Cicuttin, E. Ceresoli, M. De Simone, B. Vega-Rivera, F. Sartelli, M. Biffl, W. Ansaloni, L. Weber, D.G. Coccolini, F.

Abstract

Abdominal vascular trauma accounts for a small percentage of military and a moderate percentage of civilian trauma, affecting all age ranges and impacting young adult men most frequently. Penetrating causes are more frequent than blunt in adults, while blunt mechanisms are more common among pediatric populations. High rates of associated injuries, bleeding, and hemorrhagic shock ensure that, despite advances in both diagnostic and therapeutic technologies, immediate open surgical repair remains the mainstay of treatment for traumatic abdominal vascular injuries. Because of their devastating nature, abdominal vascular injuries remain a significant source of morbidity and mortality among trauma patients. The American Association for the Surgery of Trauma in conjunction with the World Society of Emergency Surgery seek to summarize the literature to date and provide guidelines on the presentation, diagnosis, and treatment of abdominal vascular injuries. LEVEL OF EVIDENCE Review study, level IV. © Wolters Kluwer Health, Inc. All rights reserved.

Published
2020

32. 2020 update of the WSES guidelines for the management of acute colonic diverticulitis in the emergency setting

Author

Sartelli, M. Weber, D.G. Kluger, Y. Ansaloni, L. Coccolini, F. Abu-Zidan, F. Augustin, G. Ben-Ishay, O. Biffl, W.L. Bouliaris, K. Catena, R. Ceresoli, M. Chiara, O. Chiarugi, M. Coimbra, R. Cortese, F. Cui, Y. Damaskos, D. De' Angelis, G.L. Delibegovic, S. Demetrashvili, Z. De Simone, B. Di Marzo, F. Di Saverio, S. Duane, T.M. Faro, M.P. Fraga, G.P. Gkiokas, G. Gomes, C.A. Hardcastle, T.C. Hecker, A. Karamarkovic, A. Kashuk, J. Khokha, V. Kirkpatrick, A.W. Kok, K.Y.Y. Inaba, K. Isik, A. Labricciosa, F.M. Latifi, R. Leppäniemi, A. Litvin, A. Mazuski, J.E. Maier, R.V. Marwah, S. McFarlane, M. Moore, E.E. Moore, F.A. Negoi, I. Pagani, L. Rasa, K. Rubio-Perez, I. Sakakushev, B. Sato, N. Sganga, G. Siquini, W. Tarasconi, A. Tolonen, M. Ulrych, J. Zachariah, S.K. Catena, F.

Abstract

Acute colonic diverticulitis is one of the most common clinical conditions encountered by surgeons in the acute setting. An international multidisciplinary panel of experts from the World Society of Emergency Surgery (WSES) updated its guidelines for management of acute left-sided colonic diverticulitis (ALCD) according to the most recent available literature. The update includes recent changes introduced in the management of ALCD. The new update has been further integrated with advances in acute right-sided colonic diverticulitis (ARCD) that is more common than ALCD in select regions of the world. © 2020 The Author(s).

Published
2020

33. COVID-19 the showdown for mass casualty preparedness and management: The Cassandra Syndrome

Author

Coccolini, F. Sartelli, M. Kluger, Y. Pikoulis, E. Karamagioli, E. Moore, E.E. Biffl, W.L. Peitzman, A. Hecker, A. Chirica, M. Damaskos, D. Ordonez, C. Vega, F. Fraga, G.P. Chiarugi, M. Di Saverio, S. Kirkpatrick, A.W. Abu-Zidan, F. Mefire, A.C. Leppaniemi, A. Khokha, V. Sakakushev, B. Catena, R. Coimbra, R. Ansaloni, L. Corbella, D. Catena, F.

Abstract

Since December 2019, the world is potentially facing one of the most difficult infectious situations of the last decades. COVID-19 epidemic warrants consideration as a mass casualty incident (MCI) of the highest nature. An optimal MCI/disaster management should consider all four phases of the so-called disaster cycle: mitigation, planning, response, and recovery. COVID-19 outbreak has demonstrated the worldwide unpreparedness to face a global MCI. This present paper thus represents a call for action to solicitate governments and the Global Community to actively start effective plans to promote and improve MCI management preparedness in general, and with an obvious current focus on COVID-19. © 2020 The Author(s).

Published
2020

34. Diagnosis and treatment of acute appendicitis: 2020 update of the WSES Jerusalem guidelines

Author

Saverio, S. Di, Podda, M., Simone, B. De, Ceresoli, M., Augustin, G., Gori, A., Boermeester, M., Sartelli, M., Coccolini, F., Tarasconi, A., Angelis, N. De', Weber, D.G., Tolonen, M., Birindelli, A., Biffl, W., Moore, E.E., Kelly, M., Soreide, K., Kashuk, J., Broek, R.P. ten, Gomes, C.A., Sugrue, M., Davies, R.J., Damaskos, D., Leppäniemi, A., Kirkpatrick, A., Peitzman, A.B., Fraga, G.P., Maier, R.V., Coimbra, R., Chiarugi, M., Sganga, G., Pisanu, A., Angelis, G.L. De', Tan, E.C.T.H., Goor, H. van, Pata, F., Carlo, I. Di, Chiara, O., Litvin, A., Campanile, F.C., Sakakushev, B., Tomadze, G., Demetrashvili, Z., Latifi, R., Abu-Zidan, F., Romeo, O., Segovia-Lohse, H., Baiocchi, G., Costa, D., Rizoli, S., Balogh, Z.J., Bendinelli, C., Scalea, T., Ivatury, R., Velmahos, G., Andersson, R., Kluger, Y., Ansaloni, L., Catena, F., Saverio, S. Di, Podda, M., Simone, B. De, Ceresoli, M., Augustin, G., Gori, A., Boermeester, M., Sartelli, M., Coccolini, F., Tarasconi, A., Angelis, N. De', Weber, D.G., Tolonen, M., Birindelli, A., Biffl, W., Moore, E.E., Kelly, M., Soreide, K., Kashuk, J., Broek, R.P. ten, Gomes, C.A., Sugrue, M., Davies, R.J., Damaskos, D., Leppäniemi, A., Kirkpatrick, A., Peitzman, A.B., Fraga, G.P., Maier, R.V., Coimbra, R., Chiarugi, M., Sganga, G., Pisanu, A., Angelis, G.L. De', Tan, E.C.T.H., Goor, H. van, Pata, F., Carlo, I. Di, Chiara, O., Litvin, A., Campanile, F.C., Sakakushev, B., Tomadze, G., Demetrashvili, Z., Latifi, R., Abu-Zidan, F., Romeo, O., Segovia-Lohse, H., Baiocchi, G., Costa, D., Rizoli, S., Balogh, Z.J., Bendinelli, C., Scalea, T., Ivatury, R., Velmahos, G., Andersson, R., Kluger, Y., Ansaloni, L., and Catena, F.

Abstract

Contains fulltext : 225845.pdf (publisher's version ) (Open Access), BACKGROUND AND AIMS: Acute appendicitis (AA) is among the most common causes of acute abdominal pain. Diagnosis of AA is still challenging and some controversies on its management are still present among different settings and practice patterns worldwide. In July 2015, the World Society of Emergency Surgery (WSES) organized in Jerusalem the first consensus conference on the diagnosis and treatment of AA in adult patients with the intention of producing evidence-based guidelines. An updated consensus conference took place in Nijemegen in June 2019 and the guidelines have now been updated in order to provide evidence-based statements and recommendations in keeping with varying clinical practice: use of clinical scores and imaging in diagnosing AA, indications and timing for surgery, use of non-operative management and antibiotics, laparoscopy and surgical techniques, intra-operative scoring, and peri-operative antibiotic therapy. METHODS: This executive manuscript summarizes the WSES guidelines for the diagnosis and treatment of AA. Literature search has been updated up to 2019 and statements and recommendations have been developed according to the GRADE methodology. The statements were voted, eventually modified, and finally approved by the participants to the consensus conference and by the board of co-authors, using a Delphi methodology for voting whenever there was controversy on a statement or a recommendation. Several tables highlighting the research topics and questions, search syntaxes, and the statements and the WSES evidence-based recommendations are provided. Finally, two different practical clinical algorithms are provided in the form of a flow chart for both adults and pediatric (< 16 years old) patients. CONCLUSIONS: The 2020 WSES guidelines on AA aim to provide updated evidence-based statements and recommendations on each of the following topics: (1) diagnosis, (2) non-operative management for uncomplicated AA, (3) timing of appendectomy and in-hospital

Published
2020

35. List of Contributors

Author

Alayash, A.I., primary, Alving, B., additional, Armstrong, J.K., additional, Arndt, P.A., additional, Bakker, J.C., additional, Barbucci, R., additional, Biessels, P.T.M., additional, Bleeker, W.K., additional, Bucci, E., additional, Burch, J.M., additional, Burhop, K.E., additional, Caspari, R.F., additional, Chang, T.M.S., additional, Chen, T.J., additional, Cliff, R.O., additional, Cook, B.G., additional, DeWoskin, R., additional, Er, S.S., additional, Fisher, T.C., additional, Fox, P.T., additional, Fratantoni, J.C., additional, Freytag, J.W., additional, Friensenecker, B., additional, Garratty, G., additional, Goda, N., additional, Goins, B., additional, Gorczyns, R.J., additional, Gould, S.A., additional, Greenburg, A.G., additional, Haenel, J.B., additional, Hellums, J.D., additional, Hens, H.J.H., additional, Ho, C., additional, Ho, N.T., additional, Hu, C.K., additional, Ikeda, Y., additional, Intaglietta, M., additional, Ishimura, Y., additional, Jerabek, P.A., additional, Keipert, P.E., additional, Kerger, H., additional, Khalvati, S., additional, Kitabatake, A., additional, Klipper, R., additional, Kobayashi, K., additional, Komatsu, T., additional, Krishnamurti, C., additional, Kwasiboriski, V., additional, Leger, R.M., additional, Lemen, L., additional, Light, W.R., additional, Lowe, K.C., additional, Lukin, J.A., additional, Martin, C., additional, Meiselman, H.J., additional, Moore, E.E., additional, Moore, F.A., additional, Moss, G.S., additional, Murata, M., additional, Nakai, K., additional, Ning, J., additional, Page, T.C., additional, Phillips, W.T., additional, Razynska, A., additional, Riess, J.G., additional, Rudolph, A.S., additional, Sakai, H., additional, Sakuma, I., additional, Schmitz, T.H., additional, Sehgal, H., additional, Sehgal, L., additional, Sekiguchi, S., additional, Suematsu, M., additional, Sun, D.P., additional, Sun, Z.Y., additional, Takaori, M., additional, Takeoka, S., additional, Trouwborst, A., additional, Tsai, A.G., additional, Tsuchida, E., additional, van Iterson, M., additional, Wakabayashi, Y., additional, Winslow, R.M., additional, Wong, L.T., additional, Yu, W.P., additional, and Zou, M., additional

Published
1998
Full Text
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36. The Clinical Utility of Human Polymerized Hemoglobin as a Blood Substitute Following Acute Trauma and Urgent Surgery**Printed with permission from Williams & Wilkins, originally published in the Journal of Trauma 1997, 43(2): 325–332. The clinical utility of human polymerized hemoglobin as a blood substitute following acute trauma and urgent surgery. S.A. Gould, E.E. Moore, F.A. Moore et. al.

Author

Gould, S.A., primary, Moore, E.E., additional, Moore, F.A., additional, Haenel, J.B., additional, Burch, J.M., additional, Sehgal, H., additional, Sehgal, L., additional, DeWoskin, R., additional, and Moss, G.S., additional

Published
1998
Full Text
View/download PDF

37. Comparative cognitive effects of carbamazepine and phenytoin in healthy adults

Author

Meador, K.J., Loring, D.W., Allen, M.E., Zamrini, E.Y., Moore, E.E., Abney, O.L., and King, D.W.

Subjects
Carbamazepine -- Adverse and side effects, Phenytoin -- Adverse and side effects, Cognition -- Physiological aspects, Anticonvulsants -- Adverse and side effects, Health, Psychology and mental health
Abstract

Antiepileptic drugs may have some adverse effects on intellectual function as well as the desired effects on the seizures of epilepsy. Fortunately, the magnitude of these effects is small and epileptic patients taking such drugs generally remain within the normal range of cognitive function. There have been some studies that have suggested that the drug carbamazepine may be superior to phenytoin, producing smaller side effects. However, other studies have failed to confirm this finding. One of the factors that may confound the interpretation of such research results is that the subjects for these studies have been epileptic patients; the epilepsy itself may introduce new variables into the research that cannot be controlled. Researchers have attempted to circumvent this problem by comparing the effects of carbamazepine and phenytoin on groups of normal, healthy volunteers. Twenty-one healthy adults participated in a cross-over study, in which half the patients were randomly assigned to receive one or the other drugs; after a 'wash-out' period, the volunteers then 'crossed-over' to receive the other drug. The cognitive and intellectual function of the subjects was tested using many different neuropsychological tests, each of which focused on some facet of visual perception, memory, reaction time, or other aspects of mental function. The results confirmed that the subjects did not perform as well when taking antiepileptic medications than when taking no medication. However, the study found no significant differences between the two drugs. On most tests, both drugs had similar effects on thinking; however, on one test the subjects taking phenytoin did a little better while on another the volunteers taking carbamazepine performed better. The differences were too small to have any real importance for patients who require these drugs for seizure control. (Consumer Summary produced by Reliance Medical Information, Inc.)

Published
1991

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

Author

Coccolini, F. Kobayashi, L. Kluger, Y. Moore, E.E. Ansaloni, L. Biffl, W. Leppaniemi, A. Augustin, G. Reva, V. Wani, I. Kirkpatrick, A. Abu-Zidan, F. Cicuttin, E. Fraga, G.P. Ordonez, C. Pikoulis, E. Sibilla, M.G. Maier, R. Matsumura, Y. Masiakos, P.T. Khokha, V. Mefire, A.C. Ivatury, R. Favi, F. Manchev, V. Sartelli, M. Machado, F. Matsumoto, J. Chiarugi, M. Arvieux, C. Catena, F. Coimbra, R. Ben-Ishay, O. Tolonen, M. Bertelli, R. Horer, T. Ferrada, P. Di Carlo, I. Pereira, B.M. Parini, D. Montori, G. De Simone, B. Chiara, O. Hecker, A. Deangelis, N. Gomes, C.A. Galante, J. Bala, M. Mylonas, K.S. Pikoulis, A. Perfetti, P. Chirica, M. Bado, J. Inaba, K. Parry, N. Romeo, O. Stommel, M. Rajashekar, M. Tan, E. Salvetti, F. Sakakushev, B.

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. © 2019 The Author(s).

Published
2019

41. Kidney and uro-trauma: WSES-AAST guidelines

Author

Coccolini, F., Moore, E.E., Kluger, Y., Biffl, W., Leppaniemi, A., Matsumura, Y., Kim, F., Peitzman, A.B., Fraga, G.P., Sartelli, M., Ansaloni, L., Augustin, G., Kirkpatrick, A., Abu-Zidan, F., Wani, I., Weber, D., Pikoulis, E., Larrea, M., Arvieux, C., Manchev, V., Reva, V., Coimbra, R., Khokha, V., Mefire, A.C., Ordonez, C., Chiarugi, M., Machado, F., Sakakushev, B., Matsumoto, J., Maier, R., Tan, E.C.T.H., Carlo, I. Di, Catena, F., Coccolini, F., Moore, E.E., Kluger, Y., Biffl, W., Leppaniemi, A., Matsumura, Y., Kim, F., Peitzman, A.B., Fraga, G.P., Sartelli, M., Ansaloni, L., Augustin, G., Kirkpatrick, A., Abu-Zidan, F., Wani, I., Weber, D., Pikoulis, E., Larrea, M., Arvieux, C., Manchev, V., Reva, V., Coimbra, R., Khokha, V., Mefire, A.C., Ordonez, C., Chiarugi, M., Machado, F., Sakakushev, B., Matsumoto, J., Maier, R., Tan, E.C.T.H., Carlo, I. Di, and Catena, F.

Abstract

Contains fulltext : 215819.pdf (publisher's version ) (Open Access), 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

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

Author

Coccolini, F., Kobayashi, L., Kluger, Y., Moore, E.E., Ansaloni, L., Biffl, W., Leppaniemi, A., Augustin, G., Reva, V., Wani, I., Kirkpatrick, A., Abu-Zidan, F., Cicuttin, E., Fraga, G.P., Ordonez, C., Pikoulis, E., Sibilla, M.G., Maier, R., Matsumura, Y., Masiakos, P.T., Khokha, V., Mefire, A.C., Ivatury, R., Favi, F., Manchev, V., Sartelli, M., Machado, F., Matsumoto, J., Chiarugi, M., Arvieux, C., Tan, E.C.T.H., Catena, F., Coimbra, R., Coccolini, F., Kobayashi, L., Kluger, Y., Moore, E.E., Ansaloni, L., Biffl, W., Leppaniemi, A., Augustin, G., Reva, V., Wani, I., Kirkpatrick, A., Abu-Zidan, F., Cicuttin, E., Fraga, G.P., Ordonez, C., Pikoulis, E., Sibilla, M.G., Maier, R., Matsumura, Y., Masiakos, P.T., Khokha, V., Mefire, A.C., Ivatury, R., Favi, F., Manchev, V., Sartelli, M., Machado, F., Matsumoto, J., Chiarugi, M., Arvieux, C., Tan, E.C.T.H., Catena, F., and Coimbra, R.

Abstract

Contains fulltext : 215782.pdf (publisher's version ) (Open Access), 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

43. 2018 WSES/SIS-E consensus conference: Recommendations for the management of skin and soft-tissue infections

Author

Sartelli, M. Guirao, X. Hardcastle, T.C. Kluger, Y. Boermeester, M.A. Raşa, K. Ansaloni, L. Coccolini, F. Montravers, P. Abu-Zidan, F.M. Bartoletti, M. Bassetti, M. Ben-Ishay, O. Biffl, W.L. Chiara, O. Chiarugi, M. Coimbra, R. De Rosa, F.G. De Simone, B. Di Saverio, S. Giannella, M. Gkiokas, G. Khokha, V. Labricciosa, F.M. Leppäniemi, A. Litvin, A. Moore, E.E. Negoi, I. Pagani, L. Peghin, M. Picetti, E. Pintar, T. Pupelis, G. Rubio-Perez, I. Sakakushev, B. Segovia-Lohse, H. Sganga, G. Shelat, V. Sugrue, M. Tarasconi, A. Tranà, C. Ulrych, J. Viale, P. Catena, F.

Abstract

Skin and soft-tissue infections (SSTIs) encompass a variety of pathological conditions that involve the skin and underlying subcutaneous tissue, fascia, or muscle, ranging from simple superficial infections to severe necrotizing infections. SSTIs are a frequent clinical problem in surgical departments. In order to clarify key issues in the management of SSTIs, a task force of experts met in Bertinoro, Italy, on June 28, 2018, for a specialist multidisciplinary consensus conference under the auspices of the World Society of Emergency Surgery (WSES) and the Surgical Infection Society Europe (SIS-E). The multifaceted nature of these infections has led to a collaboration among general and emergency surgeons, intensivists, and infectious disease specialists, who have shared these clinical practice recommendations. © 2018 The Author(s).

Published
2018

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

Author

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

Abstract

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

Published
2018

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

Author

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

Abstract

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

Published
2018
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46. A Global Declaration on Appropriate Use of Antimicrobial Agents across the Surgical Pathway

Author

Sartelli, M. Kluger, Y. Ansaloni, L. Carlet, J. Brink, A. Hardcastle, T.C. Khanna, A. Chicom-Mefire, A. Rodríguez-Baño, J. Nathwani, D. Mendelson, M. Watkins, R.R. Pulcini, C. Beović, B. May, A.K. Itani, K.M.F. Mazuski, J.E. Fry, D.E. Coccolini, F. Rasxa, K. Montravers, P. Eckmann, C. Abbo, L.M. Abubakar, S. Abu-Zidan, F.M. Adesunkanmi, A.K. Al-Hasan, M.N. Althani, A.A. Ticas, J.E.A. Ansari, S. Ansumana, R. Da Silva, A.R.A. Augustin, G. Bala, M. Balogh, Z.J. Baraket, O. Bassetti, M. Bellanova, G. Beltran, M.A. Ben-Ishay, O. Biffl, W.L. Boermeester, M.A. Brecher, S.M. Bueno, J. Cainzos, M.A. Cairns, K. Camacho-Ortiz, A. Ceresoli, M. Chandy, S.J. Cherry-Bukowiec, J.R. Cirocchi, R. Colak, E. Corcione, A. Cornely, O.A. Cortese, F. Cui, Y. Curcio, D. Damaskos, D. Dasx, K. Delibegovic, S. Demetrashvili, Z. De Simone, B. De Souza, H.P. De Waele, J. Dhingra, S. Diaz, J.J. Di Carlo, I. Di Marzo, F. Di Saverio, S. Dogjani, A. Dorj, G. Dortet, L. Duane, T.M. Dupont, H. Egiev, V.N. Eid, H.O. Elmangory, M. El-Sayed Marei, H. Enani, M.A. Escandón-Vargas, K. Faro, M.P., Jr. Ferrada, P. Foghetti, D. Foianini, E. Fraga, G.P. Frattima, S. Gandhi, C. Gattuso, G. Giamarellou, E. Ghnnam, W. Gkiokas, G. Girardis, M. Goff, D.A. Gomes, C.A. Gomi, H. Gronerth, R.I.G. Guirao, X. Guzman-Blanco, M. Haque, M. Hecker, A. Hell, M. Herzog, T. Hicks, L. Kafka-Ritsch, R. Kao, L.S. Kanj, S.S. Kaplan, L.J. Kapoor, G. Karamarkovic, A. Kashuk, J. Kenig, J. Khamis, F. Khokha, V. Kiguba, R. Kirkpatrick, A.W. Kørner, H. Koike, K. Kok, K.Y.Y. Kon, K. Kong, V. Inaba, K. Ioannidis, O. Isik, A. Iskandar, K. Labbate, M. Labricciosa, F.M. Lagrou, K. Lagunes, L. Latifi, R. Lasithiotakis, K. Laxminarayan, R. Lee, J.G. Leone, M. Leppäniemi, A. Li, Y. Liang, S.Y. Liau, K.-H. Litvin, A. Loho, T. Lowman, W. Machain, G.M. Maier, R.V. Manzano-Nunez, R. Marinis, A. Marmorale, C. Martin-Loeches, I. Marwah, S. Maseda, E. McFarlane, M. De Melo, R.B. Melotti, M.R. Memish, Z. Mertz, D. Mesina, C. Menichetti, F. Mishra, S.K. Montori, G. Moore, E.E. Moore, F.A. Naidoo, N. Napolitano, L. Negoi, I. Nicolau, D.P. Nikolopoulos, I. Nord, C.E. Ofori-Asenso, R. Olaoye, I. Omari, A.H. Ordoñez, C.A. Ouadii, M. Ouedraogo, A.-S. Pagani, L. Paiva, J.A. Parreira, J.G. Pata, F. Pereira, J. Pereira, N.R. Petrosillo, N. Picetti, E. Pintar, T. Ponce-De-Leon, A. Popovski, Z. Poulakou, G. Preller, J. Guerrero, A.P. Pupelis, G. Quiodettis, M. Rawson, T.M. Reichert, M. Reinhart, K. Rems, M. Rello, J. Rizoli, S. Roberts, J. Rubio-Perez, I. Ruppé, E. Sakakushev, B. Sall, I. Kafil, H.S. Sanders, J. Sato, N. Sawyer, R.G. Scalea, T. Scibé, R. Scudeller, L. Lohse, H.S. Sganga, G. Shafiq, N. Shah, J.N. Spigaglia, P. Suroowan, S. Tsioutis, C. Sifri, C.D. Siribumrungwong, B. Sugrue, M. Talving, P. Tan, B.K. Tarasconi, A. Tascini, C. Tilsed, J. Timsit, J.-F. Tumbarello, M. Trung, N.T. Ulrych, J. Uranues, S. Velmahos, G. Vereczkei, A.G. Viale, P. Estape, J.V. Viscoli, C. Wagenlehner, F. Wright, B.J. Xiao, Y. Yuan, K.-C. Zachariah, S.K. Zahar, J.R. Mergulhão, P. Catena, F.

Abstract

This declaration, signed by an interdisciplinary task force of 234 experts from 83 different countries with different backgrounds, highlights the threat posed by antimicrobial resistance and the need for appropriate use of antibiotic agents and antifungal agents in hospitals worldwide especially focusing on surgical infections. As such, it is our intent to raise awareness among healthcare workers and improve antimicrobial prescribing. To facilitate its dissemination, the declaration was translated in different languages. © Copyright 2017, Mary Ann Liebert, Inc.

Published
2017

47. Erratum: Antimicrobials: A global alliance for optimizing their rational use in intra-abdominal infections (AGORA). [World J Emerg Surg. 11, (2016) (33)] DOI: 10.1186/s13017-016-0089-y

Author

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

Subjects
lipids (amino acids, peptides, and proteins)
Abstract

The original article [1] contains an error whereby a co-author, Boris Sakakushev has their family name spelt incorrectly as 'Sakakhushev'. The authors would therefore like it known that the correct spelling of the family name is 'Sakakushev'. © The Author(s).

Published
2017

48. WSES Guidelines for the management of acute left sided colonic diverticulitis in the emergency setting

Author

Sartelli, M. Catena, F. Ansaloni, L. Coccolini, F. Griffiths, E.A. Abu-Zidan, F.M. Di Saverio, S. Ulrych, J. Kluger, Y. Ben-Ishay, O. Moore, F.A. Ivatury, R.R. Coimbra, R. Peitzman, A.B. Leppaniemi, A. Fraga, G.P. Maier, R.V. Chiara, O. Kashuk, J. Sakakushev, B. Weber, D.G. Latifi, R. Biffl, W. Bala, M. Karamarkovic, A. Inaba, K. Ordonez, C.A. Hecker, A. Augustin, G. Demetrashvili, Z. Melo, R.B. Marwah, S. Zachariah, S.K. Shelat, V.G. McFarlane, M. Rems, M. Gomes, C.A. Faro, M.P. Pereira Júnior, G.A. Negoi, I. Cui, Y. Sato, N. Vereczkei, A. Bellanova, G. Birindelli, A. Di Carlo, I. Kok, K.Y. Gachabayov, M. Gkiokas, G. Bouliaris, K. Çolak, E. Isik, A. Rios-Cruz, D. Soto, R. Moore, E.E.

Abstract

Acute left sided colonic diverticulitis is one of the most common clinical conditions encountered by surgeons in acute setting. A World Society of Emergency Surgery (WSES) Consensus Conference on acute diverticulitis was held during the 3rd World Congress of the WSES in Jerusalem, Israel, on July 7th, 2015. During this consensus conference the guidelines for the management of acute left sided colonic diverticulitis in the emergency setting were presented and discussed. This document represents the executive summary of the final guidelines approved by the consensus conference. © 2016 The Author(s).

Published
2016

49. The management of intra-abdominal infections from a global perspective: 2017 WSES guidelines for management of intra-abdominal infections

Author

Sartelli, M., Chichom-Mefire, A., Labricciosa, F.M., Hardcastle, T., Abu-Zidan, F.M., Adesunkanmi, A.K., Ansaloni, L., Bala, M., Balogh, Z.J., Beltran, M.A., Ben-Ishay, O., Biffl, W.L., Birindelli, A., Cainzos, M.A., Catalini, G., Ceresoli, M., Che Jusoh, A., Chiara, O., Coccolini, F., Coimbra, R., Cortese, F., Demetrashvili, Z., Saverio, S. Di, Diaz, J.J., Egiev, V.N., Ferrada, P., Fraga, G.P., Ghnnam, W.M., Lee, J.G., Gomes, C.A., Hecker, A., Herzog, T., Kim, J.I., Inaba, K., Isik, A., Karamarkovic, A., Kashuk, J., Khokha, V., Kirkpatrick, A.W., Kluger, Y., Koike, K., Kong, V.Y., Leppaniemi, A., Machain, G.M., Maier, R.V., Marwah, S., McFarlane, M.E., Montori, G., Moore, E.E., Negoi, I., Olaoye, I., Omari, A.H., Ordonez, C.A., Pereira, B.M., Junior, G.A., Pupelis, G., Reis, T., Sakakhushev, B., Sato, N., Segovia Lohse, H.A., Shelat, V.G., Soreide, K., Uhl, W., Ulrych, J., Goor, H. van, Velmahos, G.C., Yuan, K.C., Wani, I., Weber, D.G., Zachariah, S.K., Catena, F., Sartelli, M., Chichom-Mefire, A., Labricciosa, F.M., Hardcastle, T., Abu-Zidan, F.M., Adesunkanmi, A.K., Ansaloni, L., Bala, M., Balogh, Z.J., Beltran, M.A., Ben-Ishay, O., Biffl, W.L., Birindelli, A., Cainzos, M.A., Catalini, G., Ceresoli, M., Che Jusoh, A., Chiara, O., Coccolini, F., Coimbra, R., Cortese, F., Demetrashvili, Z., Saverio, S. Di, Diaz, J.J., Egiev, V.N., Ferrada, P., Fraga, G.P., Ghnnam, W.M., Lee, J.G., Gomes, C.A., Hecker, A., Herzog, T., Kim, J.I., Inaba, K., Isik, A., Karamarkovic, A., Kashuk, J., Khokha, V., Kirkpatrick, A.W., Kluger, Y., Koike, K., Kong, V.Y., Leppaniemi, A., Machain, G.M., Maier, R.V., Marwah, S., McFarlane, M.E., Montori, G., Moore, E.E., Negoi, I., Olaoye, I., Omari, A.H., Ordonez, C.A., Pereira, B.M., Junior, G.A., Pupelis, G., Reis, T., Sakakhushev, B., Sato, N., Segovia Lohse, H.A., Shelat, V.G., Soreide, K., Uhl, W., Ulrych, J., Goor, H. van, Velmahos, G.C., Yuan, K.C., Wani, I., Weber, D.G., Zachariah, S.K., and Catena, F.

Abstract

Contains fulltext : 175669.pdf (publisher's version ) (Open Access), Intra-abdominal infections (IAIs) are common surgical emergencies and have been reported as major contributors to non-trauma deaths in the emergency departments worldwide. The cornerstones of effective treatment of IAIs are early recognition, adequate source control, and appropriate antimicrobial therapy. Prompt resuscitation of patients with ongoing sepsis is of utmost important. In hospitals worldwide, non-acceptance of, or lack of access to, accessible evidence-based practices and guidelines result in overall poorer outcome of patients suffering IAIs. The aim of this paper is to promote global standards of care in IAIs and update the 2013 WSES guidelines for management of intra-abdominal infections.

Published
2017

50. 2017 update of the WSES guidelines for emergency repair of complicated abdominal wall hernias

Author

Birindelli, A. (Arianna), Sartelli, M. (Massimo), Di Saverio, S. (Salomone), Coccolini, F. (Federico), Ansaloni, L. (Luca), Ramshorst, G.H. (Gabrielle) van, Campanelli, G. (Giampiero), Khokha, V. (Vladimir), Moore, E.E. (Ernest), Peitzman, A.B. (Andrew), Velmahos, G.C. (George ), Moore, F.A. (Frederick), Leppaniemi, A. (Ari), Burlew, C.C. (Clay), Biffl, W.L. (Walter), Koike, K. (Kaoru), Kluger, Y. (Yoram), Fraga, G.P. (Gustavo), Ordonez, C.A. (Carlos A.), Novello, M. (Matteo), Agresta, F., Sakakushev, B. (Boris), Gerych, I. (Igor), Wani, I. (Imtiaz), Kelly, M.D. (Michael D.), Gomes, C.A. (Carlos Augusto), Faro Jr., M.P. (Mario), Tarasconi, A. (Antonio), Demetrashvili, Z. (Zaza), Lee, J.G. (Jae Gil), Vettoretto, N. (Nereo), Guercioni, G. (Gianluca), Persiani, R. (Roberto), Tranà, C. (Cristian), Cui, Y. (Yunfeng), Kok, K.Y.Y. (Kenneth), Ghnnam, W.M. (Wagih), Abbas, A.E.-S. (Ashraf El-Sayed), Sato, N. (Norio), Marwah, S. (Sanjay), Rangarajan, M. (Muthukumaran), Ben-Ishay, O. (Offir), Adesunkanmi, A.R.K. (Abdul Rashid), Lohse, H.A.S. (Helmut Alfredo Segovia), Kenig, J. (Jakub), Mandalà, V. (Vincenzo), Coimbra, R. (Raul), Bhangu, A. (Aneel), Suggett, N. (Nigel), Biondi, A. (Antonio), Portolani, N. (Nazario), Baiocchi, G. (Gianluca), Kirkpatrick, A.W. (Andrew W.), Scibé, R. (Rodolfo), Sugrue, M. (Michael), Chiara, O. (Osvaldo), Catena, F. (Fausto), Birindelli, A. (Arianna), Sartelli, M. (Massimo), Di Saverio, S. (Salomone), Coccolini, F. (Federico), Ansaloni, L. (Luca), Ramshorst, G.H. (Gabrielle) van, Campanelli, G. (Giampiero), Khokha, V. (Vladimir), Moore, E.E. (Ernest), Peitzman, A.B. (Andrew), Velmahos, G.C. (George ), Moore, F.A. (Frederick), Leppaniemi, A. (Ari), Burlew, C.C. (Clay), Biffl, W.L. (Walter), Koike, K. (Kaoru), Kluger, Y. (Yoram), Fraga, G.P. (Gustavo), Ordonez, C.A. (Carlos A.), Novello, M. (Matteo), Agresta, F., Sakakushev, B. (Boris), Gerych, I. (Igor), Wani, I. (Imtiaz), Kelly, M.D. (Michael D.), Gomes, C.A. (Carlos Augusto), Faro Jr., M.P. (Mario), Tarasconi, A. (Antonio), Demetrashvili, Z. (Zaza), Lee, J.G. (Jae Gil), Vettoretto, N. (Nereo), Guercioni, G. (Gianluca), Persiani, R. (Roberto), Tranà, C. (Cristian), Cui, Y. (Yunfeng), Kok, K.Y.Y. (Kenneth), Ghnnam, W.M. (Wagih), Abbas, A.E.-S. (Ashraf El-Sayed), Sato, N. (Norio), Marwah, S. (Sanjay), Rangarajan, M. (Muthukumaran), Ben-Ishay, O. (Offir), Adesunkanmi, A.R.K. (Abdul Rashid), Lohse, H.A.S. (Helmut Alfredo Segovia), Kenig, J. (Jakub), Mandalà, V. (Vincenzo), Coimbra, R. (Raul), Bhangu, A. (Aneel), Suggett, N. (Nigel), Biondi, A. (Antonio), Portolani, N. (Nazario), Baiocchi, G. (Gianluca), Kirkpatrick, A.W. (Andrew W.), Scibé, R. (Rodolfo), Sugrue, M. (Michael), Chiara, O. (Osvaldo), and Catena, F. (Fausto)

Abstract

Emergency repair of complicated abdominal wall hernias may be associated with worsen outcome and a significant rate of postoperative complications. There is no consensus on management of complicated abdominal hernias. The main matter of debate is about the use of mesh in case of intestinal resection and the type of mesh to be used. Wound infe

Published
2017
Full Text
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