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4. Delphi consensus statement for understanding and managing the subcostal hernia: subcostal hernias collaborative report (scholar study)

Author

Baig, S. J., Kulkarni, G. V., Priya, P., Afaque, M. Y., Bueno-Lledo, J., Chintapatla, S., de Beaux, A., Gandhi, J. A., Urena, M. A. Garcia, Hammond, T. M., Lomanto, D., Liu, R., Mehta, A., Miserez, M., Montgomery, A., Morales-conde, S., Palanivelu, C., Pauli, E. M., Rege, S. A., Renard, Y., Rosen, M., Sanders, D. L., Singhal, V. K., Slade, D. A. J., Warren, O. J., and Wijerathne, S.

Published
2024
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5. Intensive pre-operative information course (IPIC) and pre-operative weight loss results in long-term sustained weight loss following bariatric surgery: 11 years results from a tertiary referral centre

Author

Lucocq, James, Thakur, Vikram, Geropoulos, Georgios, Stansfield, Daniel, Irvine, Laura, Duxbury, Mhairi, de Beaux, Andrew C., Tulloh, Bruce, Wallace, Beverley, Joyce, Brian, Harrow, Lisa, Drummond, Gillian, Lamb, Peter J., and Robertson, Andrew G.

Published
2024
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9. ENGINE—An EHS Project for Future Guidelines

Author

Cesare Stabilini, Stavros Antoniou, Frederik Berrevoet, Marja Boermeester, Umberto Bracale, Andrew de Beaux, Barbora East, Hakan Gök, Manuel Lopez Cano, Filip Muysoms, Sara Capoccia Giovannini, and Maarten Simons

Subjects
hernia, guidelines, GRADE method, recommandations, methodology, Specialties of internal medicine, RC581-951
Abstract

Clinical guidelines are evidence-based recommendations developed by healthcare organizations or expert panels to assist healthcare providers and patients in making appropriate and reliable decisions regarding specific health conditions, aiming to enhance the quality of healthcare by promoting best practices, reducing variations in care, and at the same time, allowing tailored clinical decision-making. European Hernia Society (EHS) guidelines aim to provide surgeons a reliable set of answers to their pertinent clinical questions and a tool to base their activity as experts in the management of abdominal wall defects. The traditional approach to guideline production is based on gathering key opinion leader in a particular field, to address a number of key questions, appraising papers, presenting evidence and produce final recommendations based on the literature and consensus. The Grading of Recommendations Assessment, Development and Evaluation (GRADE) method offers a transparent and structured process for developing and presenting evidence summaries and for carrying out the steps involved in developing recommendations. Its main strength lies in guiding complex judgments that balance the need for simplicity with the requirement for complete and transparent consideration of all important issues. EHS guidelines are of overall good quality but the application of GRADE method, began with EHS guidelines on open abdomen, and the increasing adherence to the process, has greatly improved the reliability of our guidelines. Currently, the need to application of this methodology and the creation of stable and dedicated group of researchers interested in following GRADE in the production of guidelines has been outlined in the literature. Considering that the production of clinical guidelines is a complex process, this paper aim to highlights the primary features of guideline production, GRADE methodology, the challenges associated with their adoption in the field of hernia surgery and the project of the EHS to establish a stable guidelines committee to provide technical and methodological support in update of previously published guideline or the creation of new ones.

Published
2024
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12. Certified Fellowship in Abdominal Wall Surgery—A Collaboration Between the UEMS and the European Hernia Society

Author

Ferdinand Köckerling, Salvador Morales-Conde, Maarten Simons, Daniel Casanova, Barbora East, Andrew de Beaux, Nadia Henriksen, Sebastian Roka, and Arthur Felice

Subjects
abdominal wall surgery, fellowship, examination, hernia specialists, education, Specialties of internal medicine, RC581-951
Abstract

Background: Abdominal wall surgery (AWS) is characterised by the increasing caseload and the complexity of the surgical procedures. The introduction of a tailored approach to AWS utilising laparoendoscopic, robotic and/or open techniques requires the surgeon to master several surgical techniques. All of which have an associated learning curve, and the necessary knowledge/experience to know which operation is the right one for the individual patient. However, the reality in general surgery training shows that training in just a limited number of procedures is not enough. By the end of general surgery training, many chief residents do not feel they are yet ready to carry out surgery independently. Therefore, hernia surgery experts and societies have called for the introduction of a Fellowship in Abdominal Wall Surgery.Methods: The UEMS (Union Européenne des Médecins Spécialistes, European Union of Medical Specialists) in collaboration with the European Hernia Society (EHS) introduced a fellowship by examination in 2019. As a prerequisite, candidates must complete further training of at least 2 years with a special focus on abdominal wall surgery after having completed their training in general surgery. To be eligible for the examination, candidates must provide evidence of having performed 300 hernia procedures. In addition, candidates must have accrued sufficient “knowledge points” by attending abdominal wall surgery congresses, courses and clinical visitations, and engaged in scientific activities. On meeting the requirements, a candidate may be admitted to the written and oral examination.Results: To date, three examinations have been held on the occasion of the Annual Congress of the European Hernia Society in Copenhagen (2021), Manchester (2022) and Barcelona (2023). Having met the requirements, 48 surgeons passed the written and oral examination and were awarded the Fellow European Board of Surgery—Abdominal Wall Surgery certificate. During this time period, a further 25 surgeons applied to sit the examination but did not fulfil all the criteria to be eligible for the examination. Fifty experienced abdominal wall surgeons applied to become an Honorary Fellow European Board of Surgery—Abdominal Wall Surgery. Fourty eight were successful in their application.Conclusion: The Fellowship of the European Board of Surgery - Abdominal Wall Surgery by examination has been successfully introduced at European level by the joint work of the UEMS and the EHS. The examination is also open to surgeons who work outside the European area, if they can fulfil the eligibility criteria.

Published
2024
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15. Hernia Basecamp—A Free to Use, Online Hernia Learning Platform. Analysis of Its Use Since Launch in June 2021

Author

A. de Beaux, S. Becker, T. Parent, G. Temporal, R. Kummer, C. Allouard, and B. East

Subjects
Hernia Basecamp, UEMS, education, WebSurg, continuing medical education, Specialties of internal medicine, RC581-951
Abstract

Introduction: Hernia Basecamp is an online learning platform hosted within the WebSurg website. One of the drivers of its development was to cover the syllabus of the UEMS AWS examination, but it is a learning resource in its own right. There are currently 205 video lectures, with a number of them selected to create 10 modules of 3 h each with UEMS CME accreditation. The aim of this study was to review the Hernia Basecamp usage since launch in June 2021.Methods: The Hernia Basecamp WebSurg platform was interrogated using Matomo Analytics in January 2023 (19 month period since launch). Data on the number of visits, pages looked at and time spent on the platform per visit, along with the number of CME modules taken and passed were collected.Results: Users from 146 countries visited the Hernia Basecamp site 17,171 times (6,586 times, 38.4% in first 9 months). The top 5 countries by visitors were the United Kingdom, Mexico, Spain, United States and Germany (accounting for 29.4% of the visits). The average time spent per visit was 11 min 37 s (range: 47 s–49 min 4 s), and the number of pages/videos viewed per visit was 8.1 (range: 2–21). The number of UEMS CME modules taken was 675, and 326 (48%) of these tests were passed.Conclusion: In the first 19 months from launch, Hernia Basecamp provided over 3,000 h of hernia education. The UEMS approved CME accreditation tests were commonly used.

Published
2023
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16. The Women Making Their Mark in Modern Scottish Medical History

Author

Stephanie Au and Andrew de Beaux

Subjects
gender disparity, diversity, women in surgery, women in medicine, medical history, Specialties of internal medicine, RC581-951
Abstract

Introduction: Women in medicine and surgery are a recent phenomenon. The aim of this study was to review the modern history of pioneering women in medicine and surgery in Scotland.Methods: A variety of sources were searched including Google, PubMed, and the Royal College of Surgeons of Edinburgh publications to source the material for this paper.Results: Despite over five centuries of Scottish universities offering medical degrees, women have only had the right to study medicine for 150 years. However, the lives of women pioneers who either circumnavigated or surmounted this inequality, namely, “James Barry” and Sophia Jex-Blake, are briefly told.Conclusion: Doctors today owe a debt to those who pushed the boundaries, challenged the unfair rules and tackled institutional gender inequality in medicine. Reading about their lives and work is uplifting.

Published
2023
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17. PROsthetic MEsh Reinforcement in elective minimally invasive paraesophageal hernia repair (PROMER): an international survey

Author

Alberto, A, Davide, B, Andrea, S, Luigi, B, Null, N, Abate, E, Abdelsamad, A, Abughararah, T, Aguzzi, M, Aiolfi, A, Al-Ameri, A, Alexandru, B, Ambe, P, Analatos, A, Andreuccetti, J, Andreucci, E, Anestiadou, E, Antonelli, A, Antoniou, S, Aprea, G, Arroyo Murillo, G, Attwood, S, Augustin, G, Ayiomamitis, G, Baldini, E, Balla, A, Barone, M, Basile, F, Benedetti, L, Bergna, A, Beyer, K, Biondi, A, Null, S, Birk, D, Bjelovic, M, Bona, D, Bonavina, L, Bonitta, G, Boyle, N, Brisinda, G, Bruni Piero, G, Bullock, J, Butt, W, Caballero Javier, M, Calabrese, D, Calini, G, Calu, V, Cammarata, F, Cammarata, R, Campanelli, G, Capuano, M, Carannante, F, Carbone, L, Casati, M, Casoni Pattacini, G, Castoro, C, Cavalli, M, Cayre, L, Celotti, A, Celotti, S, Cestaro, G, Chamzin, A, Charalampakis, V, Chooklin, S, Christodoulou, P, Cianci, P, Cicconi, S, Cillara, N, Cinardi, N, Cirri, S, Clementi, M, Colombari, R, Colucci, N, Conte Luigi, E, Contine, A, Coppola, A, Corallino, D, D'Acapito, F, Dajti, I, Dalmonte, G, Damiani, R, Danelli, P, Davakis, S, De Beaux, A, De Bernardi, S, De Leonardis, M, De Simone, B, Del Basso, C, Dellaportas, D, Depypere, L, Desio, M, Di Maggio, F, Di Paola, M, Dinuzzi Vincenza, P, D'Journo Xavier, B, Durup, J, El Boghdady, M, Elshafei, M, Erodotou, M, Farfaglia, R, Farolfi, T, Fernicola, A, Ferrari, D, Fleres, F, Forcignanó, E, Fortuna, L, Fransvea, P, Frazzetta, G, Furlan, N, Galfrascoli, E, Gantxegi, A, Garbarino Giovanni, M, Garcia-Urena Miguel, A, Garulli, G, Georges, D, Gerogiannis, I, Giordano, A, Gisbertz, S, Giuffrida, M, Gomes Carlos, A, Gómez Aurelio Francisco, A, Grasso, F, Griffiths, E, Grimminger, P, Gronnier, C, Guerci, C, Guerrazzi, G, Guraj, J, Gutschow, C, Habeeb, T, Haist, T, Haltmeier, T, Hasnaoui, A, Hedberg, J, Holsher, A, Houghton, C, Iacob, G, Ioannidis, A, Ioannidis, O, Johansson, J, Kamiya, S, Kapiris, S, Kelly, M, Kockerling, F, Kollmann, D, Korkolis, D, Kotidis, E, Kristo, I, Kykalos, S, Labenz, J, Lagoussis, P, Lapatsanis, D, Laracca Giovanni, G, Lasithiotakis, K, Lehman, T, Levy, J, Liberatore, E, Lieven, D, Linardoutsos, D, Lipham, J, Lister, D, Litvin, A, Locatelli, A, Lombardo, F, Lorenzon, L, Lucchi, A, Luyer, M, Macchitella, Y, Machairas, N, Maggi, F, Mala, T, Mamidanna, R, Manara, M, Mandi Draga, M, Manfredelli, S, Manzo Carlo, A, Maradona, D, Marano, L, Margaris, I, Markar, S, Martines, G, Mastrosimone, A, Materazzo, M, Mazzarella, G, Mazzitelli, G, Mega, M, Menasherov, N, Meyer, J, Michalopoulos, N, Micheletto, G, Milone, M, Mitura, K, Mongelli, F, Montori, G, Montuori, M, Morandi, E, Mulita, F, Muller Beat, P, Nafteux, P, Niki, C, Novia, M, Ntourakis, D, Oddi Fabio, M, Oesterballe, L, Ogliari, C, Olmi, S, Olmo, G, Orlando, F, Ortenzi, M, Pagkratis, S, Palomba, G, Paniccia, F, Papadoliopoulou, M, Parreño-Manchado, F, Pavanello, M, Pecchini, F, Pech, O, Pedrazzani, C, Peloso, A, Peltrini, R, Pera, M, Pérez Quintero, R, Pérez Romero, N, Petagna, L, Petrucciani, N, Philippe, N, Picardi, B, Piccoli, M, Pinotti, E, Podda, M, Pohl, D, Popa, A, Popa, C, Popescu Razvan, C, Porro, M, Porta, M, Pozzo, G, Priego, P, Provenzano, L, Raine, A, Ramu, G, Räsänen, J, Rausa, E, Reitano, E, Riegler, M, Riva Carlo, G, Robb, W, Rosati, R, Rouvelas, I, Ruurda, J, Saluk, S, Salvador, R, Sartori, A, Saullo, P, Schena Carlo, A, Schizas, D, Schlanger, D, Schlottmann, F, Schoppmann, S, Shabat, G, Signorini, F, Simic, A, Singhal, R, Sinicropi, T, Sipitco, N, Skrobic, O, Slava, B, Sotiropoulou, M, Souadka, A, Sozzi, A, Spampinato Marcello, G, Sundbom, M, Surlin, V, Talavera-Urquijo, E, Tamburini, N, Tebala, G, Theodorou, A, Theodorou, D, Tirelli, F, Tolone, S, Trapani, V, Triantafyllou, T, Trujillo-Díaz, J, Tucceri Cimini, I, Uggeri, F, Uzunoglu Mustafa, Y, Vailas, M, Valente, M, van Berge Henegouwen, M, Van Daele, E, van Hillegersberg, R, Van Veer, H, Vanommeslaeghe, H, Verdi, D, Verras, G, Vicente, I, Viswanath, Y, Viti, M, Yang, W, Yiğit, D, Yoiris, A, Young, R, Zappa Marco, A, Zarras, K, Zehetner, J, Aiolfi, Alberto, Bona, Davide, Sozzi, Andrea, Bonavina, Luigi, null, null, Emmanuele, Abate, Ahmed, Abdelsamad, Tariq, Abughararah, Martina, Aguzzi, Alberto, Aiolfi, Abdulahad, Al-Ameri, Blidisel, Alexandru, Peter C. , Ambe, Apostolos, Analatos, Jacopo, Andreuccetti, Eleonora, Andreucci, Elissavet, Anestiadou, Amedeo, Antonelli, Stavros A. , Antoniou, Giovanni, Aprea, Gabriela, Arroyo Murillo, Stephen, Attwood, Goran, Augustin, Georgios, Ayiomamitis, Edoardo, Baldini, Andrea, Balla, Mirko, Barone, Francesco, Basile, Laura, Benedetti, Alessandro, Bergna, Katharina, Beyer, Antonio, Biondi, Santino A. , null, Dieter, Birk, Milos, Bjelovic, Davide, Bona, Luigi, Bonavina, Gianluca, Bonitta, Nicholas, Boyle, Giuseppe, Brisinda, Giovanni, Bruni Piero, Jackie, Bullock, Waqas T, Butt, Martínez, Caballero Javier, Daniela, Calabrese, Giacomo, Calini, Valentin, Calu, Francesco, Cammarata, Roberto, Cammarata, Giampiero, Campanelli, Marianna, Capuano, Filippo, Carannante, Ludovico, Carbone, Massimiliano, Casati, Gianmaria, Casoni Pattacini, Carlo, Castoro, Marta, Cavalli, Luigi, Cayre, Andrea, Celotti, Simone, Celotti, Giovanni, Cestaro, Alexandros, Chamzin, Vasileios, Charalampakis, Serge, Chooklin, Prokopis, Christodoulou, Pasquale, Cianci, Simone, Cicconi, Nicola, Cillara, Nicola, Cinardi, Silvia, Cirri, Marco, Clementi, Renan, Colombari, Nicola, Colucci, Eduardo, Conte Luigi, Alessandro, Contine, Alessandro, Coppola, Diletta, Corallino, Fabrizio, D'Acapito, Irida, Dajti, Giorgio, Dalmonte, Riccardo, Damiani, Piergiorgio, Danelli, Spyridon, Davakis, Andrew, De Beaux, Sara, De Bernardi, Martina, De Leonardis, Belinda, De Simone, Celeste, Del Basso, Dionysios, Dellaportas, Lieven, Depypere, Matteo, Desio, Francesco, Di Maggio, Massimiliano, Di Paola, Paola, Dinuzzi Vincenza, Benoit, D'Journo Xavier, Jesper, Durup, Michael, El Boghdady, Moustafa, Elshafei, Maria, Erodotou, Roberto, Farfaglia, Tommaso, Farolfi, Agostino, Fernicola, Davide, Ferrari, Francesco, Fleres, Edoardo, Forcignanó, Laura, Fortuna, Pietro, Fransvea, Giuseppe, Frazzetta, Niccolò, Furlan, Elisa, Galfrascoli, Amaia, Gantxegi, Maria, Garbarino Giovanni, Angel, Garcia-Urena Miguel, Gianluca, Garulli, Decker, Georges, Ioannis, Gerogiannis, Alessio, Giordano, Susanne, Gisbertz, Mario, Giuffrida, Augusto, Gomes Carlos, Aranzana, Gómez Aurelio Francisco, Federica, Grasso, Ewen A, Griffiths, Peter, Grimminger, Caroline, Gronnier, Claudio, Guerci, Guglielmo, Guerrazzi, Juxhin, Guraj, Christian, Gutschow, Tamer. A. A. M. , Habeeb, Thomas, Haist, Tobias, Haltmeier, Anis, Hasnaoui, Jakob, Hedberg, Arnulf, Holsher, Caitlin, Houghton, Giulio, Iacob, Argyrios, Ioannidis, Orestis, Ioannidis, Jan, Johansson, Satoshi, Kamiya, Stylianos, Kapiris, Michael, Kelly, Ferdinand, Kockerling, Dagmar, Kollmann, Dimitris P. , Korkolis, Efstathios, Kotidis, Ivan, Kristo, Stylianos, Kykalos, Joachim, Labenz, Pavlos, Lagoussis, Dimitris P. , Lapatsanis, Guglielmo, Laracca Giovanni, Konstantinos, Lasithiotakis, Thorsten, Lehman, Jonathan, Levy, Edoardo, Liberatore, Depypere, Lieven, Dimitrios, Linardoutsos, John, Lipham, Dan, Lister, Andrey, Litvin, Andrea, Locatelli, Francesca, Lombardo, Laura, Lorenzon, Andrea, Lucchi, Misha, Luyer, Yuri, Macchitella, Nikolaos, Machairas, Federico, Maggi, Tom, Mala, Ravikrishna, Mamidanna, Michele, Manara, Maria, Mandi Draga, Simone, Manfredelli, Alberto, Manzo Carlo, Diego, Maradona, Luigi, Marano, Ioannis, Margaris, Sheraz R. , Markar, Gennaro, Martines, Achille, Mastrosimone, Marco, Materazzo, Gennaro, Mazzarella, Giulia, Mazzitelli, Manuel, Mega, Nikolai, Menasherov, Jeremy, Meyer, Nikolaos V, Michalopoulos, Giancarlo, Micheletto, Marco, Milone, Kryspin, Mitura, Francesco, Mongelli, Giulia, Montori, Mauro, Montuori, Emanuele, Morandi, Francesk, Mulita, Peter, Muller Beat, Philippe, Nafteux, Christou, Niki, Martina, Novia, Dimitrios, Ntourakis, Massimo, Oddi Fabio, Lene, Oesterballe, Cristina, Ogliari, Stefano, Olmi, Giorgia, Olmo, Francesco, Orlando, Monica, Ortenzi, Spyros, Pagkratis, Giuseppe, Palomba, Federico, Paniccia, Maria, Papadoliopoulou, Felipe C, Parreño-Manchado, Maurizio, Pavanello, Francesca, Pecchini, Oliver, Pech, Corrado, Pedrazzani, Andrea, Peloso, Roberto, Peltrini, Manuel, Pera, Rocío, Pérez Quintero, Noela, Pérez Romero, Lorenzo, Petagna, Niccolo, Petrucciani, Nafteux, Philippe, Biagio, Picardi, Micaela, Piccoli, Enrico, Pinotti, Mauro, Podda, Daniel, Pohl, Andrei, Popa, Calin, Popa, Catalin, Popescu Razvan, Matteo, Porro, Matteo, Porta, Gabriele, Pozzo, Pablo, Priego, Luca, Provenzano, Aldo, Raine, Gopi, Ramu, Jari, Räsänen, Emanuele, Rausa, Elisa, Reitano, Martin, Riegler, Galdino, Riva Carlo, William, Robb, Riccardo, Rosati, Ioannis, Rouvelas, Jelle P. , Ruurda, Slawomir, Saluk, Renato, Salvador, Alberto, Sartori, Paolina, Saullo, Alberto, Schena Carlo, Dimitrios, Schizas, Diana, Schlanger, Francisco, Schlottmann, Sebastian F. , Schoppmann, Galyna, Shabat, Franco, Signorini, Aleksandar, Simic, Rishi, Singhal, Teresa, Sinicropi, Natalia, Sipitco, Ognjan, Skrobic, Bard, Slava, Maria, Sotiropoulou, Amine, Souadka, Andrea, Sozzi, Giuseppe, Spampinato Marcello, Magnus, Sundbom, Valeriu, Surlin, Eider, Talavera-Urquijo, Nicola, Tamburini, Giovanni, Tebala, Alexis, Theodorou, Dimitrios, Theodorou, Flavio, Tirelli, Salvatore, Tolone, Vincenzo, Trapani, Tania, Triantafyllou, Jeancarlos, Trujillo-Díaz, Irene, Tucceri Cimini, Fabio, Uggeri, Yener, Uzunoglu Mustafa, Michail, Vailas, Marina, Valente, Mark, van Berge Henegouwen, Elke, Van Daele, Richard, van Hillegersberg, Hans, Van Veer, Hanne, Vanommeslaeghe, Daunia, Verdi, Georgios, Verras, Irune, Vicente, Yirupaiahgari, Viswanath, Matteo, Viti, Wah, Yang, Direnç, Yiğit, Ariel, Yoiris, Richard, Young, Antonio, Zappa Marco, Konstantinos, Zarras, Jorg, Zehetner, Alberto, A, Davide, B, Andrea, S, Luigi, B, Null, N, Abate, E, Abdelsamad, A, Abughararah, T, Aguzzi, M, Aiolfi, A, Al-Ameri, A, Alexandru, B, Ambe, P, Analatos, A, Andreuccetti, J, Andreucci, E, Anestiadou, E, Antonelli, A, Antoniou, S, Aprea, G, Arroyo Murillo, G, Attwood, S, Augustin, G, Ayiomamitis, G, Baldini, E, Balla, A, Barone, M, Basile, F, Benedetti, L, Bergna, A, Beyer, K, Biondi, A, Null, S, Birk, D, Bjelovic, M, Bona, D, Bonavina, L, Bonitta, G, Boyle, N, Brisinda, G, Bruni Piero, G, Bullock, J, Butt, W, Caballero Javier, M, Calabrese, D, Calini, G, Calu, V, Cammarata, F, Cammarata, R, Campanelli, G, Capuano, M, Carannante, F, Carbone, L, Casati, M, Casoni Pattacini, G, Castoro, C, Cavalli, M, Cayre, L, Celotti, A, Celotti, S, Cestaro, G, Chamzin, A, Charalampakis, V, Chooklin, S, Christodoulou, P, Cianci, P, Cicconi, S, Cillara, N, Cinardi, N, Cirri, S, Clementi, M, Colombari, R, Colucci, N, Conte Luigi, E, Contine, A, Coppola, A, Corallino, D, D'Acapito, F, Dajti, I, Dalmonte, G, Damiani, R, Danelli, P, Davakis, S, De Beaux, A, De Bernardi, S, De Leonardis, M, De Simone, B, Del Basso, C, Dellaportas, D, Depypere, L, Desio, M, Di Maggio, F, Di Paola, M, Dinuzzi Vincenza, P, D'Journo Xavier, B, Durup, J, El Boghdady, M, Elshafei, M, Erodotou, M, Farfaglia, R, Farolfi, T, Fernicola, A, Ferrari, D, Fleres, F, Forcignanó, E, Fortuna, L, Fransvea, P, Frazzetta, G, Furlan, N, Galfrascoli, E, Gantxegi, A, Garbarino Giovanni, M, Garcia-Urena Miguel, A, Garulli, G, Georges, D, Gerogiannis, I, Giordano, A, Gisbertz, S, Giuffrida, M, Gomes Carlos, A, Gómez Aurelio Francisco, A, Grasso, F, Griffiths, E, Grimminger, P, Gronnier, C, Guerci, C, Guerrazzi, G, Guraj, J, Gutschow, C, Habeeb, T, Haist, T, Haltmeier, T, Hasnaoui, A, Hedberg, J, Holsher, A, Houghton, C, Iacob, G, Ioannidis, A, Ioannidis, O, Johansson, J, Kamiya, S, Kapiris, S, Kelly, M, Kockerling, F, Kollmann, D, Korkolis, D, Kotidis, E, Kristo, I, Kykalos, S, Labenz, J, Lagoussis, P, Lapatsanis, D, Laracca Giovanni, G, Lasithiotakis, K, Lehman, T, Levy, J, Liberatore, E, Lieven, D, Linardoutsos, D, Lipham, J, Lister, D, Litvin, A, Locatelli, A, Lombardo, F, Lorenzon, L, Lucchi, A, Luyer, M, Macchitella, Y, Machairas, N, Maggi, F, Mala, T, Mamidanna, R, Manara, M, Mandi Draga, M, Manfredelli, S, Manzo Carlo, A, Maradona, D, Marano, L, Margaris, I, Markar, S, Martines, G, Mastrosimone, A, Materazzo, M, Mazzarella, G, Mazzitelli, G, Mega, M, Menasherov, N, Meyer, J, Michalopoulos, N, Micheletto, G, Milone, M, Mitura, K, Mongelli, F, Montori, G, Montuori, M, Morandi, E, Mulita, F, Muller Beat, P, Nafteux, P, Niki, C, Novia, M, Ntourakis, D, Oddi Fabio, M, Oesterballe, L, Ogliari, C, Olmi, S, Olmo, G, Orlando, F, Ortenzi, M, Pagkratis, S, Palomba, G, Paniccia, F, Papadoliopoulou, M, Parreño-Manchado, F, Pavanello, M, Pecchini, F, Pech, O, Pedrazzani, C, Peloso, A, Peltrini, R, Pera, M, Pérez Quintero, R, Pérez Romero, N, Petagna, L, Petrucciani, N, Philippe, N, Picardi, B, Piccoli, M, Pinotti, E, Podda, M, Pohl, D, Popa, A, Popa, C, Popescu Razvan, C, Porro, M, Porta, M, Pozzo, G, Priego, P, Provenzano, L, Raine, A, Ramu, G, Räsänen, J, Rausa, E, Reitano, E, Riegler, M, Riva Carlo, G, Robb, W, Rosati, R, Rouvelas, I, Ruurda, J, Saluk, S, Salvador, R, Sartori, A, Saullo, P, Schena Carlo, A, Schizas, D, Schlanger, D, Schlottmann, F, Schoppmann, S, Shabat, G, Signorini, F, Simic, A, Singhal, R, Sinicropi, T, Sipitco, N, Skrobic, O, Slava, B, Sotiropoulou, M, Souadka, A, Sozzi, A, Spampinato Marcello, G, Sundbom, M, Surlin, V, Talavera-Urquijo, E, Tamburini, N, Tebala, G, Theodorou, A, Theodorou, D, Tirelli, F, Tolone, S, Trapani, V, Triantafyllou, T, Trujillo-Díaz, J, Tucceri Cimini, I, Uggeri, F, Uzunoglu Mustafa, Y, Vailas, M, Valente, M, van Berge Henegouwen, M, Van Daele, E, van Hillegersberg, R, Van Veer, H, Vanommeslaeghe, H, Verdi, D, Verras, G, Vicente, I, Viswanath, Y, Viti, M, Yang, W, Yiğit, D, Yoiris, A, Young, R, Zappa Marco, A, Zarras, K, Zehetner, J, Aiolfi, Alberto, Bona, Davide, Sozzi, Andrea, Bonavina, Luigi, null, null, Emmanuele, Abate, Ahmed, Abdelsamad, Tariq, Abughararah, Martina, Aguzzi, Alberto, Aiolfi, Abdulahad, Al-Ameri, Blidisel, Alexandru, Peter C. , Ambe, Apostolos, Analatos, Jacopo, Andreuccetti, Eleonora, Andreucci, Elissavet, Anestiadou, Amedeo, Antonelli, Stavros A. , Antoniou, Giovanni, Aprea, Gabriela, Arroyo Murillo, Stephen, Attwood, Goran, Augustin, Georgios, Ayiomamitis, Edoardo, Baldini, Andrea, Balla, Mirko, Barone, Francesco, Basile, Laura, Benedetti, Alessandro, Bergna, Katharina, Beyer, Antonio, Biondi, Santino A. , null, Dieter, Birk, Milos, Bjelovic, Davide, Bona, Luigi, Bonavina, Gianluca, Bonitta, Nicholas, Boyle, Giuseppe, Brisinda, Giovanni, Bruni Piero, Jackie, Bullock, Waqas T, Butt, Martínez, Caballero Javier, Daniela, Calabrese, Giacomo, Calini, Valentin, Calu, Francesco, Cammarata, Roberto, Cammarata, Giampiero, Campanelli, Marianna, Capuano, Filippo, Carannante, Ludovico, Carbone, Massimiliano, Casati, Gianmaria, Casoni Pattacini, Carlo, Castoro, Marta, Cavalli, Luigi, Cayre, Andrea, Celotti, Simone, Celotti, Giovanni, Cestaro, Alexandros, Chamzin, Vasileios, Charalampakis, Serge, Chooklin, Prokopis, Christodoulou, Pasquale, Cianci, Simone, Cicconi, Nicola, Cillara, Nicola, Cinardi, Silvia, Cirri, Marco, Clementi, Renan, Colombari, Nicola, Colucci, Eduardo, Conte Luigi, Alessandro, Contine, Alessandro, Coppola, Diletta, Corallino, Fabrizio, D'Acapito, Irida, Dajti, Giorgio, Dalmonte, Riccardo, Damiani, Piergiorgio, Danelli, Spyridon, Davakis, Andrew, De Beaux, Sara, De Bernardi, Martina, De Leonardis, Belinda, De Simone, Celeste, Del Basso, Dionysios, Dellaportas, Lieven, Depypere, Matteo, Desio, Francesco, Di Maggio, Massimiliano, Di Paola, Paola, Dinuzzi Vincenza, Benoit, D'Journo Xavier, Jesper, Durup, Michael, El Boghdady, Moustafa, Elshafei, Maria, Erodotou, Roberto, Farfaglia, Tommaso, Farolfi, Agostino, Fernicola, Davide, Ferrari, Francesco, Fleres, Edoardo, Forcignanó, Laura, Fortuna, Pietro, Fransvea, Giuseppe, Frazzetta, Niccolò, Furlan, Elisa, Galfrascoli, Amaia, Gantxegi, Maria, Garbarino Giovanni, Angel, Garcia-Urena Miguel, Gianluca, Garulli, Decker, Georges, Ioannis, Gerogiannis, Alessio, Giordano, Susanne, Gisbertz, Mario, Giuffrida, Augusto, Gomes Carlos, Aranzana, Gómez Aurelio Francisco, Federica, Grasso, Ewen A, Griffiths, Peter, Grimminger, Caroline, Gronnier, Claudio, Guerci, Guglielmo, Guerrazzi, Juxhin, Guraj, Christian, Gutschow, Tamer. A. A. M. , Habeeb, Thomas, Haist, Tobias, Haltmeier, Anis, Hasnaoui, Jakob, Hedberg, Arnulf, Holsher, Caitlin, Houghton, Giulio, Iacob, Argyrios, Ioannidis, Orestis, Ioannidis, Jan, Johansson, Satoshi, Kamiya, Stylianos, Kapiris, Michael, Kelly, Ferdinand, Kockerling, Dagmar, Kollmann, Dimitris P. , Korkolis, Efstathios, Kotidis, Ivan, Kristo, Stylianos, Kykalos, Joachim, Labenz, Pavlos, Lagoussis, Dimitris P. , Lapatsanis, Guglielmo, Laracca Giovanni, Konstantinos, Lasithiotakis, Thorsten, Lehman, Jonathan, Levy, Edoardo, Liberatore, Depypere, Lieven, Dimitrios, Linardoutsos, John, Lipham, Dan, Lister, Andrey, Litvin, Andrea, Locatelli, Francesca, Lombardo, Laura, Lorenzon, Andrea, Lucchi, Misha, Luyer, Yuri, Macchitella, Nikolaos, Machairas, Federico, Maggi, Tom, Mala, Ravikrishna, Mamidanna, Michele, Manara, Maria, Mandi Draga, Simone, Manfredelli, Alberto, Manzo Carlo, Diego, Maradona, Luigi, Marano, Ioannis, Margaris, Sheraz R. , Markar, Gennaro, Martines, Achille, Mastrosimone, Marco, Materazzo, Gennaro, Mazzarella, Giulia, Mazzitelli, Manuel, Mega, Nikolai, Menasherov, Jeremy, Meyer, Nikolaos V, Michalopoulos, Giancarlo, Micheletto, Marco, Milone, Kryspin, Mitura, Francesco, Mongelli, Giulia, Montori, Mauro, Montuori, Emanuele, Morandi, Francesk, Mulita, Peter, Muller Beat, Philippe, Nafteux, Christou, Niki, Martina, Novia, Dimitrios, Ntourakis, Massimo, Oddi Fabio, Lene, Oesterballe, Cristina, Ogliari, Stefano, Olmi, Giorgia, Olmo, Francesco, Orlando, Monica, Ortenzi, Spyros, Pagkratis, Giuseppe, Palomba, Federico, Paniccia, Maria, Papadoliopoulou, Felipe C, Parreño-Manchado, Maurizio, Pavanello, Francesca, Pecchini, Oliver, Pech, Corrado, Pedrazzani, Andrea, Peloso, Roberto, Peltrini, Manuel, Pera, Rocío, Pérez Quintero, Noela, Pérez Romero, Lorenzo, Petagna, Niccolo, Petrucciani, Nafteux, Philippe, Biagio, Picardi, Micaela, Piccoli, Enrico, Pinotti, Mauro, Podda, Daniel, Pohl, Andrei, Popa, Calin, Popa, Catalin, Popescu Razvan, Matteo, Porro, Matteo, Porta, Gabriele, Pozzo, Pablo, Priego, Luca, Provenzano, Aldo, Raine, Gopi, Ramu, Jari, Räsänen, Emanuele, Rausa, Elisa, Reitano, Martin, Riegler, Galdino, Riva Carlo, William, Robb, Riccardo, Rosati, Ioannis, Rouvelas, Jelle P. , Ruurda, Slawomir, Saluk, Renato, Salvador, Alberto, Sartori, Paolina, Saullo, Alberto, Schena Carlo, Dimitrios, Schizas, Diana, Schlanger, Francisco, Schlottmann, Sebastian F. , Schoppmann, Galyna, Shabat, Franco, Signorini, Aleksandar, Simic, Rishi, Singhal, Teresa, Sinicropi, Natalia, Sipitco, Ognjan, Skrobic, Bard, Slava, Maria, Sotiropoulou, Amine, Souadka, Andrea, Sozzi, Giuseppe, Spampinato Marcello, Magnus, Sundbom, Valeriu, Surlin, Eider, Talavera-Urquijo, Nicola, Tamburini, Giovanni, Tebala, Alexis, Theodorou, Dimitrios, Theodorou, Flavio, Tirelli, Salvatore, Tolone, Vincenzo, Trapani, Tania, Triantafyllou, Jeancarlos, Trujillo-Díaz, Irene, Tucceri Cimini, Fabio, Uggeri, Yener, Uzunoglu Mustafa, Michail, Vailas, Marina, Valente, Mark, van Berge Henegouwen, Elke, Van Daele, Richard, van Hillegersberg, Hans, Van Veer, Hanne, Vanommeslaeghe, Daunia, Verdi, Georgios, Verras, Irune, Vicente, Yirupaiahgari, Viswanath, Matteo, Viti, Wah, Yang, Direnç, Yiğit, Ariel, Yoiris, Richard, Young, Antonio, Zappa Marco, Konstantinos, Zarras, and Jorg, Zehetner

Abstract

The optimal treatment for paraesophageal hiatus hernia (PEH) is controversial. While crural buttressing with mesh shows promises in reducing recurrences, the decision to use mesh during minimally invasive PEH repair is largely subjective. Due to these uncertainties, we conducted a survey to examine current clinical practices among surgeons and to assess which are the most important determinants in the decision-making process for mesh placement. Thirty-five multiple-choice Google Form-based survey on work-up, surgical techniques, and issues are considered in the decision-making process for mesh augmentation during minimally invasive PEH repair. Responses were graded on a 5-point Likert scale and analyzed using descriptive statistics. Consensus was defined as > 70% of participants agreed (agree or strongly agree) on a specific statement. Overall, 292 surgeons (86% from Europe) participated in the survey. The median age of participants was 42 years (range 29-69). The median number of PEH procedures was 25/year/center (range 5-400), with 67% of participants coming from high-volume centers (> 20 procedures/year). Consensus on use of mesh was reached for intraoperative findings of large (> 50% of intrathoracic stomach) PEH (74.3%), crural gap with > 4 cm distance between right and left crus (77.1%), and/or crural atrophy with < 0.5 cm thickness of one or both pillars (73%), and for redo surgery (71.9%). Further, consensus was reached in defining recurrence as a combination of refractory symptoms and anatomical/radiological evidence of > 2 cm hernia. This survey shows that large PEH, wide crural transverse diameter, fragile crura, and redo surgery are the most influential issues driving the decision for mesh-reinforced cruroplasty.

Published
2024

24. Thoughts on Trocar Site Hernia Prevention. A Narrative Review

Author

A. C. de Beaux and B. East

Subjects
trocar site, port site, incisional, hernia, prevention, Specialties of internal medicine, RC581-951
Abstract

Background: Laparoscopic and robot-assisted surgery is now common place, and each trocar site is a potential incisional hernia site. A number of factors increase the risk of trocar site hernia (TSH) at any given trocar site. The aim of this paper is to explore the literature and identify the patients and the trocar sites at risk, which may allow target prevention strategies to minimise TSH.Methods: A pub med literature review was undertaken using the MeSH terms of “trocar” OR “port-site” AND “hernia.” No qualifying criteria were applied to this initial search. All abstracts were reviewed by the two authors to identify papers for full text review to inform this narrative review.Results: 961 abstracts were identified by the search. A reasonable quality systematic review was published in 2012, and 44 additional more recent publications were identified as informative. A number of patient factors, pre-operative, intra-operative and post-operative factors were identified as possibly or likely increasing the risk of TSH. Their careful management alone and more likely in combination may help reduce the incidence of TSH.Conclusion: Clinically symptomatic TSH is uncommon, in relation to the many trocars inserted every day for “keyhole” surgery, although it is a not uncommon hernia to repair in general surgical practice. There are patients inherently at risk of TSH, especially at the umbilical location. It is likely, that a multi-factored approach to surgery, will have a cumulative effect at reducing the overall risk of TSH at any trocar site, including choice of trocar type and size, method of insertion, events during the operation, and decisions around the need for fascial closure and how this is performed following trocar removal.

Published
2022
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25. Description of the Current Da Vinci® Training Pathway for Robotic Abdominal Wall Surgery by the European Hernia Society

Author

Maaike Vierstraete, Maarten Simons, Knut Borch, Andrew de Beaux, Barbora East, Wolfgang Reinpold, Cesare Stabilini, and Filip Muysoms

Subjects
hernia, robotic surgery, education, robotic training, inguinal hernia, ventral hernia, Specialties of internal medicine, RC581-951
Abstract

Background: Robot assisted laparoscopic abdominal wall surgery (RAWS) has seen a rapid adoption in recent years. The safe introduction of the robot platform in the treatment of abdominal wall hernias is important to safeguard the patient from harm during the learning curve. The scope of this paper is to describe the current European training curriculum in RAWS.Methods and Analysis: The pathway to competence in RAWS will depend on the robot platform, experience in other abdominal procedures (novice to expert) and experience in the abdominal wall repair techniques. An overview of the learning curve effect in the initial case series of several early adopters in RAWS was reviewed. In European centres, current training for surgeons wanting to adopt RAWS is managed by the specific technology-based training organized by the company providing the robot. It consists of four phases where phases I and II are preclinical, while phases III and IV focus on the introduction of the robotic platform into surgical practice.Conclusion: On behalf of the Robotic Surgery Task Force of the European Hernia Society (EHS) we believe that the EHS should play an important role in the clinical phases III and IV training. Courses organized in collaboration with the robot provider on relevant surgical anatomy of the abdominal wall and procedural steps in complex abdominal wall reconstruction like transversus abdominis release are essential. Whereas the robot provider should be responsible for the preclinical phases I and II to gain familiarity in the specific robot platform.

Published
2022
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28. DELPHI CONSENSUS STATEMENT FOR UNDERSTANDING AND MANAGING THE SUBCOSTAL HERNIA: SUBCOSTAL HERNIAS COLLABORATIVE REPORT (SCHOLLAR STUDY)

Author

Baig, S J, primary, Kulkarni, G V, additional, Priya, P, additional, Afaque, M Y, additional, Bueno-Lledo, J, additional, Chintapatla, S, additional, de Beaux, A, additional, Gandhi, J A, additional, Garcia Urena, M A, additional, Hammond, T M, additional, Lomanto, D, additional, Liu, R, additional, Mehta, A, additional, Miserez, M, additional, Montgomery, A, additional, Morales-conde, S, additional, Palanivelu, C, additional, Pauli, E M, additional, Rege, S A, additional, Renard, Y, additional, Rosen, M, additional, Sanders, D L, additional, Singhal, V K, additional, Slade, D A J, additional, Warren, O J, additional, and Wiejrathne, S, additional

Published
2024
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41. What defines an incisional hernia as 'complex': results from a Delphi consensus endorsed by the European Hernia Society (EHS)

Author

Giovannini, Sara Capoccia, Podda, Mauro, Ribas, Sonia, Montori, Giulia, Botteri, Emanuele, Agresta, Ferdinando, Sartori, Alberto, Charvátová, Hana, Aiolfi, Alberto, Antoniou, Stavros A., Arvieux, Catherine, Berrevoet, Frederik, Boermeester, Marja A., Campanelli, Giampiero, Chintapatla, Srinivas, Christoffersen, Mette Willaume, Dahlstrand, Ursula, De la Croix, Hanna, Dietz, Ulrich A., Ferreira, Antonio, Fortenly, Rene H., Gaarder, Christine, Urena, Miguel Angel Garcia, Gok, Hakan, Hernandez-Granados, Pilar, Jisova, Barbora, Laver, Orest, Lerchuk, Orest, Lopez-Cano, Manuel, Mega, Manuel, Mitura, Krispin, Muysoms, Filip, Oliva, Andre, Ortenzi, Monica, Petersson, Ulf, Piccoli, Micaela, Radu, Victor G., Renard, Yohann, Rogmark, Peder, Rosin, Danny, Senent-Boza, Ana, Simons, Maarten, Slade, Dominic, Smart, Neil, Smith, Stella R., Stabilini, Cesare, Theodorou, Alexis, Torkington, Jared, Vironen, Jaanna, Woeste, Guido, De Beaux, Andrew, East, Barbora, Giovannini, Sara Capoccia, Podda, Mauro, Ribas, Sonia, Montori, Giulia, Botteri, Emanuele, Agresta, Ferdinando, Sartori, Alberto, Charvátová, Hana, Aiolfi, Alberto, Antoniou, Stavros A., Arvieux, Catherine, Berrevoet, Frederik, Boermeester, Marja A., Campanelli, Giampiero, Chintapatla, Srinivas, Christoffersen, Mette Willaume, Dahlstrand, Ursula, De la Croix, Hanna, Dietz, Ulrich A., Ferreira, Antonio, Fortenly, Rene H., Gaarder, Christine, Urena, Miguel Angel Garcia, Gok, Hakan, Hernandez-Granados, Pilar, Jisova, Barbora, Laver, Orest, Lerchuk, Orest, Lopez-Cano, Manuel, Mega, Manuel, Mitura, Krispin, Muysoms, Filip, Oliva, Andre, Ortenzi, Monica, Petersson, Ulf, Piccoli, Micaela, Radu, Victor G., Renard, Yohann, Rogmark, Peder, Rosin, Danny, Senent-Boza, Ana, Simons, Maarten, Slade, Dominic, Smart, Neil, Smith, Stella R., Stabilini, Cesare, Theodorou, Alexis, Torkington, Jared, Vironen, Jaanna, Woeste, Guido, De Beaux, Andrew, and East, Barbora

Published
2024

44. Definitions for Loss of Domain: An International Delphi Consensus of Expert Surgeons

Author

Parker, Samuel G., Halligan, Steve, Liang, Mike K., Muysoms, Filip E., Adrales, Gina L., Boutall, Adam, de Beaux, Andrew C., Dietz, Ulrich A., Divino, Celia M., Hawn, Mary T., Heniford, Todd B., Hong, Joon P., Ibrahim, Nabeel, Itani, Kamal M. F., Jorgensen, Lars N., Montgomery, Agneta, Morales-Conde, Salvador, Renard, Yohann, Sanders, David L., Smart, Neil J., Torkington, Jared J., and Windsor, Alastair C. J.

Published
2020
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45. Leveraging Twitter and its Unique #HashTag Capability: A Novel Social Media Resource From the European Hernia Society

Author

Hakan Gök, Kristian K. Jensen, Maciej Pawlak, Barbora East, Enis Pendar, Shirin Towfigh, Richard Brady, and Andrew de Beaux

Subjects
hernia surgery, social media, hernia hashtag, hashtag, European Hernia Society, Specialties of internal medicine, RC581-951
Abstract

Background: Digital and Social Media (#SoMe) platforms have revolutionized the way information is shared, classified and accessed among medical professionals worldwide. The aim of this study was to review the hashtags used on Twitter by @EuroHerniaS to provide a practical roadmap for easier social media utilization for hernia surgery stakeholders.Methods: The hashtags used in tweets and retweets of the @EuroHerniaS Twitter feed were collated since its foundation in November 2016.Results: The first hashtag used was #HerniaSurgery. Since foundation to July 2021, the @EuroHerniaS Twitter feed has used 90 separate hashtags. The number of new hashtags per year was increasing leading to the development of an online library. The increasing diversity of hernia related hashtags allows for the more detailed posting and searching of hernia related information on the #SoMe platform Twitter.Conclusion: The more detailed use of hashtags on Twitter is to be encouraged. Hernia surgeons can make use of them both when posting and reviewing posts to aid the categorization of posts.

Published
2022
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46. Patient Views Around Their Hernia Surgery: A Worldwide Online Survey Promoted Through Social Media

Author

Barbora East, Susannah Hill, Nicola Dames, Sue Blackwell, Lynn Laidlaw, Hakan Gök, Cesare Stabilini, and Andrew de Beaux

Subjects
hernia, patient information, patient involvement, PROMs, surgical mesh, surgical outcomes, Surgery, RD1-811
Abstract

Introduction: Hernias are one of the most common surgical diagnoses, and general surgical operations are performed. The involvement of patients in the decision making can be limited. The aim of this study was to explore the perspectives of patients around their hernia and its management, to aid future planning of hernia services to maximise patient experience, and good outcomes for the patient.Methods: A SurveyMonkey questionnaire was developed by patient advocates with some advice from surgeons. It was promoted on Twitter and Facebook, such as all found “hernia help” groups on these platforms over a 6-week period during the summer of 2020. Demographics, the reasons for seeking a hernia repair, decision making around the choice of surgeon, hospital, mesh type, pre-habilitation, complications, and participation in a hernia registry were collected.Results: In total, 397 questionnaires were completed in the study period. The majority of cases were from English speaking countries. There was a strong request for hernia specialists to perform the surgery, to have detailed knowledge about all aspects of hernia disease and its management, such as no operation and non-mesh options. Chronic pain was the most feared complication. The desire for knowledge about the effect of the hernia and surgery on the sexual function in all age groups was a notable finding. Pre-habilitation and a hernia registry participation were well-supported.Conclusions: Hernia repair is a quality of life surgery. Whether awaiting surgery or having had surgery with a good or bad outcome, patients want information about their condition and treatment, such as the effect on aspects of life, such as sex, and they wish greater involvement in their management decisions. Patients want their surgery by surgeons who can also manage complications of such surgery or recommend further treatment. A large group of “hernia surgery injured” patients feel abandoned by their general surgeon when complications ensue.

Published
2021
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47. Surgeons’ perspectives on artificial intelligence to support clinical decision-making in trauma and emergency contexts: results from an international survey

Author

Cobianchi, L, Piccolo, D, Dal Mas, F, Agnoletti, V, Ansaloni, L, Balch, J, Biffl, W, Butturini, G, Catena, F, Coccolini, F, Denicolai, S, De Simone, B, Frigerio, I, Fugazzola, P, Marseglia, G, Martellucci, J, Modenese, M, Previtali, P, Ruta, F, Venturi, A, Kaafarani, H, Loftus, T, Abbott, K, Abdelmalik, A, Abebe, N, Abu-Zidan, F, Adam, Y, Adamou, H, Adamovich, D, Agresta, F, Agrusa, A, Akin, E, Alessiani, M, Alexandrino, H, Ali, S, Mihai, V, Almeida, P, Al-Shehari, M, Altomare, M, Amico, F, Ammendola, M, Andreuccetti, J, Anestiadou, E, Angelos, P, Annicchiarico, A, Antonelli, A, Aparicio-Sanchez, D, Ardito, A, Argenio, G, Arvieux, C, Askevold, I, Atanasov, B, Augustin, G, Awad, S, Bacchiocchi, G, Bagnoli, C, Bahouth, H, Baili, E, Bains, L, Baiocchi, G, Bala, M, Balague, C, Balalis, D, Baldini, E, Baraket, O, Baral, S, Barone, M, Barranquero, A, Barreras, J, Bass, G, Bayhan, Z, Bellanova, G, Ben-Ishay, O, Bert, F, Bianchi, V, Biancuzzi, H, Bidoli, C, Radulescu, R, Bignell, M, Biloslavo, A, Bini, R, Bissacco, D, Boati, P, Boddaert, G, Bogdanic, B, Bombardini, C, Bonavina, L, Bonomo, L, Bottari, A, Bouliaris, K, Brachini, G, Brillantino, A, Brisinda, G, Bulanauca, M, Buonomo, L, Burcharth, J, Buscemi, S, Calabretto, F, Calini, G, Calu, V, Campanile, F, Dall'Orto, R, Campos-Serra, A, Campostrini, S, Capoglu, R, Carvas, J, Cascella, M, Pattacini, G, Celentano, V, Centonze, D, Ceresoli, M, Chatzipetris, D, Chessa, A, Chiarello, M, Chirica, M, Chooklin, S, Chouliaras, C, Chowdhury, S, Cianci, P, Cillara, N, Cimbanassi, S, Cioffi, S, Colak, E, Ruiz, E, Conti, L, Coppola, A, De Sa, T, Costa, S, Cozza, V, Curro', G, Dabekaussen, K, D'Acapito, F, Damaskos, D, D'Ambrosio, G, Das, K, Davies, R, De Beaux, A, Fernandez, S, De Luca, A, De Stefano, F, Degrate, L, Demetrashvili, Z, Demetriades, A, Detanac, D, Dezi, A, Di Buono, G, Di Carlo, I, Di Lascio, P, Di Martino, M, Di Saverio, S, Diaconescu, B, Diaz, J, Dibra, R, Dimitrov, E, Dinuzzi, V, Dios-Barbeito, S, Diyani, J, Dogjani, A, Domanin, M, D'Oria, M, Munoz-Cruzado, V, East, B, Ekelund, M, Ekwen, G, Elbaih, A, Elhadi, M, Enninghorst, N, Ernisova, M, Escalera-Antezana, J, Esposito, S, Esposito, G, Estaire, M, Fare, C, Farre, R, Favi, F, Ferrario, L, Vajana, A, Filisetti, C, Fleres, F, Fonseca, V, Forero-Torres, A, Forfori, F, Fortuna, L, Fradelos, E, Fraga, G, Fransvea, P, Frassini, S, Frazzetta, G, Pizzocaro, E, Frountzas, M, Gachabayov, M, Galeiras, R, Vazquez, A, Gargarella, S, Garzali, I, Ghannam, W, Ghazi, F, Gillman, L, Gioco, R, Giordano, A, Giordano, L, Giove, C, Giraudo, G, Giuffrida, M, Capponi, M, Gois, E, Gomes, C, Gomes, F, Gonsaga, R, Gonullu, E, Goosen, J, Goranovic, T, Gracia-Roman, R, Graziano, G, Griffiths, E, Guagni, T, Hadzhiev, D, Haidar, M, Hamid, H, Hardcastle, T, Hayati, F, Healey, A, Hecker, A, Hecker, M, Garcia, E, Hodonou, A, Huaman, E, Huerta, M, Ibrahim, A, Ibrahim, B, Ietto, G, Inama, M, Ioannidis, O, Isik, A, Ismail, N, Ismail, A, Jailani, R, Jang, J, Kalfountzos, C, Kalipershad, S, Kaouras, E, Kaplan, L, Kara, Y, Karamagioli, E, Karamarkovia, A, Katsaros, I, Kavalakat, A, Kechagias, A, Kenig, J, Kessel, B, Khan, J, Khokha, V, Kim, J, Kirkpatrick, A, Klappenbach, R, Kluger, Y, Kobe, Y, Lymperis, E, Kok, K, Kong, V, Korkolis, D, Koukoulis, G, Kovacevic, B, Kruger, V, Kryvoruchko, I, Kurihara, H, Kuriyama, A, Landaluce-Olavarria, A, Lapolla, P, Leppaniemi, A, Licari, L, Lisi, G, Litvin, A, Lizarazu, A, Bayo, H, Lohsiriwat, V, Moreira, C, Lostoridis, E, Luna, A, Luppi, D, Machain, V, Maegele, M, Maggiore, D, Magnone, S, Maier, R, Major, P, Manangi, M, Manetti, A, Mantoglu, B, Marafante, C, Mariani, F, Marinis, A, Mariot, E, Martines, G, Perez, A, Martino, C, Mascagni, P, Massalou, D, Massaro, M, Matias-Garcia, B, Mazzarella, G, Mazzarolo, G, Melo, R, Mendoza-Moreno, F, Meric, S, Meyer, J, Miceli, L, Michalopoulos, N, Milana, F, Mingoli, A, Mishra, T, Mohamed, M, Mohamedahmed, A, Mohammed, M, Mohan, R, Moore, E, Morales-Garcia, D, Muhrbeck, M, Mulita, F, Mustafa, S, Muttillo, E, Naimzada, M, Navsaria, P, Negoi, I, Nespoli, L, Nguyen, C, Nidaw, M, Nigri, G, Nikolopoulos, I, O'Connor, D, Ogundipe, H, Oliveri, C, Olmi, S, Ong, E, Orecchia, L, Osipov, A, Othman, M, Pace, M, Pacilli, M, Pagani, L, Palomba, G, Pantalone, D, Panyko, A, Paolillo, C, Papa, M, Papaconstantinou, D, Papadoliopoulou, M, Papadopoulos, A, Papis, D, Pararas, N, Parreira, J, Parry, N, Pata, F, Patel, T, Paterson-Brown, S, Pavone, G, Pecchini, F, Pegoraro, V, Pellino, G, Pelloni, M, Peloso, A, Del Pozo, E, Pereira, R, Pereira, B, Perez, S, Perra, T, Perrone, G, Pesce, A, Petagna, L, Petracca, G, Phupong, V, Picardi, B, Picciariello, A, Piccoli, M, Picetti, E, Pikoulis, E, Pintar, T, Pirozzolo, G, Piscioneri, F, Podda, M, Porcu, A, Privitera, F, Punzo, C, Quaresima, S, Quiodettis, M, Qvist, N, Rahim, R, de Almeida, F, Ramely, R, Rasa, H, Reichert, M, Reinisch-Liese, A, Renne, A, Riccetti, C, Rodriguez-Luna, M, Roizblatt, D, Romanzi, A, Romeo, L, Roscio, F, Rosnelifaizur, R, Rossi, S, Rubiano, A, Ruiz-Ucar, E, Sakakushev, B, Salamea, J, Sall, I, Samarakoon, L, Sammartano, F, Arteaga, A, Sanchez-Cordero, S, Santoanastaso, D, Sartelli, M, Sasia, D, Sato, N, Savchuk, A, Sawyer, R, Scaioli, G, Schizas, D, Sebastiani, S, Seeliger, B, Lohse, H, Seretis, C, Sermonesi, G, Serradilla-Martin, M, Shelat, V, Shlyapnikov, S, Sidiropoulos, T, Simoes, R, Siragusa, L, Siribumrungwong, B, Slavchev, M, Solaini, L, Soldini, G, Sopuev, A, Soreide, K, Sovatzidis, A, Stahel, P, Strickland, M, Sultan, M, Sydorchuk, R, Sydorchuk, L, Syed, S, Tallon-Aguilar, L, Tamburini, A, Tamini, N, Tan, E, Tan, J, Tarasconi, A, Tartaglia, N, Tartaglia, G, Tartaglia, D, Taylor, J, Tebala, G, Teuben, M, Theodorou, A, Tolonen, M, Tomasicchio, G, Toro, A, Torre, B, Triantafyllou, T, Trigiante, G, Tripepi, M, Trostchansky, J, Tsekouras, K, Turrado-Rodriguez, V, Tutino, R, Uccelli, M, Uchikov, P, Ugarte-Sierra, B, Ukkonen, M, Vailas, M, Vassiliu, P, Vazquez, R, Velmahos, G, Verde, J, Veroux, M, Vigano, J, Vilallonga, R, Visconti, D, Vittori, A, Waledziak, M, Wannatoop, T, Widmer, L, Wilson, M, Woltz, S, Wong, T, Xenaki, S, Yu, B, Yule, S, Zachariah, S, Zacharis, G, Zaghi, C, Zakaria, A, Zambrano, D, Zampitis, N, Zampogna, B, Zanghi, S, Zantedeschi, M, Zapsalis, K, Zattoni, F, Zese, M, Cobianchi L., Piccolo D., Dal Mas F., Agnoletti V., Ansaloni L., Balch J., Biffl W., Butturini G., Catena F., Coccolini F., Denicolai S., De Simone B., Frigerio I., Fugazzola P., Marseglia G., Marseglia G. R., Martellucci J., Modenese M., Previtali P., Ruta F., Venturi A., Kaafarani H. M., Loftus T. J., Abbott K. L., Abdelmalik A., Abebe N. S., Abu-Zidan F., Adam Y. A. Y., Adamou H., Adamovich D. M., Agresta F., Agrusa A., Akin E., Alessiani M., Alexandrino H., Ali S. M., Mihai V. A., Almeida P. M., Al-Shehari M. M., Altomare M., Amico F., Ammendola M., Andreuccetti J., Anestiadou E., Angelos P., Annicchiarico A., Antonelli A., Aparicio-Sanchez D., Ardito A., Argenio G., Arvieux C. C., Askevold I. H., Atanasov B. T., Augustin G., Awad S. S., Bacchiocchi G., Bagnoli C., Bahouth H., Baili E., Bains L., Baiocchi G. L., Bala M., Balague C., Balalis D., Baldini E., Baraket O., Baral S., Barone M., Barranquero A. G., Barreras J. A., Bass G. A., Bayhan Z., Bellanova G., Ben-Ishay O., Bert F., Bianchi V., Biancuzzi H., Bidoli C., Radulescu R. B., Bignell M. B., Biloslavo A., Bini R., Bissacco D., Boati P., Boddaert G., Bogdanic B., Bombardini C., Bonavina L., Bonomo L., Bottari A., Bouliaris K., Brachini G., Brillantino A., Brisinda G., Bulanauca M. M., Buonomo L. A., Burcharth J., Buscemi S., Calabretto F., Calini G., Calu V., Campanile F. C., Dall'Orto R. C., Campos-Serra A., Campostrini S., Capoglu R., Carvas J. M., Cascella M., Pattacini G. C., Celentano V., Centonze D. C., Ceresoli M., Chatzipetris D., Chessa A., Chiarello M. M., Chirica M., Chooklin S., Chouliaras C., Chowdhury S., Cianci P., Cillara N., Cimbanassi S., Cioffi S. P. B., Colak E., Ruiz E. C., Conti L., Coppola A., De Sa T. C., Costa S. D., Cozza V., Curro' G., Dabekaussen K. F. A. -S. A., D'acapito F., Damaskos D., D'ambrosio G., Das K., Davies R. J., De Beaux A. C., Fernandez S. P. L., De Luca A., De Stefano F., Degrate L., Demetrashvili Z., Demetriades A. K., Detanac D. S., Dezi A., Di Buono G., Di Carlo I., Di Lascio P., Di Martino M., Di Saverio S., Diaconescu B., Diaz J. J., Dibra R., Dimitrov E. N., Dinuzzi V. P., Dios-Barbeito S., Diyani J. F. A., Dogjani A., Domanin M., D'Oria M., Munoz-Cruzado V. D., East B., Ekelund M., Ekwen G. T., Elbaih A. H., Elhadi M., Enninghorst N., Ernisova M., Escalera-Antezana J. P., Esposito S., Esposito G., Estaire M., Fare C. N., Farre R., Favi F., Ferrario L., Vajana A. F. T., Filisetti C., Fleres F., Fonseca V. C., Forero-Torres A., Forfori F., Fortuna L., Fradelos E., Fraga G. P., Fransvea P., Frassini S., Frazzetta G., Pizzocaro E., Frountzas M., Gachabayov M., Galeiras R., Vazquez A. A. G., Gargarella S., Garzali I. U., Ghannam W. M., Ghazi F. N., Gillman L. M., Gioco R., Giordano A., Giordano L., Giove C., Giraudo G., Giuffrida M., Capponi M. G., Gois E., Gomes C. A., Gomes F. C., Gonsaga R. A. T., Gonullu E., Goosen J., Goranovic T., Gracia-Roman R., Graziano G. M. P., Griffiths E. A., Guagni T., Hadzhiev D. B., Haidar M. G., Hamid H. K. S., Hardcastle T. C., Hayati F., Healey A. J., Hecker A., Hecker M., Garcia E. F. H., Hodonou A. M., Huaman E. C., Huerta M., Ibrahim A. F., Ibrahim B. M. S., Ietto G., Inama M., Ioannidis O., Isik A., Ismail N., Ismail A. M. H., Jailani R. F., Jang J. Y., Kalfountzos C., Kalipershad S. N. R., Kaouras E., Kaplan L. J., Kara Y., Karamagioli E., Karamarkovia A., Katsaros I., Kavalakat A. J., Kechagias A., Kenig J., Kessel B. J., Khan J. S., Khokha V., Kim J. I., Kirkpatrick A. W., Klappenbach R., Kluger Y., Kobe Y., Lymperis E. K., Kok K. Y. Y., Kong V., Korkolis D. P., Koukoulis G., Kovacevic B., Kruger V. F., Kryvoruchko I. A., Kurihara H., Kuriyama A., Landaluce-Olavarria A., Lapolla P., Leppaniemi A., Licari L., Lisi G., Litvin A., Lizarazu A., Bayo H. L., Lohsiriwat V., Moreira C. C. L., Lostoridis E., Luna A. T., Luppi D., Machain V. G. M., Maegele M., Maggiore D., Magnone S., Maier R. V., Major P., Manangi M., Manetti A., Mantoglu B., Marafante C., Mariani F., Marinis A., Mariot E. A. S., Martines G., Perez A. M., Martino C., Mascagni P., Massalou D., Massaro M., Matias-Garcia B., Mazzarella G., Mazzarolo G., Melo R. B., Mendoza-Moreno F., Meric S., Meyer J., Miceli L., Michalopoulos N. V., Milana F., Mingoli A., Mishra T. S., Mohamed M., Mohamed M. I. E. A., Mohamedahmed A. Y., Mohammed M. J. S., Mohan R., Moore E. E., Morales-Garcia D., Muhrbeck M., Mulita F., Mustafa S. M. S., Muttillo E. M., Naimzada M. D., Navsaria P. H., Negoi I., Nespoli L., Nguyen C., Nidaw M. K., Nigri G., Nikolopoulos I., O'connor D. B., Ogundipe H. D., Oliveri C., Olmi S., Ong E. C. W., Orecchia L., Osipov A. V., Othman M. F., Pace M., Pacilli M., Pagani L., Palomba G., Pantalone D., Panyko A., Paolillo C., Papa M. V., Papaconstantinou D., Papadoliopoulou M., Papadopoulos A., Papis D., Pararas N., Parreira J. G., Parry N. G., Pata F., Patel T., Paterson-Brown S., Pavone G., Pecchini F., Pegoraro V., Pellino G., Pelloni M., Peloso A., Del Pozo E. P., Pereira R. G., Pereira B. M., Perez A. L., Perez S., Perra T., Perrone G., Pesce A., Petagna L., Petracca G., Phupong V., Picardi B., Picciariello A., Piccoli M., Picetti E., Pikoulis E. P., Pintar T., Pirozzolo G., Piscioneri F., Podda M., Porcu A., Privitera F., Punzo C., Quaresima S., Quiodettis M. A., Qvist N., Rahim R., de Almeida F. R., Ramely R. B., Rasa H. K., Reichert M., Reinisch-Liese A., Renne A., Riccetti C., Rodriguez-Luna M. R., Roizblatt D., Romanzi A., Romeo L., Roscio F. P. M., Rosnelifaizur R. B., Rossi S., Rubiano A. M., Ruiz-Ucar E., Sakakushev B. E., Salamea J. C., Sall I., Samarakoon L. B., Sammartano F., Arteaga A. S., Sanchez-Cordero S., Santoanastaso D. P. M., Sartelli M., Sasia D., Sato N., Savchuk A., Sawyer R. G., Scaioli G., Schizas D., Sebastiani S., Seeliger B., Lohse H. A. S., Seretis C., Sermonesi G., Serradilla-Martin M., Shelat V. G., Shlyapnikov S., Sidiropoulos T., Simoes R. L., Siragusa L., Siribumrungwong B., Slavchev M., Solaini L., Soldini G., Sopuev A., Soreide K., Sovatzidis A., Stahel P. F., Strickland M., Sultan M. A. H., Sydorchuk R., Sydorchuk L., Syed S. M. A. M., Tallon-Aguilar L., Tamburini A. M., Tamini N., Tan E. C. T. H., Tan J. H., Tarasconi A., Tartaglia N., Tartaglia G., Tartaglia D., Taylor J. V., Tebala G. D., Teuben M., Theodorou A., Tolonen M., Tomasicchio G., Toro A., Torre B., Triantafyllou T., Trigiante G. T., Tripepi M., Trostchansky J., Tsekouras K., Turrado-Rodriguez V., Tutino R., Uccelli M., Uchikov P. A., Ugarte-Sierra B., Ukkonen M. T., Vailas M., Vassiliu P. G., Vazquez A. G., Vazquez R. G., Velmahos G., Verde J. E., Verde J. M., Veroux M., Vigano J., Vilallonga R., Visconti D., Vittori A., Waledziak M., Wannatoop T., Widmer L. W., Wilson M. S. J., Woltz S., Wong T. H., Xenaki S., Yu B., Yule S., Zachariah S. K., Zacharis G., Zaghi C., Zakaria A. D., Zambrano D. 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Ben-Ishay, O, Bert, F, Bianchi, V, Biancuzzi, H, Bidoli, C, Radulescu, R, Bignell, M, Biloslavo, A, Bini, R, Bissacco, D, Boati, P, Boddaert, G, Bogdanic, B, Bombardini, C, Bonavina, L, Bonomo, L, Bottari, A, Bouliaris, K, Brachini, G, Brillantino, A, Brisinda, G, Bulanauca, M, Buonomo, L, Burcharth, J, Buscemi, S, Calabretto, F, Calini, G, Calu, V, Campanile, F, Dall'Orto, R, Campos-Serra, A, Campostrini, S, Capoglu, R, Carvas, J, Cascella, M, Pattacini, G, Celentano, V, Centonze, D, Ceresoli, M, Chatzipetris, D, Chessa, A, Chiarello, M, Chirica, M, Chooklin, S, Chouliaras, C, Chowdhury, S, Cianci, P, Cillara, N, Cimbanassi, S, Cioffi, S, Colak, E, Ruiz, E, Conti, L, Coppola, A, De Sa, T, Costa, S, Cozza, V, Curro', G, Dabekaussen, K, D'Acapito, F, Damaskos, D, D'Ambrosio, G, Das, K, Davies, R, De Beaux, A, Fernandez, S, De Luca, A, De Stefano, F, Degrate, L, Demetrashvili, Z, Demetriades, A, Detanac, D, Dezi, A, Di Buono, G, Di Carlo, I, Di Lascio, P, Di Martino, M, Di Saverio, S, Diaconescu, B, Diaz, J, Dibra, R, Dimitrov, E, Dinuzzi, V, Dios-Barbeito, S, Diyani, J, Dogjani, A, Domanin, M, D'Oria, M, Munoz-Cruzado, V, East, B, Ekelund, M, Ekwen, G, Elbaih, A, Elhadi, M, Enninghorst, N, Ernisova, M, Escalera-Antezana, J, Esposito, S, Esposito, G, Estaire, M, Fare, C, Farre, R, Favi, F, Ferrario, L, Vajana, A, Filisetti, C, Fleres, F, Fonseca, V, Forero-Torres, A, Forfori, F, Fortuna, L, Fradelos, E, Fraga, G, Fransvea, P, Frassini, S, Frazzetta, G, Pizzocaro, E, Frountzas, M, Gachabayov, M, Galeiras, R, Vazquez, A, Gargarella, S, Garzali, I, Ghannam, W, Ghazi, F, Gillman, L, Gioco, R, Giordano, A, Giordano, L, Giove, C, Giraudo, G, Giuffrida, M, Capponi, M, Gois, E, Gomes, C, Gomes, F, Gonsaga, R, Gonullu, E, Goosen, J, Goranovic, T, Gracia-Roman, R, Graziano, G, Griffiths, E, Guagni, T, Hadzhiev, D, Haidar, M, Hamid, H, Hardcastle, T, Hayati, F, Healey, A, Hecker, A, Hecker, M, Garcia, E, Hodonou, A, Huaman, E, Huerta, M, Ibrahim, A, Ibrahim, B, Ietto, G, Inama, M, Ioannidis, O, Isik, A, Ismail, N, Ismail, A, Jailani, R, Jang, J, Kalfountzos, C, Kalipershad, S, Kaouras, E, Kaplan, L, Kara, Y, Karamagioli, E, Karamarkovia, A, Katsaros, I, Kavalakat, A, Kechagias, A, Kenig, J, Kessel, B, Khan, J, Khokha, V, Kim, J, Kirkpatrick, A, Klappenbach, R, Kluger, Y, Kobe, Y, Lymperis, E, Kok, K, Kong, V, Korkolis, D, Koukoulis, G, Kovacevic, B, Kruger, V, Kryvoruchko, I, Kurihara, H, Kuriyama, A, Landaluce-Olavarria, A, Lapolla, P, Leppaniemi, A, Licari, L, Lisi, G, Litvin, A, Lizarazu, A, Bayo, H, Lohsiriwat, V, Moreira, C, Lostoridis, E, Luna, A, Luppi, D, Machain, V, Maegele, M, Maggiore, D, Magnone, S, Maier, R, Major, P, Manangi, M, Manetti, A, Mantoglu, B, Marafante, C, Mariani, F, Marinis, A, Mariot, E, Martines, G, Perez, A, Martino, C, Mascagni, P, Massalou, D, Massaro, M, Matias-Garcia, B, Mazzarella, G, Mazzarolo, G, Melo, R, Mendoza-Moreno, F, Meric, S, Meyer, J, Miceli, L, Michalopoulos, N, Milana, F, Mingoli, A, Mishra, T, Mohamed, M, Mohamedahmed, A, Mohammed, M, Mohan, R, Moore, E, Morales-Garcia, D, Muhrbeck, M, Mulita, F, Mustafa, S, Muttillo, E, Naimzada, M, Navsaria, P, Negoi, I, Nespoli, L, Nguyen, C, Nidaw, M, Nigri, G, Nikolopoulos, I, O'Connor, D, Ogundipe, H, Oliveri, C, Olmi, S, Ong, E, Orecchia, L, Osipov, A, Othman, M, Pace, M, Pacilli, M, Pagani, L, Palomba, G, Pantalone, D, Panyko, A, Paolillo, C, Papa, M, Papaconstantinou, D, Papadoliopoulou, M, Papadopoulos, A, Papis, D, Pararas, N, Parreira, J, Parry, N, Pata, F, Patel, T, Paterson-Brown, S, Pavone, G, Pecchini, F, Pegoraro, V, Pellino, G, Pelloni, M, Peloso, A, Del Pozo, E, Pereira, R, Pereira, B, Perez, S, Perra, T, Perrone, G, Pesce, A, Petagna, L, Petracca, G, Phupong, V, Picardi, B, Picciariello, A, Piccoli, M, Picetti, E, Pikoulis, E, Pintar, T, Pirozzolo, G, Piscioneri, F, Podda, M, Porcu, A, Privitera, F, Punzo, C, Quaresima, S, Quiodettis, M, Qvist, N, Rahim, R, de Almeida, F, Ramely, R, Rasa, H, Reichert, M, Reinisch-Liese, A, Renne, A, Riccetti, C, Rodriguez-Luna, M, Roizblatt, D, Romanzi, A, Romeo, L, Roscio, F, Rosnelifaizur, R, Rossi, S, Rubiano, A, Ruiz-Ucar, E, Sakakushev, B, Salamea, J, Sall, I, Samarakoon, L, Sammartano, F, Arteaga, A, Sanchez-Cordero, S, Santoanastaso, D, Sartelli, M, Sasia, D, Sato, N, Savchuk, A, Sawyer, R, Scaioli, G, Schizas, D, Sebastiani, S, Seeliger, B, Lohse, H, Seretis, C, Sermonesi, G, Serradilla-Martin, M, Shelat, V, Shlyapnikov, S, Sidiropoulos, T, Simoes, R, Siragusa, L, Siribumrungwong, B, Slavchev, M, Solaini, L, Soldini, G, Sopuev, A, Soreide, K, Sovatzidis, A, Stahel, P, Strickland, M, Sultan, M, Sydorchuk, R, Sydorchuk, L, Syed, S, Tallon-Aguilar, L, Tamburini, A, Tamini, N, Tan, E, Tan, J, Tarasconi, A, Tartaglia, N, Tartaglia, G, Tartaglia, D, Taylor, J, Tebala, G, Teuben, M, Theodorou, A, Tolonen, M, Tomasicchio, G, Toro, A, Torre, B, Triantafyllou, T, Trigiante, G, Tripepi, M, Trostchansky, J, Tsekouras, K, Turrado-Rodriguez, V, Tutino, R, Uccelli, M, Uchikov, P, Ugarte-Sierra, B, Ukkonen, M, Vailas, M, Vassiliu, P, Vazquez, R, Velmahos, G, Verde, J, Veroux, M, Vigano, J, Vilallonga, R, Visconti, D, Vittori, A, Waledziak, M, Wannatoop, T, Widmer, L, Wilson, M, Woltz, S, Wong, T, Xenaki, S, Yu, B, Yule, S, Zachariah, S, Zacharis, G, Zaghi, C, Zakaria, A, Zambrano, D, Zampitis, N, Zampogna, B, Zanghi, S, Zantedeschi, M, Zapsalis, K, Zattoni, F, Zese, M, Cobianchi L., Piccolo D., Dal Mas F., Agnoletti V., Ansaloni L., Balch J., Biffl W., Butturini G., Catena F., Coccolini F., Denicolai S., De Simone B., Frigerio I., Fugazzola P., Marseglia G., Marseglia G. R., Martellucci J., Modenese M., Previtali P., Ruta F., Venturi A., Kaafarani H. M., Loftus T. J., Abbott K. L., Abdelmalik A., Abebe N. S., Abu-Zidan F., Adam Y. A. Y., Adamou H., Adamovich D. M., Agresta F., Agrusa A., Akin E., Alessiani M., Alexandrino H., Ali S. M., Mihai V. A., Almeida P. M., Al-Shehari M. M., Altomare M., Amico F., Ammendola M., Andreuccetti J., Anestiadou E., Angelos P., Annicchiarico A., Antonelli A., Aparicio-Sanchez D., Ardito A., Argenio G., Arvieux C. C., Askevold I. H., Atanasov B. T., Augustin G., Awad S. S., Bacchiocchi G., Bagnoli C., Bahouth H., Baili E., Bains L., Baiocchi G. L., Bala M., Balague C., Balalis D., Baldini E., Baraket O., Baral S., Barone M., Barranquero A. G., Barreras J. A., Bass G. A., Bayhan Z., Bellanova G., Ben-Ishay O., Bert F., Bianchi V., Biancuzzi H., Bidoli C., Radulescu R. B., Bignell M. B., Biloslavo A., Bini R., Bissacco D., Boati P., Boddaert G., Bogdanic B., Bombardini C., Bonavina L., Bonomo L., Bottari A., Bouliaris K., Brachini G., Brillantino A., Brisinda G., Bulanauca M. M., Buonomo L. A., Burcharth J., Buscemi S., Calabretto F., Calini G., Calu V., Campanile F. C., Dall'Orto R. C., Campos-Serra A., Campostrini S., Capoglu R., Carvas J. M., Cascella M., Pattacini G. C., Celentano V., Centonze D. C., Ceresoli M., Chatzipetris D., Chessa A., Chiarello M. M., Chirica M., Chooklin S., Chouliaras C., Chowdhury S., Cianci P., Cillara N., Cimbanassi S., Cioffi S. P. B., Colak E., Ruiz E. C., Conti L., Coppola A., De Sa T. C., Costa S. D., Cozza V., Curro' G., Dabekaussen K. F. A. -S. A., D'acapito F., Damaskos D., D'ambrosio G., Das K., Davies R. J., De Beaux A. C., Fernandez S. P. L., De Luca A., De Stefano F., Degrate L., Demetrashvili Z., Demetriades A. K., Detanac D. S., Dezi A., Di Buono G., Di Carlo I., Di Lascio P., Di Martino M., Di Saverio S., Diaconescu B., Diaz J. J., Dibra R., Dimitrov E. N., Dinuzzi V. P., Dios-Barbeito S., Diyani J. F. A., Dogjani A., Domanin M., D'Oria M., Munoz-Cruzado V. D., East B., Ekelund M., Ekwen G. T., Elbaih A. H., Elhadi M., Enninghorst N., Ernisova M., Escalera-Antezana J. P., Esposito S., Esposito G., Estaire M., Fare C. N., Farre R., Favi F., Ferrario L., Vajana A. F. T., Filisetti C., Fleres F., Fonseca V. C., Forero-Torres A., Forfori F., Fortuna L., Fradelos E., Fraga G. P., Fransvea P., Frassini S., Frazzetta G., Pizzocaro E., Frountzas M., Gachabayov M., Galeiras R., Vazquez A. A. G., Gargarella S., Garzali I. U., Ghannam W. M., Ghazi F. N., Gillman L. M., Gioco R., Giordano A., Giordano L., Giove C., Giraudo G., Giuffrida M., Capponi M. G., Gois E., Gomes C. A., Gomes F. C., Gonsaga R. A. T., Gonullu E., Goosen J., Goranovic T., Gracia-Roman R., Graziano G. M. P., Griffiths E. A., Guagni T., Hadzhiev D. B., Haidar M. G., Hamid H. K. S., Hardcastle T. C., Hayati F., Healey A. J., Hecker A., Hecker M., Garcia E. F. H., Hodonou A. M., Huaman E. C., Huerta M., Ibrahim A. F., Ibrahim B. M. S., Ietto G., Inama M., Ioannidis O., Isik A., Ismail N., Ismail A. M. H., Jailani R. F., Jang J. Y., Kalfountzos C., Kalipershad S. N. R., Kaouras E., Kaplan L. J., Kara Y., Karamagioli E., Karamarkovia A., Katsaros I., Kavalakat A. J., Kechagias A., Kenig J., Kessel B. J., Khan J. S., Khokha V., Kim J. I., Kirkpatrick A. W., Klappenbach R., Kluger Y., Kobe Y., Lymperis E. K., Kok K. Y. Y., Kong V., Korkolis D. P., Koukoulis G., Kovacevic B., Kruger V. F., Kryvoruchko I. A., Kurihara H., Kuriyama A., Landaluce-Olavarria A., Lapolla P., Leppaniemi A., Licari L., Lisi G., Litvin A., Lizarazu A., Bayo H. L., Lohsiriwat V., Moreira C. C. L., Lostoridis E., Luna A. T., Luppi D., Machain V. G. M., Maegele M., Maggiore D., Magnone S., Maier R. V., Major P., Manangi M., Manetti A., Mantoglu B., Marafante C., Mariani F., Marinis A., Mariot E. A. S., Martines G., Perez A. M., Martino C., Mascagni P., Massalou D., Massaro M., Matias-Garcia B., Mazzarella G., Mazzarolo G., Melo R. B., Mendoza-Moreno F., Meric S., Meyer J., Miceli L., Michalopoulos N. V., Milana F., Mingoli A., Mishra T. S., Mohamed M., Mohamed M. I. E. A., Mohamedahmed A. Y., Mohammed M. J. S., Mohan R., Moore E. E., Morales-Garcia D., Muhrbeck M., Mulita F., Mustafa S. M. S., Muttillo E. M., Naimzada M. D., Navsaria P. H., Negoi I., Nespoli L., Nguyen C., Nidaw M. K., Nigri G., Nikolopoulos I., O'connor D. B., Ogundipe H. D., Oliveri C., Olmi S., Ong E. C. W., Orecchia L., Osipov A. V., Othman M. F., Pace M., Pacilli M., Pagani L., Palomba G., Pantalone D., Panyko A., Paolillo C., Papa M. V., Papaconstantinou D., Papadoliopoulou M., Papadopoulos A., Papis D., Pararas N., Parreira J. G., Parry N. G., Pata F., Patel T., Paterson-Brown S., Pavone G., Pecchini F., Pegoraro V., Pellino G., Pelloni M., Peloso A., Del Pozo E. P., Pereira R. G., Pereira B. M., Perez A. L., Perez S., Perra T., Perrone G., Pesce A., Petagna L., Petracca G., Phupong V., Picardi B., Picciariello A., Piccoli M., Picetti E., Pikoulis E. P., Pintar T., Pirozzolo G., Piscioneri F., Podda M., Porcu A., Privitera F., Punzo C., Quaresima S., Quiodettis M. A., Qvist N., Rahim R., de Almeida F. R., Ramely R. B., Rasa H. K., Reichert M., Reinisch-Liese A., Renne A., Riccetti C., Rodriguez-Luna M. R., Roizblatt D., Romanzi A., Romeo L., Roscio F. P. M., Rosnelifaizur R. B., Rossi S., Rubiano A. M., Ruiz-Ucar E., Sakakushev B. E., Salamea J. C., Sall I., Samarakoon L. B., Sammartano F., Arteaga A. S., Sanchez-Cordero S., Santoanastaso D. P. M., Sartelli M., Sasia D., Sato N., Savchuk A., Sawyer R. G., Scaioli G., Schizas D., Sebastiani S., Seeliger B., Lohse H. A. S., Seretis C., Sermonesi G., Serradilla-Martin M., Shelat V. G., Shlyapnikov S., Sidiropoulos T., Simoes R. L., Siragusa L., Siribumrungwong B., Slavchev M., Solaini L., Soldini G., Sopuev A., Soreide K., Sovatzidis A., Stahel P. F., Strickland M., Sultan M. A. H., Sydorchuk R., Sydorchuk L., Syed S. M. A. M., Tallon-Aguilar L., Tamburini A. M., Tamini N., Tan E. C. T. H., Tan J. H., Tarasconi A., Tartaglia N., Tartaglia G., Tartaglia D., Taylor J. V., Tebala G. D., Teuben M., Theodorou A., Tolonen M., Tomasicchio G., Toro A., Torre B., Triantafyllou T., Trigiante G. T., Tripepi M., Trostchansky J., Tsekouras K., Turrado-Rodriguez V., Tutino R., Uccelli M., Uchikov P. A., Ugarte-Sierra B., Ukkonen M. T., Vailas M., Vassiliu P. G., Vazquez A. G., Vazquez R. G., Velmahos G., Verde J. E., Verde J. M., Veroux M., Vigano J., Vilallonga R., Visconti D., Vittori A., Waledziak M., Wannatoop T., Widmer L. W., Wilson M. S. J., Woltz S., Wong T. H., Xenaki S., Yu B., Yule S., Zachariah S. K., Zacharis G., Zaghi C., Zakaria A. D., Zambrano D. A., Zampitis N., Zampogna B., Zanghi S., Zantedeschi M., Zapsalis K., Zattoni F., and Zese M.

Abstract

Background: Artificial intelligence (AI) is gaining traction in medicine and surgery. AI-based applications can offer tools to examine high-volume data to inform predictive analytics that supports complex decision-making processes. Time-sensitive trauma and emergency contexts are often challenging. The study aims to investigate trauma and emergency surgeons’ knowledge and perception of using AI-based tools in clinical decision-making processes. Methods: An online survey grounded on literature regarding AI-enabled surgical decision-making aids was created by a multidisciplinary committee and endorsed by the World Society of Emergency Surgery (WSES). The survey was advertised to 917 WSES members through the society’s website and Twitter profile. Results: 650 surgeons from 71 countries in five continents participated in the survey. Results depict the presence of technology enthusiasts and skeptics and surgeons’ preference toward more classical decision-making aids like clinical guidelines, traditional training, and the support of their multidisciplinary colleagues. A lack of knowledge about several AI-related aspects emerges and is associated with mistrust. Discussion: The trauma and emergency surgical community is divided into those who firmly believe in the potential of AI and those who do not understand or trust AI-enabled surgical decision-making aids. Academic societies and surgical training programs should promote a foundational, working knowledge of clinical AI.

Published
2023

48. Time for a paradigm shift in shared decision-making in trauma and emergency surgery? Results from an international survey

Author

Cobianchi, L, Dal Mas, F, Agnoletti, V, Ansaloni, L, Biffl, W, Butturini, G, Campostrini, S, Catena, F, Denicolai, S, Fugazzola, P, Martellucci, J, Massaro, M, Previtali, P, Ruta, F, Venturi, A, Woltz, S, Kaafarani, H, Loftus, T, Aapoaylu, R, Abbott, K, Abdelmalik, A, Abebe, N, Abu-Zidan, F, Adam, Y, Adamou, H, Adamovich, D, Agresta, F, Agrusa, A, Akin, E, Alessiani, M, Alexandrino, H, Bidoli, C, Ali, S, Mihai, V, Almeida, P, Al-Shehari, M, Altomare, M, Amico, F, Ammendola, M, Andreuccetti, J, Anestiadou, E, Annicchiarico, A, Antonelli, A, Aparicio-Sanchez, D, Ardito, A, Argenio, G, Arvieux, C, Askevold, I, Atanasov, B, Augustin, G, Awad, S, Bacchiocchi, G, Bagnoli, C, Bahouth, H, Baili, E, Bains, L, Baiocchi, G, Bala, M, Balaguacopyright, C, Balalis, D, Baldini, E, Baraket, O, Baral, S, Barone, M, Gonzalez Barranquero, A, Barreras, J, Bass, G, Bayhan, Z, Bellanova, G, Ben-Ishay, O, Bert, F, Bianchi, V, Biancuzzi, H, Radulescu, R, Bignell, M, Biloslavo, A, Bini, R, Bissacco, D, Boati, 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M., Loftus T. J., Aapoaylu R., Abbott K. L., Abdelmalik A., Abebe N. S., Abu-Zidan F., Adam Y. A. Y., Adamou H., Adamovich D. M., Agresta F., Agrusa A., Akin E., Alessiani M., Alexandrino H., Bidoli C., Ali S. M., Mihai V. A., Almeida P. M., Al-Shehari M. M., Altomare M., Amico F., Ammendola M., Andreuccetti J., Anestiadou E., Annicchiarico A., Antonelli A., Aparicio-Sanchez D., Ardito A., Argenio G., Arvieux C. C., Arvieux C., Askevold I. H., Atanasov B. T., Augustin G., Awad S. S., Bacchiocchi G., Bagnoli C., Bahouth H., Baili E., Bains L., Baiocchi G. L., Bala M., BalaguaCopyright C., Balalis D., Baldini E., Baraket O., Baral S., Barone M., Gonzalez Barranquero A., Barreras J. A., Bass G. A., Bayhan Z., Bellanova G., Ben-Ishay O., Bert F., Bianchi V., Biancuzzi H., Radulescu R. B., Bignell M. B., Biloslavo A., Bini R., Bissacco D., Boati P., Boddaert G., Bogdanic B., Bombardini C., Bonavina L., Bonomo L., Bottari A., Bouliaris K., Brachini G., Brillantino A., Brisinda G., Bulanauca M. M., Buonomo L. A., Burcharth J., Buscemi S., Calabretto F., Calini G., Calu V., Campanile F. C., Campo Dall'Orto R., Campos-Serra A., Carvas J. M., Cascella M., Pattacini G. C., Celentano V., Centonze D. C., Ceresoli M., Chatzipetris D., Chessa A., Chiarello M. M., Chirica M., Chooklin S., Chouliaras C., Chowdhury S., Cianci P., Cillara N., Cimbanassi S., Cioffi S. P. B., Colais-Ruiz E., Colak E., Conti L., Coppola A., de Sa T. C., Costa S. D., Cozza V., Curro' G., Dabekaussen K. F. A. -S. A., D'acapito F., Damaskos D., D'Ambrosio G., Das K., Davies R. J., de Beaux A. C., De Lebrusant Fernandez S. P., De Luca A., De Simone B., De Stefano F., Degrate L., Demetrashvili Z., Demetriades A. K., Detanac D. S., Dezi A., Di Buono G., Carlo I. -D. I., Di Lascio P., Di Martino M., Di Saverio S., Diaconescu B., Diaz J. J., Dibra R., Dimitrov E. N., Dinuzzi V. P., Dios-Barbeito S., Diyani J. F. A., Dogjani A., Domanin M., D'Oria M., Munoz-Cruzado V. D., East B., Ekelund M., Ekwen G. T., Elbaih A. H., Elhadi M., Enninghorst N., Ernisova M., Escalera-Antezana J. P., Esposito S., Esposito G., Estaire-Gamez M., Fara C. N., Farre R., Favi F., Ferrario L., Ferrario di Tor Vajana A., Filisetti C., Fleres F., Fonseca V. C., Forero-Torres A., Forfori F., Fortuna L., Fradelos E., Fraga G. P., Fransvea P., Frassini S., Frazzetta G., Frigerio I., Frountzas M., Gachabayov M., Galeiras R., Garcaa B. M., Garcia Vazquez A., Gargarella S., Garzali I. U., Ghannam W. M., Ghazi F. N., Gillman L. M., Gioco R., Giordano A., Giordano L., Giove C., Giraudo G., Giuffrida M., Capponi M. G., Gois E., Gomes C. A., Gomes F. C., Gonsaga R. A. T., Gonullu E., Goosen J., Goranovic T., Gracia-Roman R., Graziano G. M. P., Griffiths E. A., Guagni T., Hadzhiev D. B., Haidar M. G., Hamid H. K. S., Hardcastle T. C., Hayati F., Healey A. J., Hecker A., Hecker M., Garcia E. F. H., hodonou A. M., huaman E., Huerta M., Ibrahim A. F., Ibrahim B. M. S., Ietto G., Inama M., Ioannidis O., Isik A., Ismail N., Ismail A. M. H., Jailani R. F., Jang J. Y., Kalfountzos C., Kalipershad S. N. R., Kaouras E., Kaplan L. J., Kara Y., Karamagioli E., Karamarkovia A., Katsaros I., Kavalakat A. J., Kechagias A., Kenig J., Kessel B. J., Khan J. S., Khokha V., Kim J. I., Kirkpatrick A. W., Klappenbach R., Kobe Y., Lymperis E. K., Kok K. Y. Y., Kong V., Korkolis D. P., Koukoulis G., Kovacevic B., Kruger V. F., Kryvoruchko I. A., Kurihara H., Kuriyama A., Landaluce-Olavarria A., Lapolla P., Licari L., Lisi G., Litvin A., Lizarazu A., Bayo H. L., Lohsiriwat V., Moreira C. C. L., Lostoridis E., Luna A. T., Luppi D., V G. M. M., Maegele M., Maggiore D., Magnone S., Maier R. V., Major P., Manangi M., manetti A., Mantoglu B., Marafante C., Mariani F., Marinis A., Mariot E. A. S., Marseglia G. R., Martanez-Parez A., Martines G., Perez A. M., Martino C., Mascagni P., Massalou D., Mataas-Garcaa B., Mazzarella G., Mazzarolo G., Melo R. B., Mendoza-Moreno F., Meric S., Meyer J., Miceli L., Michalopoulos N. V., Milana F., Mingoli A., Mishra T. S., Mohamed M., Mohamed M. I. E. A., Mohamedahmed A. Y., Mohammed M. J. S., Mohan R., Moore E. E., Morales-Garcia D., Muhrbeck M., Mulita F., Mustafa S. M. S., Muttillo E. M., Naimzada M. D., Navsaria P. H., Negoi I., Nespoli L., Nguyen C., Nidaw M. K., Nigri G., Nikolopoulos I., O'Connor D. B., Ogundipe H. D., Oliveri C., Olmi S., Ong E. C. W., Orecchia L., Osipov A. V., Othman M. F., Pace M., Pacilli M., Pagani L., Palomba G., Pantalone D., Panyko A., Paolillo C., Papa M. V., Papaconstantinou D., Papadoliopoulou M., Papadopoulos A., Papis D., Pararas N., Parreira J. G., Parry N. G., Pata F., Patel T., Paterson-Brown S., Pavone G., Pecchini F., Pellino G., Pelloni M., Peloso A., del Pozo E. P., Pereira R. G., Pereira B. M., perez A. L., Perra T., Perrone G., Pesce A., Petagna L., Petracca G., Phupong V., Picardi B., Picciariello A., Piccoli M., Piccolo D., Picetti E., Pikoulis Pikoulis E., Pintar T., Pirozzolo G., Piscioneri F., Podda M., Porcu A., Privitera F., Punzo C., Quaresima S., Quiodettis M. A., Qvist N., Rahim R., de Almeida F. R., Ramely R. B., Rasa H. K., Reichert M., Reinisch-Liese A., Renne A., Riccetti C., Rodriguez-Luna M. R., Roizblatt D., Romanzi A., Romeo L., Roscio F. P. M., Rosnelifaizur R. B., Rossi S., Rubiano A. M., Ruiz-Ascar E., Sakakushev B. E., Salamea J. C., Sall I., Samarakoon L. B., Sammartano F., Arteaga A. S., Sanchez-Cordero S., Santoanastaso D. P. M., Sasia D., Sato N., Savchuk A., Sawyer R. G., Scaioli G., Schizas D., Sebastiani S., Seeliger B., Lohse H. A. S., Seretis C., Sermonesi G., Serradilla-Martin M., Shelat V. G., Shlyapnikov S., Sidiropoulos T., Simoes R. L., Siragusa L., Siribumrungwong B., Slavchev M., Solaini L., soldini G., Sopuev A., Soreide K., Sovatzidis A., Stahel P. F., Strickland M., Sultan M. A. H., Sydorchuk R., Sydorchuk L., Syed S. M. A. M., Syed A. M., Tallon-Aguilar L., Tamburini A. M., Tamini N., Tan E. C. T. H., Tan J. H., Tarasconi A., Tartaglia N., Tartaglia G., Tartaglia D., Taylor J. V., Tebala G. D., Teuben M., Theodorou A., Tolonen M., Tomasicchio G., Toro A., Torre B., Triantafyllou T., Trigiante Trigiante G., Tripepi M., Trostchansky J., Tsekouras K., Turrado-Rodriguez V., Tutino R., Uccelli M., Uchikov P. A., Ugarte-Sierra B., Ukkonen M. T., Vailas M., Vassiliu P. G., Vazquez A. G., Vazquez R. G., Verde J. E., Verde J. M., Veroux M., Vigano J., Vilallonga R., Visconti D., Vittori A., Waledziak M., Wannatoop T., Widmer L. W., Wilson M. S. J., Wong T. H., Xenaki S., Yu B., Yule S., Zachariah S. K., Zacharis G., Zaghi C., Zakaria A. D., Zambrano D. A., Zampitis N., Zampogna B., Zangha S., Zapsalis K., Zattoni F., Zese M., Farre S. P., Pegoraro V., Zantedeschi M., Reitano E., Pizzocaro E., Cobianchi, L, Dal Mas, F, Agnoletti, V, Ansaloni, L, Biffl, W, Butturini, G, Campostrini, S, Catena, F, Denicolai, S, Fugazzola, P, Martellucci, J, Massaro, M, Previtali, P, Ruta, F, Venturi, A, Woltz, S, Kaafarani, H, Loftus, T, Aapoaylu, R, Abbott, K, Abdelmalik, A, Abebe, N, Abu-Zidan, F, Adam, Y, Adamou, H, Adamovich, D, Agresta, F, Agrusa, A, Akin, E, Alessiani, M, Alexandrino, H, Bidoli, C, Ali, S, Mihai, V, Almeida, P, Al-Shehari, M, Altomare, M, Amico, F, Ammendola, M, Andreuccetti, J, Anestiadou, E, Annicchiarico, A, Antonelli, A, Aparicio-Sanchez, D, Ardito, A, Argenio, G, Arvieux, C, Askevold, I, Atanasov, B, Augustin, G, Awad, S, Bacchiocchi, G, Bagnoli, C, Bahouth, H, Baili, E, Bains, L, Baiocchi, G, Bala, M, Balaguacopyright, C, Balalis, D, Baldini, E, Baraket, O, Baral, S, Barone, M, Gonzalez Barranquero, A, Barreras, J, Bass, G, Bayhan, Z, Bellanova, G, Ben-Ishay, O, Bert, F, Bianchi, V, Biancuzzi, H, Radulescu, R, Bignell, M, Biloslavo, A, Bini, R, Bissacco, D, Boati, P, Boddaert, G, Bogdanic, B, Bombardini, C, Bonavina, L, Bonomo, L, Bottari, A, Bouliaris, K, Brachini, G, Brillantino, A, Brisinda, G, Bulanauca, M, Buonomo, L, Burcharth, J, Buscemi, S, Calabretto, F, Calini, G, Calu, V, Campanile, F, Campo Dall'Orto, R, Campos-Serra, A, Carvas, J, Cascella, M, Pattacini, G, Celentano, V, Centonze, D, Ceresoli, M, Chatzipetris, D, Chessa, A, Chiarello, M, Chirica, M, Chooklin, S, Chouliaras, C, Chowdhury, S, Cianci, P, Cillara, N, Cimbanassi, S, Cioffi, S, Colais-Ruiz, E, Colak, E, Conti, L, Coppola, A, de Sa, T, Costa, S, Cozza, V, Curro', G, Dabekaussen, K, D'Acapito, F, Damaskos, D, D'Ambrosio, G, Das, K, Davies, R, de Beaux, A, De Lebrusant Fernandez, S, De Luca, A, De Simone, B, De Stefano, F, Degrate, L, Demetrashvili, Z, Demetriades, A, Detanac, D, Dezi, A, Di Buono, G, Carlo, I, Di Lascio, P, Di Martino, M, Di Saverio, S, Diaconescu, B, Diaz, J, Dibra, R, Dimitrov, E, Dinuzzi, V, Dios-Barbeito, S, Diyani, J, Dogjani, A, Domanin, M, D'Oria, M, Munoz-Cruzado, V, East, B, Ekelund, M, Ekwen, G, Elbaih, A, Elhadi, M, Enninghorst, N, Ernisova, M, Escalera-Antezana, J, Esposito, S, Esposito, G, Estaire-Gamez, M, Fara, C, Farre, R, Favi, F, Ferrario, L, Ferrario di Tor Vajana, A, Filisetti, C, Fleres, F, Fonseca, V, Forero-Torres, A, Forfori, F, Fortuna, L, Fradelos, E, Fraga, G, Fransvea, P, Frassini, S, Frazzetta, G, Frigerio, I, Frountzas, M, Gachabayov, M, Galeiras, R, Garcaa, B, Garcia Vazquez, A, Gargarella, S, Garzali, I, Ghannam, W, Ghazi, F, Gillman, L, Gioco, R, Giordano, A, Giordano, L, Giove, C, Giraudo, G, Giuffrida, M, Capponi, M, Gois, E, Gomes, C, Gomes, F, Gonsaga, R, Gonullu, E, Goosen, J, Goranovic, T, Gracia-Roman, R, Graziano, G, Griffiths, E, Guagni, T, Hadzhiev, D, Haidar, M, Hamid, H, Hardcastle, T, Hayati, F, Healey, A, Hecker, A, Hecker, M, Garcia, E, Hodonou, A, Huaman, E, Huerta, M, Ibrahim, A, Ibrahim, B, Ietto, G, Inama, M, Ioannidis, O, Isik, A, Ismail, N, Ismail, A, Jailani, R, Jang, J, Kalfountzos, C, Kalipershad, S, Kaouras, E, Kaplan, L, Kara, Y, Karamagioli, E, Karamarkovia, A, Katsaros, I, Kavalakat, A, Kechagias, A, Kenig, J, Kessel, B, Khan, J, Khokha, V, Kim, J, Kirkpatrick, A, Klappenbach, R, Kobe, Y, Lymperis, E, Kok, K, Kong, V, Korkolis, D, Koukoulis, G, Kovacevic, B, Kruger, V, Kryvoruchko, I, Kurihara, H, Kuriyama, A, Landaluce-Olavarria, A, Lapolla, P, Licari, L, Lisi, G, Litvin, A, Lizarazu, A, Bayo, H, Lohsiriwat, V, Moreira, C, Lostoridis, E, Luna, A, Luppi, D, V, G, Maegele, M, Maggiore, D, Magnone, S, Maier, R, Major, P, Manangi, M, Manetti, A, Mantoglu, B, Marafante, C, Mariani, F, Marinis, A, Mariot, E, Marseglia, G, Martanez-Parez, A, Martines, G, Perez, A, Martino, C, Mascagni, P, Massalou, D, Mataas-Garcaa, B, Mazzarella, G, Mazzarolo, G, Melo, R, Mendoza-Moreno, F, Meric, S, Meyer, J, Miceli, L, Michalopoulos, N, Milana, F, Mingoli, A, Mishra, T, Mohamed, M, Mohamedahmed, A, Mohammed, M, Mohan, R, Moore, E, Morales-Garcia, D, Muhrbeck, M, Mulita, F, Mustafa, S, Muttillo, E, Naimzada, M, Navsaria, P, Negoi, I, Nespoli, L, Nguyen, C, Nidaw, M, Nigri, G, Nikolopoulos, I, O'Connor, D, Ogundipe, H, Oliveri, C, Olmi, S, Ong, E, Orecchia, L, Osipov, A, Othman, M, Pace, M, Pacilli, M, Pagani, L, Palomba, G, Pantalone, D, Panyko, A, Paolillo, C, Papa, M, Papaconstantinou, D, Papadoliopoulou, M, Papadopoulos, A, Papis, D, Pararas, N, Parreira, J, Parry, N, Pata, F, Patel, T, Paterson-Brown, S, Pavone, G, Pecchini, F, Pellino, G, Pelloni, M, Peloso, A, del Pozo, E, Pereira, R, Pereira, B, Perra, T, Perrone, G, Pesce, A, Petagna, L, Petracca, G, Phupong, V, Picardi, B, Picciariello, A, Piccoli, M, Piccolo, D, Picetti, E, Pikoulis Pikoulis, E, Pintar, T, Pirozzolo, G, Piscioneri, F, Podda, M, Porcu, A, Privitera, F, Punzo, C, Quaresima, S, Quiodettis, M, Qvist, N, Rahim, R, de Almeida, F, Ramely, R, Rasa, H, Reichert, M, Reinisch-Liese, A, Renne, A, Riccetti, C, Rodriguez-Luna, M, Roizblatt, D, Romanzi, A, Romeo, L, Roscio, F, Rosnelifaizur, R, Rossi, S, Rubiano, A, Ruiz-Ascar, E, Sakakushev, B, Salamea, J, Sall, I, Samarakoon, L, Sammartano, F, Arteaga, A, Sanchez-Cordero, S, Santoanastaso, D, Sasia, D, Sato, N, Savchuk, A, Sawyer, R, Scaioli, G, Schizas, D, Sebastiani, S, Seeliger, B, Lohse, H, Seretis, C, Sermonesi, G, Serradilla-Martin, M, Shelat, V, Shlyapnikov, S, Sidiropoulos, T, Simoes, R, Siragusa, L, Siribumrungwong, B, Slavchev, M, Solaini, L, Soldini, G, Sopuev, A, Soreide, K, Sovatzidis, A, Stahel, P, Strickland, M, Sultan, M, Sydorchuk, R, Sydorchuk, L, Syed, S, Syed, A, Tallon-Aguilar, L, Tamburini, A, Tamini, N, Tan, E, Tan, J, Tarasconi, A, Tartaglia, N, Tartaglia, G, Tartaglia, D, Taylor, J, Tebala, G, Teuben, M, Theodorou, A, Tolonen, M, Tomasicchio, G, Toro, A, Torre, B, Triantafyllou, T, Trigiante Trigiante, G, Tripepi, M, Trostchansky, J, Tsekouras, K, Turrado-Rodriguez, V, Tutino, R, Uccelli, M, Uchikov, P, Ugarte-Sierra, B, Ukkonen, M, Vailas, M, Vassiliu, P, Vazquez, A, Vazquez, R, Verde, J, Veroux, M, Vigano, J, Vilallonga, R, Visconti, D, Vittori, A, Waledziak, M, Wannatoop, T, Widmer, L, Wilson, M, Wong, T, Xenaki, S, Yu, B, Yule, S, Zachariah, S, Zacharis, G, Zaghi, C, Zakaria, A, Zambrano, D, Zampitis, N, Zampogna, B, Zangha, S, Zapsalis, K, Zattoni, F, Zese, M, Farre, S, Pegoraro, V, Zantedeschi, M, Reitano, E, Pizzocaro, E, Cobianchi L., Dal Mas F., Agnoletti V., Ansaloni L., Biffl W., Butturini G., Campostrini S., Catena F., Denicolai S., Fugazzola P., Martellucci J., Massaro M., Previtali P., Ruta F., Venturi A., Woltz S., Kaafarani H. M., Loftus T. J., Aapoaylu R., Abbott K. L., Abdelmalik A., Abebe N. S., Abu-Zidan F., Adam Y. A. Y., Adamou H., Adamovich D. M., Agresta F., Agrusa A., Akin E., Alessiani M., Alexandrino H., Bidoli C., Ali S. M., Mihai V. A., Almeida P. M., Al-Shehari M. M., Altomare M., Amico F., Ammendola M., Andreuccetti J., Anestiadou E., Annicchiarico A., Antonelli A., Aparicio-Sanchez D., Ardito A., Argenio G., Arvieux C. C., Arvieux C., Askevold I. H., Atanasov B. T., Augustin G., Awad S. S., Bacchiocchi G., Bagnoli C., Bahouth H., Baili E., Bains L., Baiocchi G. L., Bala M., BalaguaCopyright C., Balalis D., Baldini E., Baraket O., Baral S., Barone M., Gonzalez Barranquero A., Barreras J. A., Bass G. A., Bayhan Z., Bellanova G., Ben-Ishay O., Bert F., Bianchi V., Biancuzzi H., Radulescu R. B., Bignell M. B., Biloslavo A., Bini R., Bissacco D., Boati P., Boddaert G., Bogdanic B., Bombardini C., Bonavina L., Bonomo L., Bottari A., Bouliaris K., Brachini G., Brillantino A., Brisinda G., Bulanauca M. M., Buonomo L. A., Burcharth J., Buscemi S., Calabretto F., Calini G., Calu V., Campanile F. C., Campo Dall'Orto R., Campos-Serra A., Carvas J. M., Cascella M., Pattacini G. C., Celentano V., Centonze D. C., Ceresoli M., Chatzipetris D., Chessa A., Chiarello M. M., Chirica M., Chooklin S., Chouliaras C., Chowdhury S., Cianci P., Cillara N., Cimbanassi S., Cioffi S. P. B., Colais-Ruiz E., Colak E., Conti L., Coppola A., de Sa T. C., Costa S. D., Cozza V., Curro' G., Dabekaussen K. F. A. -S. A., D'acapito F., Damaskos D., D'Ambrosio G., Das K., Davies R. J., de Beaux A. C., De Lebrusant Fernandez S. P., De Luca A., De Simone B., De Stefano F., Degrate L., Demetrashvili Z., Demetriades A. K., Detanac D. S., Dezi A., Di Buono G., Carlo I. -D. I., Di Lascio P., Di Martino M., Di Saverio S., Diaconescu B., Diaz J. J., Dibra R., Dimitrov E. N., Dinuzzi V. P., Dios-Barbeito S., Diyani J. F. A., Dogjani A., Domanin M., D'Oria M., Munoz-Cruzado V. D., East B., Ekelund M., Ekwen G. T., Elbaih A. H., Elhadi M., Enninghorst N., Ernisova M., Escalera-Antezana J. P., Esposito S., Esposito G., Estaire-Gamez M., Fara C. N., Farre R., Favi F., Ferrario L., Ferrario di Tor Vajana A., Filisetti C., Fleres F., Fonseca V. C., Forero-Torres A., Forfori F., Fortuna L., Fradelos E., Fraga G. P., Fransvea P., Frassini S., Frazzetta G., Frigerio I., Frountzas M., Gachabayov M., Galeiras R., Garcaa B. M., Garcia Vazquez A., Gargarella S., Garzali I. U., Ghannam W. M., Ghazi F. N., Gillman L. M., Gioco R., Giordano A., Giordano L., Giove C., Giraudo G., Giuffrida M., Capponi M. G., Gois E., Gomes C. A., Gomes F. C., Gonsaga R. A. T., Gonullu E., Goosen J., Goranovic T., Gracia-Roman R., Graziano G. M. P., Griffiths E. A., Guagni T., Hadzhiev D. B., Haidar M. G., Hamid H. K. S., Hardcastle T. C., Hayati F., Healey A. J., Hecker A., Hecker M., Garcia E. F. H., hodonou A. M., huaman E., Huerta M., Ibrahim A. F., Ibrahim B. M. S., Ietto G., Inama M., Ioannidis O., Isik A., Ismail N., Ismail A. M. H., Jailani R. F., Jang J. Y., Kalfountzos C., Kalipershad S. N. R., Kaouras E., Kaplan L. J., Kara Y., Karamagioli E., Karamarkovia A., Katsaros I., Kavalakat A. J., Kechagias A., Kenig J., Kessel B. J., Khan J. S., Khokha V., Kim J. I., Kirkpatrick A. W., Klappenbach R., Kobe Y., Lymperis E. K., Kok K. Y. Y., Kong V., Korkolis D. P., Koukoulis G., Kovacevic B., Kruger V. F., Kryvoruchko I. A., Kurihara H., Kuriyama A., Landaluce-Olavarria A., Lapolla P., Licari L., Lisi G., Litvin A., Lizarazu A., Bayo H. L., Lohsiriwat V., Moreira C. C. L., Lostoridis E., Luna A. T., Luppi D., V G. M. M., Maegele M., Maggiore D., Magnone S., Maier R. V., Major P., Manangi M., manetti A., Mantoglu B., Marafante C., Mariani F., Marinis A., Mariot E. A. S., Marseglia G. R., Martanez-Parez A., Martines G., Perez A. M., Martino C., Mascagni P., Massalou D., Mataas-Garcaa B., Mazzarella G., Mazzarolo G., Melo R. B., Mendoza-Moreno F., Meric S., Meyer J., Miceli L., Michalopoulos N. V., Milana F., Mingoli A., Mishra T. S., Mohamed M., Mohamed M. I. E. A., Mohamedahmed A. Y., Mohammed M. J. S., Mohan R., Moore E. E., Morales-Garcia D., Muhrbeck M., Mulita F., Mustafa S. M. S., Muttillo E. M., Naimzada M. D., Navsaria P. H., Negoi I., Nespoli L., Nguyen C., Nidaw M. K., Nigri G., Nikolopoulos I., O'Connor D. B., Ogundipe H. D., Oliveri C., Olmi S., Ong E. C. W., Orecchia L., Osipov A. V., Othman M. F., Pace M., Pacilli M., Pagani L., Palomba G., Pantalone D., Panyko A., Paolillo C., Papa M. V., Papaconstantinou D., Papadoliopoulou M., Papadopoulos A., Papis D., Pararas N., Parreira J. G., Parry N. G., Pata F., Patel T., Paterson-Brown S., Pavone G., Pecchini F., Pellino G., Pelloni M., Peloso A., del Pozo E. P., Pereira R. G., Pereira B. 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Abstract

Background: Shared decision-making (SDM) between clinicians and patients is one of the pillars of the modern patient-centric philosophy of care. This study aims to explore SDM in the discipline of trauma and emergency surgery, investigating its interpretation as well as the barriers and facilitators for its implementation among surgeons. Methods: Grounding on the literature on the topics of the understanding, barriers, and facilitators of SDM in trauma and emergency surgery, a survey was created by a multidisciplinary committee and endorsed by the World Society of Emergency Surgery (WSES). The survey was sent to all 917 WSES members, advertised through the society’s website, and shared on the society’s Twitter profile. Results: A total of 650 trauma and emergency surgeons from 71 countries in five continents participated in the initiative. Less than half of the surgeons understood SDM, and 30% still saw the value in exclusively engaging multidisciplinary provider teams without involving the patient. Several barriers to effectively partnering with the patient in the decision-making process were identified, such as the lack of time and the need to concentrate on making medical teams work smoothly. Discussion: Our investigation underlines how only a minority of trauma and emergency surgeons understand SDM, and perhaps, the value of SDM is not fully accepted in trauma and emergency situations. The inclusion of SDM practices in clinical guidelines may represent the most feasible and advocated solutions.

Published
2023

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