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1. 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, Coccolini, F, Damaskos, D, Moore, E, Kluger, Y, Ceresoli, M, Coimbra, R, Davies, J, Kirkpatrick, A, Di Carlo, I, Hardcastle, T, Isik, A, Chiarugi, M, Gurusamy, K, Maier, R, Segovia Lohse, H, Jeekel, H, Boermeester, M, Abu-Zidan, F, Inaba, K, Weber, D, Augustin, G, Bonavina, L, Velmahos, G, Sartelli, M, Di Saverio, S, Ten Broek, R, Granieri, S, Dal Mas, F, Fare, C, Peverada, J, Zanghi, S, Vigano, J, Tomasoni, M, Dominioni, T, Cicuttin, E, Hecker, A, Tebala, G, Galante, J, Wani, I, Khokha, V, Sugrue, M, Scalea, T, Tan, E, Malangoni, M, Pararas, N, Podda, M, De Simone, B, Ivatury, R, Cui, Y, Kashuk, J, Peitzman, A, Kim, F, Pikoulis, E, Sganga, G, Chiara, O, Kelly, M, Marzi, I, Picetti, E, Agnoletti, V, De'Angelis, N, Campanelli, G, de Moya, M, Litvin, A, Martinez-Perez, A, Sall, I, Rizoli, S, Tomadze, G, Sakakushev, B, Stahel, P, 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, Gosal, P, Balasubramaniam, S, Hsu, J, Banphawatanarak, K, Pisano, M, Adriana, T, Michele, A, Cioffi, S, 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., Di Carlo I., 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., Di Saverio S., Ten Broek R. P. G., Granieri S., Dal Mas F., Fare C. N., Peverada J., Zanghi S., Vigano 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., Malangoni M. A., Pararas N., Podda M., De Simone B., 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., de Moya M., Litvin A., Martinez-Perez 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, Coccolini, F, Damaskos, D, Moore, E, Kluger, Y, Ceresoli, M, Coimbra, R, Davies, J, Kirkpatrick, A, Di Carlo, I, Hardcastle, T, Isik, A, Chiarugi, M, Gurusamy, K, Maier, R, Segovia Lohse, H, Jeekel, H, Boermeester, M, Abu-Zidan, F, Inaba, K, Weber, D, Augustin, G, Bonavina, L, Velmahos, G, Sartelli, M, Di Saverio, S, Ten Broek, R, Granieri, S, Dal Mas, F, Fare, C, Peverada, J, Zanghi, S, Vigano, J, Tomasoni, M, Dominioni, T, Cicuttin, E, Hecker, A, Tebala, G, Galante, J, Wani, I, Khokha, V, Sugrue, M, Scalea, T, Tan, E, Malangoni, M, Pararas, N, Podda, M, De Simone, B, Ivatury, R, Cui, Y, Kashuk, J, Peitzman, A, Kim, F, Pikoulis, E, Sganga, G, Chiara, O, Kelly, M, Marzi, I, Picetti, E, Agnoletti, V, De'Angelis, N, Campanelli, G, de Moya, M, Litvin, A, Martinez-Perez, A, Sall, I, Rizoli, S, Tomadze, G, Sakakushev, B, Stahel, P, 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, Gosal, P, Balasubramaniam, S, Hsu, J, Banphawatanarak, K, Pisano, M, Adriana, T, Michele, A, Cioffi, S, 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., Di Carlo I., 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., Di Saverio S., Ten Broek R. P. G., Granieri S., Dal Mas F., Fare C. N., Peverada J., Zanghi S., Vigano 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., Malangoni M. A., Pararas N., Podda M., De Simone B., 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., de Moya M., Litvin A., Martinez-Perez 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

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

8. Establishing core outcome sets for gastrointestinal recovery in studies of postoperative ileus and small bowel obstruction: protocol for a nested methodological study.

Author

Chapman, S. J., Lee, M. J., Blackwell, S., Arnott, R., ten Broek, R. P. G., Delaney, C. P., Dudi‐Venkata, N. N., Hind, D., Jayne, D. G., Mellor, K., Mishra, A., O'Grady, G., Sammour, T., Thorpe, G., Wells, C. I., Wolthuis, A. M., and Fearnhead, N. S.

Subjects
BOWEL obstructions, INTESTINAL diseases, CHARITIES, META-analysis, GASTROINTESTINAL surgery
Abstract

Introduction: Gastrointestinal recovery describes the restoration of normal bowel function in patients with bowel disease. This may be prolonged in two common clinical settings: postoperative ileus and small bowel obstruction. Improving gastrointestinal recovery is a research priority but researchers are limited by variation in outcome reporting across clinical studies. This protocol describes the development of core outcome sets for gastrointestinal recovery in the contexts of postoperative ileus and small bowel obstruction. Method: An international Steering Group consisting of patient and clinician representatives has been established. As overlap between clinical contexts is anticipated, both outcome sets will be co‐developed and may be combined to form a common output with disease‐specific domains. The development process will comprise three phases, including definition of outcomes relevant to postoperative ileus and small bowel obstruction from systematic literature reviews and nominal‐group stakeholder discussions; online‐facilitated Delphi surveys via international networks; and a consensus meeting to ratify the final output. A nested study will explore if the development of overlapping outcome sets can be rationalized. Dissemination and implementation: The final output will be registered with the Core Outcome Measures in Effectiveness Trials initiative. A multi‐faceted, quality improvement campaign for the reporting of gastrointestinal recovery in clinical studies will be launched, targeting international professional and patient groups, charitable organizations and editorial committees. Success will be explored via an updated systematic review of outcomes 5 years after registration of the core outcome set. [ABSTRACT FROM AUTHOR]

Published
2020
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16. Core outcome set for clinical studies of postoperative ileus after intestinal surgery

Author

Chapman, SJ, Lee, MJ, Blackwell, S, Arnott, R, ten Broek, RPG, Delaney, CP, Dudi-Venkata, NN, Fish, R, Hind, D, Jayne, DG, Mellor, K, Mishra, A, O'Grady, G, Sammour, T, Thorpe, G, Wells, C, Wolthuis, AM, Fearnhead, NS, Adegbola, S, Bagaglini, G, Bath, M, Bibby, N, Bisset, C, Blefari, N, Blencowe, NS, Bolton, W, Bulte, JP, Burch, J, Campanelli, M, Cano-Valderrama, O, Carver, J, Challand, C, Chan, S, Chandler, S, Clerc, D, Coe, P, Cox, D, Cross, KLR, Culkin, A, Cuthill, V, Daniels, S, Dawson, A, Dawson, L, Dixon, F, Downey, C, Drake, T, Duff, S, Dunning, G, Espin-Basany, E, Evans, MD, Fakhrul-Aldeen, M, Fisher, N, Fleetwood-Beresford, S, Gallo, G, Garoufalia, Z, George, R, Han, J, Harji, D, Harmston, R, Harris, DA, Mohammed, M, Helliwell, J, Hepburn, J, Herrod, P, Horwood, N, Keane, C, Kelly, S, Kroon, HM, Lonsdale, MDS, Major, G, Mattison, J, McLean, A Lawson, Millan, M, Limbert, S, McDermott, F, Mehraj, A, Moriarty, C, Moug, S, Murray, E, Naylor, M, Nepogodiev, D, Oliver, J, Pandey, D, Pata, F, Paterson, HM, Peckham-Cooper, A, Pellino, G, Pockney, P, Proctor, VK, Proud, D, Rew, V, Rutegard, M, Sahnan, K, Sayers, A, Siragusa, L, Smillie, RW, Spratt, J, Swain, D, Taylor, S, Tejedor, P, Thomas, O, Thompson, J, Tsimogiannis, K, Tuohey, D, Vissapragada, R, Younis, MU, Vaughan-Shaw, PG, Whyte, K, Wheelband, K, Williams, A, Yates, A, Young, R, Group, Tripartite Gastrointestinal Recovery Post-operative IIeus, Chapman, S J, Lee, M J, Blackwell, S, Arnott, R, ten Broek, R P G, Delaney, C P, Dudi-Venkata, N N, Fish, R, Hind, D, Jayne, D G, Mellor, K, Mishra, A, O’Grady, G, Sammour, T, Thorpe, G, Wells, C I, Wolthuis, A M, Fearnhead, N S, Adegbola, S, Bagaglini, G, Bath, M, Bibby, N, Bisset, C, Blefari, N, Blencowe, N S, Bolton, W, Bulte, J P, Burch, J, Campanelli, M, Cano-Valderrama, O, Carver, J, Challand, C, Chan, S, Chandler, S, Clerc, D, Coe, P, Cox, D, Cross, K L R, Culkin, A, Cuthill, V, Daniels, S, Dawson, A, Dawson, L, Dixon, F, Downey, C, Drake, T, Duff, S, Dunning, G, Espin-Basany, E, Evans, M D, Fakhrul-Aldeen, M, Fisher, N, Fleetwood-Beresford, S, Gallo, G, Garoufalia, Z, George, R, Han, J, Harji, D, Harmston, R, Harris, D A, Mohammed, M, Helliwell, J, Hepburn, J, Herrod, P, Horwood, N, Keane, C, Kelly, S, Kroon, H M, Lonsdale, M D S, Major, G, Mattison, J, Lawson McLean, A, Millan, M, Limbert, S, Mcdermott, F, Mehraj, A, Moriarty, C, Moug, S, Murray, E, Naylor, M, Nepogodiev, D, Oliver, J, Pandey, D, Pata, F, Paterson, H M, Peckham-Cooper, A, Pellino, G, Pockney, P, Proctor, V K, Proud, D, Rew, V, Rutegård, M, Sahnan, K, Sayers, A, Siragusa, L, Smillie, R W, Spratt, J, Swain, D, Taylor, S, Tejedor, P, Thomas, O, Thompson, J, Tsimogiannis, K, Tuohey, D, Vissapragada, R, Younis, M U, Vaughan-Shaw, P G, Whyte, K, Wheelband, K, Williams, A, Yates, A, and Young, R

Subjects
Science & Technology, Ileus, Postoperative Complications, Outcome Assessment, Health Care, Humans, Surgery, Postoperative Complication, Digestive System Surgical Procedure, Life Sciences & Biomedicine, Digestive System Surgical Procedures, Human
Abstract

ispartof: BRITISH JOURNAL OF SURGERY vol:109 issue:6 pages:493-496 ispartof: location:England status: published

Published
2022
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17. Reproducibility and predictive value of three grading systems for intraoperative adverse events in a cohort of abdominal surgery.

Author

Gawria L, Krielen P, Stommel MWJ, van Goor H, and Ten Broek RPG

Subjects
Humans, Reproducibility of Results, Abdomen surgery, Elective Surgical Procedures adverse effects, Retrospective Studies, Intraoperative Complications, Postoperative Complications diagnosis, Postoperative Complications etiology, Postoperative Complications surgery
Abstract

Introduction: Intraoperative adverse events (iAEs) are increasingly recognized for their impact on patient outcomes. The Kaafarani classification and Surgical Apgar Score (SAS) were developed to assess the intraoperative course; however, both have their drawbacks. ClassIntra was validated for iAEs of any origin. This study compares the Kaafarani and SAS to ClassIntra considering predictive value and interrater reliability in a cohort of abdominal surgery to support implementation of a classification in clinical practice., Methods: The authors made use of the LAParotomy or LAParoscopy and ADhesiolysis (LAPAD) study database of elective abdominal surgery. Detailed descriptions on iAEs were collected in real-time by a researcher. For the current research aim, all iAEs were graded according ClassIntra, Kaafarani, and SAS (score ≤4). The predictive value was assessed using univariable and multivariable linear regression and the area under the receiver operating curve (AUROC). Two teams graded ClassIntra and Kaafarani to assess the interrater reliability using Cohen's Kappa., Results: A total of 755 surgeries were included, in which 335 (44%) iAEs were graded according to ClassIntra, 228 (30%) to Kaafarani, and 130 (20%) to SAS. All classifications were significantly correlated to postoperative complications, with an AUROC of 0.67 (95% CI: 0.62-0.72), 0.64 (0.59-0.70), and 0.71 (0.56-0.76), respectively. For the secondary endpoint, the interrater reliability of ClassIntra with κ 0.87 (95% CI: 0.84-0.90) and Kaafarani 0.90 (95% CI: 0.87-0.93) was both strong., Conclusion: ClassIntra, Kaafarani, and SAS can be used for reporting of iAEs in abdominal surgery with good predictive value for postoperative complications, with strong reliability. ClassIntra, compared with Kaafarani and SAS, included the most iAEs and has the most comprehensive definition suitable for uniform reporting of iAEs in clinical practice and research., (Copyright © 2023 The Author(s). Published by Wolters Kluwer Health, Inc.)

Published
2024
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18. Efficacy of polyethylene glycol adhesion barrier after gynecological laparoscopic surgery: Results of a randomized controlled pilot study.

Author

Ten Broek RP, Kok-Krant N, Verhoeve HR, van Goor H, and Bakkum EA

Abstract

Postoperative adhesions are the most frequent complication of peritoneal surgery, causing small bowel obstruction, female infertility and chronic pain. This pilot study assessed the efficacy of a sprayable polyethylene glycol (PEG) barrier in the prevention of de novo adhesions. 16 patients undergoing laparoscopic gynecological surgery were randomly assigned by shuffled sealed envelopes to receive either the adhesion barrier or no adhesion prevention. Incidence and severity of adhesions were scored at eight sites in the pelvis and reassessed by second look laparoscopy. Adhesion prevention was considered successful if no de novo adhesion were found at second look laparoscopy. One patient was excluded before randomization. Nine patients were randomized to treatment and six patients to control group. De novo adhesions were found in 0/9 patients who received the PEG barrier compared to 4/6 without adhesion prevention (0% vs. 67%, P = 0.01). Reduction in adhesion score was significantly greater in patients receiving PEG barrier (-2.6 vs. -0.06, P = 0.03). Meta-analysis of three randomized trials demonstrated that PEG barrier reduces the incidence of adhesions (odds ratio [OR] = 0.27; 95% CI 0.11-0.67). From this study, PEG barrier seems effective in reducing postoperative formation of de novo adhesions.

Published
2012
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19. Laparoscopic reintervention in colorectal surgery.

Author

Ten Broek RP and Van Goor H

Subjects
Colectomy methods, Colon pathology, Colonic Diseases etiology, Humans, Intestinal Obstruction complications, Intestinal Obstruction surgery, Quality of Life, Rectal Diseases etiology, Rectum pathology, Reoperation, Tissue Adhesions etiology, Tissue Adhesions surgery, Colon surgery, Colonic Diseases surgery, Laparoscopy adverse effects, Postoperative Complications surgery, Rectal Diseases surgery, Rectum surgery
Abstract

Laparoscopic colorectal surgery has developed in the 1990's and beginning of 2000. The favourable results and great progress in the development of laparoscopic techniques have expanded the indications of laparoscopic colorectal surgery. More and more complicated colorectal cases are treated laparoscopically, including those having had previous laparotomies. Surgical reinterventions after colorectal procedures are common. Reinterventions are either intended to treat complications of colorectal surgery or to treat colorectal disease after previous abdominal or pelvic surgery. Laparoscopic reinterventions face surgeons with specific challenges related to morphological changes in the abdomen. Adhesions are primarily responsible for these changes and evoke various complications such as trocar injury, bleeding, enterotomy and conversion to laparotomy. Trocars and Veress needle are responsible for up to half of all bowel injuries in laparoscopic surgery and adhesion formation is the most important risk factor for bowel injury. The risks of adhesions are often underestimated. The first clinical results on laparoscopic reinterventions are promising. Routine use of anti-adhesion agents and diagnostics is advocated to prevent adhesion formation and make reintervention more safe reducing serious complications as inadvertent enterotomy, bleeding and trocar injuries. More research is needed to develop better tools for mapping adhesions, as none of the trocar placing techniques can rule out bowel injury. Improved diagnostic tools for mapping adhesions will also facilitate patient selection for laparoscopic treatment of SBO.

Published
2008

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