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Found: 511
World Journal of Emergency Surgery
  • Safety and effectiveness of propranolol in severely burned patients: systematic review and meta-analysis

    World Journal of Emergency Surgery

    Ramiro Manzano-Nunez; Herney Andrés García-Perdomo; Paula Ferrada; Carlos Alberto Ordoñez Delgado; Diego Andrés Gomez; Jorge Esteban Foianini

    Background The objective of this systematic review was to determine the effectiveness and safety of propranolol compared to placebo or usual care for improving clinical relevant outcomes in severely burned patients (TBSA >20%). Methods Relevant articles from randomized controlled trials we...
  • IROA: International Register of Open Abdomen, preliminary results

    World Journal of Emergency Surgery

    Federico Coccolini; Giulia Montori; Marco Ceresoli; Fausto Catena; Rao Ivatury; Michael Sugrue; Massimo Sartelli; Paola Fugazzola; Davide Corbella; Francesco Salvetti; Ionut Negoi; Monica Zese; Savino Occhionorelli; Stefano Maccatrozzo; Sergei Shlyapnikov; Christian Galatioto; Massimo Chiarugi; Zaza Demetrashvili; Daniele Dondossola; Yovcho Yovtchev; Orestis Ioannidis; Giuseppe Novelli; Mirco Nacoti; Desmond Khor; Kenji Inaba; Demetrios Demetriades; Torsten Kaussen; Asri Che Jusoh; Wagih Ghannam; Boris Sakakushev; Ohad Guetta; Agron Dogjani; Stefano Costa; Sandeep Singh; Dimitrios Damaskos; Arda Isik; Kuo-Ching Yuan; Francesco Trotta; Stefano Rausei; Aleix Martinez-Perez; Giovanni Bellanova; Vinicius Cordeiro Fonseca; Fernando Hernández; Athanasios Marinis; Wellington Fernandes; Martha Quiodettis; Miklosh Bala; Andras Vereczkei; Rafael L. Curado; Gustavo Pereira Fraga; Bruno M. Pereira; Mahir Gachabayov; Guillermo Perez Chagerben; Miguel Leon Arellano; Sefa Ozyazici; Gianluca Costa; Tugan Tezcaner; Luca Ansaloni

    Background No definitive data about open abdomen (OA) epidemiology and outcomes exist. The World Society of Emergency Surgery (WSES) and the Panamerican Trauma Society (PTS) promoted the International Register of Open Abdomen (IROA). Methods A prospective observational cohort study including ...
  • A review of the epidemiology and treatment of orthopaedic injuries after earthquakes in developing countries

    World Journal of Emergency Surgery

    James S. MacKenzie; Bibek Banskota; Norachart Sirisreetreerux; Babar Shafiq; Erik A. Hasenboehler

    Background Earthquakes in developing countries are devastating events. Orthopaedic surgeons play a key role in treating earthquake-related injuries to the extremities. We describe orthopaedic injury epidemiology to help guide response planning for earthquake-related disasters. Methods Several...
  • Laparoscopic vs. open surgery for the treatment of iatrogenic colonoscopic perforations: a systematic review and meta-analysis

    World Journal of Emergency Surgery

    Aleix Martínez-Pérez; Nicola de’Angelis; Francesco Brunetti; Yann Baleur; Carmen Payá-Llorente; Riccardo Memeo; Federica Gaiani; Marco Manfredi; Paschalis Gavriilidis; Giorgio Nervi; Federico Coccolini; Aurelien Amiot; Iradj Sobhani; Fausto Catena; Gian Luigi de’Angelis

    Aims Iatrogenic colonoscopy perforations (ICP) are a rare but severe complication of diagnostic and therapeutic colonoscopies. The present systematic review and meta-analysis aims to investigate the operative and post-operative outcomes of laparoscopy vs. open surgery performed for the manageme...
  • CD4 + CD25 + CD127 high cells as a negative predictor of multiple organ failure in acute pancreatitis

    World Journal of Emergency Surgery

    Wei Wang; He-Ping Xiang; Hui-Ping Wang; Li-Xin Zhu; Xiao-Ping Geng

    Background It has been suggested that severity of the immune response induced by immune cells is associated with morbidity and mortality from acute pancreatitis. The authors investigated and evaluated the relationship between distinct peripheral lymphocyte subsets at admission and clinical outc...
  • Performance of imaging studies in patients with suspected appendicitis after stratification with adult appendicitis score

    World Journal of Emergency Surgery

    Henna E. Sammalkorpi; Ari Leppäniemi; Eila Lantto; Panu Mentula

    Background Diagnostic scoring is used to stratify patients with suspected appendicitis into three groups: high, intermediate, and low probability of appendicitis. The stratification can be used for selective imaging to avoid the harms of radiation without compromising diagnostic accuracy. The a...
  • Pelvic trauma: WSES classification and guidelines

    World Journal of Emergency Surgery

    Federico Coccolini; Philip F. Stahel; Giulia Montori; Walter Biffl; Tal M Horer; Fausto Catena; Yoram Kluger; Ernest E. Moore; Andrew B. Peitzman; Rao Ivatury; Raul Coimbra; Gustavo Pereira Fraga; Bruno Pereira; Sandro Rizoli; Andrew Kirkpatrick; Ari Leppaniemi; Roberto Manfredi; Stefano Magnone; Osvaldo Chiara; Leonardo Solaini; Marco Ceresoli; Niccolò Allievi; Catherine Arvieux; George Velmahos; Zsolt Balogh; Noel Naidoo; Dieter Weber; Fikri Abu-Zidan; Massimo Sartelli; Luca Ansaloni

    Complex pelvic injuries are among the most dangerous and deadly trauma related lesions. Different classification systems exist, some are based on the mechanism of injury, some on anatomic patterns and some are focusing on the resulting instability requiring operative fixation. The optimal treatm...
  • An investigation of bedside laparoscopy in the ICU for cases of non-occlusive mesenteric ischemia

    World Journal of Emergency Surgery

    G. Cocorullo; A. Mirabella; N. Falco; T. Fontana; R. Tutino; L. Licari; G. Salamone; G. Scerrino; G. Gulotta

    Background Acute mesenteric ischemia is a rare affection with high related mortality. NOMI presents the most important diagnostic problems and is related with the higher risk of white laparotomy. This study wants to give a contribution for the validation of laparoscopic approach in case of NOMI...
  • Youth traffic-related injuries: a prospective study

    World Journal of Emergency Surgery

    Michal Grivna; Hani O. Eid; Fikri M. Abu-Zidan

    Background Traffic-related injuries are the most common cause of morbidity and mortality of the youth. Our aim was to study epidemiology, risk factors and outcome of hospitalized youth patients injured in road traffic collisions in order to give recommendations for prevention. Methods We pros...
  • Lower gastrointestinal bleeding—Computed Tomographic Angiography, Colonoscopy or both?

    World Journal of Emergency Surgery

    Daniel Clerc; Fabian Grass; Markus Schäfer; Alban Denys; Nicolas Demartines; Martin Hübner

    Background Lower endoscopy (LE) is the standard diagnostic modality for lower gastrointestinal bleeding (LGIB). Conversely, computed tomographic angiography (CTA) offers an immediate non-invasive diagnosis visualizing the entire gastrointestinal tract. The aim of this study was to compare these...
  • Laparoscopic cholecystectomy for acute calculous cholecystitis: a retrospective study assessing risk factors for conversion and complications

    World Journal of Emergency Surgery

    Petra Maria Terho; Ari Kalevi Leppäniemi; Panu Juhani Mentula

    Background The purpose of the study was to identify risk factors for conversion of laparoscopic cholecystectomy and risk factors for postoperative complications in acute calculous cholecystitis. The most common complications arising from cholecystectomy were also to be identified. Methods A t...
  • Triple diagnostics for early detection of ambivalent necrotizing fasciitis

    World Journal of Emergency Surgery

    Falco Hietbrink; Lonneke G. Bode; Louis Riddez; Luke P. H. Leenen; Marijke R. van Dijk

    Background Necrotizing fasciitis is an uncommon, rapidly progressive and potential lethal condition. Over the last decade time to surgery decreased and outcome improved, most likely due to increased awareness and more timely referral. Early recognition is key to improve mortality and morbidity....
  • WSES classification and guidelines for liver trauma

    World Journal of Emergency Surgery

    Federico Coccolini; Fausto Catena; Ernest E. Moore; Rao Ivatury; Walter Biffl; Andrew Peitzman; Raul Coimbra; Sandro Rizoli; Yoram Kluger; Fikri M. Abu-Zidan; Marco Ceresoli; Giulia Montori; Massimo Sartelli; Dieter Weber; Gustavo Fraga; Noel Naidoo; Frederick A. Moore; Nicola Zanini; Luca Ansaloni

    The severity of liver injuries has been universally classified according to the American Association for the Surgery of Trauma (AAST) grading scale. In determining the optimal treatment strategy, however, the haemodynamic status and associated injuries should be considered. Thus the management o...
  • In-hospital costs of an admission for adhesive small bowel obstruction

    World Journal of Emergency Surgery

    Pepijn Krielen; Barend A. van den Beukel; Martijn W. J. Stommel; Harry van Goor; Chema Strik; Richard P. G. ten Broek

    Background Previous research on the costs of treatment for ASBO is outdated and often based on reimbursements, rather than true healthcare provider costs of the admission and related interventions. An accurate estimate of the true costs of treatment is necessary to understand the healthcare bur...
  • Validity of predictive factors of acute complicated appendicitis

    World Journal of Emergency Surgery

    Yuki Imaoka; Toshiyuki Itamoto; Yuji Takakura; Takahisa Suzuki; Satoshi Ikeda; Takashi Urushihara

    Background Our previous retrospective study revealed the three preoperative predictors of complicated appendicitis (perforated or gangrenous appendicitis), which are body temperature ≥37.4 °C, C-reactive protein ≥4.7 mg/dl, and fluid collection surrounding the appendix on computed tomography. W...
  • Splenic artery embolization: technically feasible but not necessarily advantageous

    World Journal of Emergency Surgery

    F. Van der Cruyssen; A. Manzelli

    Background The spleen is the second most commonly injured organ in cases of abdominal trauma. Management of splenic injury depends on the clinical status of the patient and can include nonoperative management (NOM), splenic artery embolization (SAE), surgery (operative splenic salvage or splene...
  • Pattern and predictors of mortality in necrotizing fasciitis patients in a single tertiary hospital

    World Journal of Emergency Surgery

    Gaby Jabbour; Ayman El-Menyar; Ruben Peralta; Nissar Shaikh; Husham Abdelrahman; Insolvisagan Natesa Mudali; Mohamed Ellabib; Hassan Al-Thani

    Background Necrotizing fasciitis (NF) is a fatal aggressive infectious disease. We aimed to assess the major contributing factors of mortality in NF patients. Methods A retrospective study was conducted at a single surgical intensive care unit between 2000 and 2013. Patients were categorized ...
  • On table POCUS assessment for the IVC following abdominal packing: how I do it

    World Journal of Emergency Surgery

    Fikri M. Abu-Zidan

    Background Some surgeons may lack proper experience in abdominal packing. Overpacking may directly compress the inferior vena cava (IVC). This reduces the venous return and possibly causes hypotension. Here, a new on table Point-of-Care Ultrasound application that has been recently used to asse...
  • The learning curve of single-port laparoscopic appendectomy performed by emergent operation

    World Journal of Emergency Surgery

    YongHun Kim; WooSurng Lee

    Background Single-port laparoscopic appendectomy (SPLA) has the advantage of minimizing abdominal incision scars with patient satisfaction. However, it has the following disadvantages: it provides a narrower surgical field than conventional laparoscopic appendectomy, which requires a considerab...
  • Geriatric Assessment as a qualification element for elective and emergency cholecystectomy in older patients

    World Journal of Emergency Surgery

    Jakub Kenig; Piotr Wałęga; Urszula Olszewska; Aleksander Konturek; Wojciech Nowak

    Background Older patients experience a higher incidence of postoperative complications after cholecystectomy compared with younger patients. However, most studies have not considered patient frailty, particularly regarding emergency cholecystectomy. The aim of this prospective study was to eval...
  • WSES Guidelines for the management of acute left sided colonic diverticulitis in the emergency setting

    World Journal of Emergency Surgery

    Massimo Sartelli; Fausto Catena; Luca Ansaloni; Federico Coccolini; Ewen A. Griffiths; Fikri M. Abu-Zidan; Salomone Di Saverio; Jan Ulrych; Yoram Kluger; Ofir Ben-Ishay; Frederick A. Moore; Rao R. Ivatury; Raul Coimbra; Andrew B. Peitzman; Ari Leppaniemi; Gustavo P. Fraga; Ronald V. Maier; Osvaldo Chiara; Jeffry Kashuk; Boris Sakakushev; Dieter G. Weber; Rifat Latifi; Walter Biffl; Miklosh Bala; Aleksandar Karamarkovic; Kenji Inaba; Carlos A. Ordonez; Andreas Hecker; Goran Augustin; Zaza Demetrashvili; Renato Bessa Melo; Sanjay Marwah; Sanoop K. Zachariah; Vishal G. Shelat; Michael McFarlane; Miran Rems; Carlos Augusto Gomes; Mario Paulo Faro; Gerson Alves Pereira Júnior; Ionut Negoi; Yunfeng Cui; Norio Sato; Andras Vereczkei; Giovanni Bellanova; Arianna Birindelli; Isidoro Di Carlo; Kenneth Y Kok; Mahir Gachabayov; Georgios Gkiokas; Konstantinos Bouliaris; Elif Çolak; Arda Isik; Daniel Rios-Cruz; Rodolfo Soto; Ernest E. Moore

    Acute left sided colonic diverticulitis is one of the most common clinical conditions encountered by surgeons in acute setting. A World Society of Emergency Surgery (WSES) Consensus Conference on acute diverticulitis was held during the 3rd World Congress of the WSES in Jerusalem, Israel, on July...
  • Patterns and management of degloving injuries: a single national level 1 trauma center experience

    World Journal of Emergency Surgery

    Suhail Hakim; Khalid Ahmed; Ayman El-Menyar; Gaby Jabbour; Ruben Peralta; Syed Nabir; Ahammed Mekkodathil; Husham Abdelrahman; Ammar Al-Hassani; Hassan Al-Thani

    Background Degloving soft tissue injuries (DSTIs) are serious surgical conditions. We aimed to evaluate the pattern, management and outcome of DSTIs in a single institute. Methods A retrospective analysis was performed for patients admitted with DSTIs from 2011to 2013. Presentation, managemen...
  • WSES Jerusalem guidelines for diagnosis and treatment of acute appendicitis

    World Journal of Emergency Surgery

    Salomone Di Saverio; Arianna Birindelli; Micheal D. Kelly; Fausto Catena; Dieter G. Weber; Massimo Sartelli; Michael Sugrue; Mark De Moya; Carlos Augusto Gomes; Aneel Bhangu; Ferdinando Agresta; Ernest E. Moore; Kjetil Soreide; Ewen Griffiths; Steve De Castro; Jeffry Kashuk; Yoram Kluger; Ari Leppaniemi; Luca Ansaloni; Manne Andersson; Federico Coccolini; Raul Coimbra; Kurinchi S. Gurusamy; Fabio Cesare Campanile; Walter Biffl; Osvaldo Chiara; Fred Moore; Andrew B. Peitzman; Gustavo P. Fraga; David Costa; Ronald V. Maier; Sandro Rizoli; Zsolt J Balogh; Cino Bendinelli; Roberto Cirocchi; Valeria Tonini; Alice Piccinini; Gregorio Tugnoli; Elio Jovine; Roberto Persiani; Antonio Biondi; Thomas Scalea; Philip Stahel; Rao Ivatury; George Velmahos; Roland Andersson

    Acute appendicitis (AA) is among the most common cause of acute abdominal pain. Diagnosis of AA is challenging; a variable combination of clinical signs and symptoms has been used together with laboratory findings in several scoring systems proposed for suggesting the probability of AA and the p...
  • Antimicrobials: a global alliance for optimizing their rational use in intra-abdominal infections (AGORA)

    World Journal of Emergency Surgery

    Massimo Sartelli; Dieter G. Weber; Etienne Ruppé; Matteo Bassetti; Brian J. Wright; Luca Ansaloni; Fausto Catena; Federico Coccolini; Fikri M. Abu-Zidan; Raul Coimbra; Ernest E. Moore; Frederick A. Moore; Ronald V. Maier; Jan J. De Waele; Andrew W. Kirkpatrick; Ewen A. Griffiths; Christian Eckmann; Adrian J. Brink; John E. Mazuski; Addison K. May; Rob G. Sawyer; Dominik Mertz; Philippe Montravers; Anand Kumar; Jason A. Roberts; Jean-Louis Vincent; Richard R. Watkins; Warren Lowman; Brad Spellberg; Iain J. Abbott; Abdulrashid Kayode Adesunkanmi; Sara Al-Dahir; Majdi N. Al-Hasan; Ferdinando Agresta; Asma A. Althani; Shamshul Ansari; Rashid Ansumana; Goran Augustin; Miklosh Bala; Zsolt J. Balogh; Oussama Baraket; Aneel Bhangu; Marcelo A. Beltrán; Michael Bernhard; Walter L. Biffl; Marja A. Boermeester; Stephen M. Brecher; Jill R. Cherry-Bukowiec; Otmar R. Buyne; Miguel A. Cainzos; Kelly A. Cairns; Adrian Camacho-Ortiz; Sujith J. Chandy; Asri Che Jusoh; Alain Chichom-Mefire; Caroline Colijn; Francesco Corcione; Yunfeng Cui; Daniel Curcio; Samir Delibegovic; Zaza Demetrashvili; Belinda De Simone; Sameer Dhingra; José J. Diaz; Isidoro Di Carlo; Angel Dillip; Salomone Di Saverio; Michael P. Doyle; Gereltuya Dorj; Agron Dogjani; Hervé Dupont; Soumitra R. Eachempati; Mushira Abdulaziz Enani; Valery N. Egiev; Mutasim M. Elmangory; Paula Ferrada; Joseph R. Fitchett; Gustavo P. Fraga; Nathalie Guessennd; Helen Giamarellou; Wagih Ghnnam; George Gkiokas; Staphanie R. Goldberg; Carlos Augusto Gomes; Harumi Gomi; Manuel Guzmán-Blanco; Mainul Haque; Sonja Hansen; Andreas Hecker; Wolfgang R. Heizmann; Torsten Herzog; Adrien Montcho Hodonou; Suk-Kyung Hong; Reinhold Kafka-Ritsch; Lewis J. Kaplan; Garima Kapoor; Aleksandar Karamarkovic; Martin G. Kees; Jakub Kenig; Ronald Kiguba; Peter K. Kim; Yoram Kluger; Vladimir Khokha; Kaoru Koike; Kenneth Y. Y. Kok; Victory Kong; Matthew C. Knox; Kenji Inaba; Arda Isik; Katia Iskandar; Rao R. Ivatury; Maurizio Labbate; Francesco M. Labricciosa; Pierre-François Laterre; Rifat Latifi; Jae Gil Lee; Young Ran Lee; Marc Leone; Ari Leppaniemi; Yousheng Li; Stephen Y. Liang; Tonny Loho; Marc Maegele; Sydney Malama; Hany E. Marei; Ignacio Martin-Loeches; Sanjay Marwah; Amos Massele; Michael McFarlane; Renato Bessa Melo; Ionut Negoi; David P. Nicolau; Carl Erik Nord; Richard Ofori-Asenso; AbdelKarim H. Omari; Carlos A. Ordonez; Mouaqit Ouadii; Gerson Alves Pereira Júnior; Diego Piazza; Guntars Pupelis; Timothy Miles Rawson; Miran Rems; Sandro Rizoli; Claudio Rocha; Boris Sakakhushev; Miguel Sanchez-Garcia; Norio Sato; Helmut A. Segovia Lohse; Gabriele Sganga; Boonying Siribumrungwong; Vishal G. Shelat; Kjetil Soreide; Rodolfo Soto; Peep Talving; Jonathan V. Tilsed; Jean-Francois Timsit; Gabriel Trueba; Ngo Tat Trung; Jan Ulrych; Harry van Goor; Andras Vereczkei; Ravinder S. Vohra; Imtiaz Wani; Waldemar Uhl; Yonghong Xiao; Kuo-Ching Yuan; Sanoop K. Zachariah; Jean-Ralph Zahar; Tanya L. Zakrison; Antonio Corcione; Rita M. Melotti; Claudio Viscoli; Perluigi Viale

    Intra-abdominal infections (IAI) are an important cause of morbidity and are frequently associated with poor prognosis, particularly in high-risk patients. The cornerstones in the management of complicated IAIs are timely effective source control with appropriate antimicrobial therapy. Empiric a...
  • Safety in selective surgical exploration in penetrating neck trauma

    World Journal of Emergency Surgery

    Frederico Teixeira; Carlos Augusto Metidieri Menegozzo; Sérgio Dias do Couto Netto; Renato S. Poggeti; Francisco de Sales Collet e Silva; Dario Birolini; Celso de Oliveira Bernini; Edivaldo Massazo Utiyama

    Background Selective management of penetrating neck injuries has been considered the standard of care with minimal risks to patient safety. In a previous non-randomized prospective study conducted at our center, selective management proved to be safe and reduced unnecessary exploratory cervicot...
  • International normalized ratio and serum C-reactive protein are feasible markers to predict complicated appendicitis

    World Journal of Emergency Surgery

    Maru Kim; Sung-Jeep Kim; Hang Joo Cho

    Background Diagnostic approach for complicated appendicitis is still controversial. We planned this study to analyze preoperative laboratory markers that may predict complications of appendicitis. Methods Patients who underwent appendectomy were retrospectively recruited. They were divided in...
  • Management of traumatic wounds in the Emergency Department: position paper from the Academy of Emergency Medicine and Care (AcEMC) and the World Society of Emergency Surgery (WSES)

    World Journal of Emergency Surgery

    Carolina Prevaldi; Ciro Paolillo; Carlo Locatelli; Giorgio Ricci; Fausto Catena; Luca Ansaloni; Gianfranco Cervellin

    Traumatic wounds are one of the most common problems leading people to the Emergency Department (ED), accounting for approximately 5,4 % of all the visits, and up to 24 % of all the medical lawsuits. In order to provide a standardized method for wound management in the ED, we have organized a wo...
  • Correlations of perioperative coagulopathy, fluid infusion and blood transfusions with survival prognosis in endovascular aortic repair for ruptured abdominal aortic aneurysm

    World Journal of Emergency Surgery

    Yohei Kawatani; Yoshitsugu Nakamura; Hirotsugu Kurobe; Yuji Suda; Takaki Hori

    Background Factors associated with survival prognosis among patients who undergo endovascular aortic repair (EVAR) for ruptured abdominal aortic aneurysms (rAAA) have not been sufficiently investigated. In the present study, we examined correlations between perioperative coagulopathy and 24-h a...
  • Surgical treatment of multiple rib fractures and flail chest in trauma: a one-year follow-up study

    World Journal of Emergency Surgery

    Eva-Corina Caragounis; Monika Fagevik Olsén; David Pazooki; Hans Granhed

    Background Multiple rib fractures and unstable thoracic cage injuries are common in blunt trauma. Surgical management of rib fractures has received increasing attention in recent years and the aim of this 1-year, prospective study was to assess the long-term effects of surgery. Methods Fifty-...
  • 2016 WSES guidelines on acute calculous cholecystitis

    World Journal of Emergency Surgery

    L. Ansaloni; M. Pisano; F. Coccolini; A. B. Peitzmann; A. Fingerhut; F. Catena; F. Agresta; A. Allegri; I. Bailey; Z. J. Balogh; C. Bendinelli; W. Biffl; L. Bonavina; G. Borzellino; F. Brunetti; C. C. Burlew; G. Camapanelli; F. C. Campanile; M. Ceresoli; O. Chiara; I. Civil; R. Coimbra; M. De Moya; S. Di Saverio; G. P. Fraga; S. Gupta; J. Kashuk; M. D. Kelly; V. Koka; H. Jeekel; R. Latifi; A. Leppaniemi; R. V. Maier; I. Marzi; F. Moore; D. Piazzalunga; B. Sakakushev; M. Sartelli; T. Scalea; P. F. Stahel; K. Taviloglu; G. Tugnoli; S. Uraneus; G. C. Velmahos; I. Wani; D. G. Weber; P. Viale; M. Sugrue; R. Ivatury; Y. Kluger; K. S. Gurusamy; E. E. Moore

    Acute calculus cholecystitis is a very common disease with several area of uncertainty. The World Society of Emergency Surgery developed extensive guidelines in order to cover grey areas. The diagnostic criteria, the antimicrobial therapy, the evaluation of associated common bile duct stones, th...