Articles
Page 1 of 19
-
Citation: World Journal of Emergency Surgery 2024 19:9
-
Intraoperative transcystic laparoscopic common bile duct stone clearance with SpyGlassâ„¢ discover during emergency and elective cholecystectomy: a single-center case series
The development of a new cholangioscope, the SpyGlassâ„¢ Discover (Boston Scientific), has allowed the laparoscopic transcystic common bile duct exploration and stone clearance. The possibility of simultaneous t...
Citation: World Journal of Emergency Surgery 2024 19:8 -
The ground is the limit: epidemiology of skydiving accidents over 25 years and in 2.1 million jumps in the Netherlands with sub-analysis of injuries reported by medical professionals in the past five years
Skydiving is the fastest nonmotorized sport; and consequently is not without risk. In the last decades, skydiving has become considerably safer but injuries and fatalities still occur. Incidents are reported t...
Citation: World Journal of Emergency Surgery 2024 19:7 -
Acute cholecystitis: how to avoid subtotal cholecystectomy—preliminary results
The aim of this manuscript is to illustrate a new method permitting safe cholecystectomy in terms of complications with respect to the common bile duct (CBD).
Citation: World Journal of Emergency Surgery 2024 19:6 -
Are we ready for "green surgery" to promote environmental sustainability in the operating room? Results from the WSES STAR investigation
The importance of environmental sustainability is acknowledged in all sectors, including healthcare. To meet the United Nations Sustainable Development Goals 2030 Agenda, healthcare will need a paradigm shift ...
Citation: World Journal of Emergency Surgery 2024 19:5 -
Early management of adult traumatic spinal cord injury in patients with polytrauma: a consensus and clinical recommendations jointly developed by the World Society of Emergency Surgery (WSES) & the European Association of Neurosurgical Societies (EANS)
The early management of polytrauma patients with traumatic spinal cord injury (tSCI) is a major challenge. Sparse data is available to provide optimal care in this scenario and worldwide variability in clinica...
Citation: World Journal of Emergency Surgery 2024 19:4 -
Efficacy of direct-to-operating room trauma resuscitation: a systematic review
Hemorrhage control is a time-critical task, and recent studies have demonstrated that a shorter time to definitive care is positively associated with patient survival and functional outcomes. The concept of di...
Citation: World Journal of Emergency Surgery 2024 19:3 -
A meta-analysis and trial sequential analysis comparing nonoperative versus operative management for uncomplicated appendicitis: a focus on randomized controlled trials
The aim of this study is to provide a meta-analysis of randomized controlled trials (RCT) comparing conservative and surgical treatment in a population of adults with uncomplicated acute appendicitis.
Citation: World Journal of Emergency Surgery 2024 19:2 -
Association of initial lactate levels and red blood cell transfusion strategy with outcomes after severe trauma: a post hoc analysis of the RESTRIC trial
The appropriateness of a restrictive transfusion strategy for those with active bleeding after traumatic injury remains uncertain. Given the association between tissue hypoxia and lactate levels, we hypothesiz...
Citation: World Journal of Emergency Surgery 2024 19:1 -
Artificial Intelligence and Acute Appendicitis: A Systematic Review of Diagnostic and Prognostic Models
To assess the efficacy of artificial intelligence (AI) models in diagnosing and prognosticating acute appendicitis (AA) in adult patients compared to traditional methods. AA is a common cause of emergency depa...
Citation: World Journal of Emergency Surgery 2023 18:59 -
Microbiological profile of patients treated for postoperative peritonitis: temporal trends 1999–2019
Temporal changes in the microbiological resistance profile have been reported in several life-threatening infections. However, no data have ever assessed this issue in postoperative peritonitis (POP). Our purp...
Citation: World Journal of Emergency Surgery 2023 18:58 -
Cesena guidelines: WSES consensus statement on laparoscopic-first approach to general surgery emergencies and abdominal trauma
Laparoscopy is widely adopted across nearly all surgical subspecialties in the elective setting. Initially finding indication in minor abdominal emergencies, it has gradually become the standard approach in th...
Citation: World Journal of Emergency Surgery 2023 18:57 -
Declaration on infection prevention and management in global surgery
Surgeons in their daily practice are at the forefront in preventing and managing infections. However, among surgeons, appropriate measures of infection prevention and management are often disregarded. The lack...
Citation: World Journal of Emergency Surgery 2023 18:56 -
A retrospective study of laparoscopic, robotic-assisted, and open emergent/urgent cholecystectomy based on the PINC AI Healthcare Database 2017–2020
Robotic-assisted cholecystectomy (RAC) is becoming increasingly common, but the outcomes of emergent/urgent robotic-assisted cholecystectomies compared to emergent laparoscopic (LC) and open cholecystectomies ...
Citation: World Journal of Emergency Surgery 2023 18:55 -
Diagnostic performance of ultrasound in acute cholecystitis: a systematic review and meta-analysis
An updated overview of ultrasound (US) for diagnosis of acute cholecystitis (AC) remains lacking. This systematic review was conducted to evaluate the diagnostic performance of US for AC.
Citation: World Journal of Emergency Surgery 2023 18:54 -
Enhancing operative documentation of emergency laparotomy: a systematic review and development of a synoptic reporting template
Currently, operative reports are narrative and often handwritten, making interpretation difficult and potentially omitting key steps of the procedure. This study undertook a systematic review to determine the ...
Citation: World Journal of Emergency Surgery 2023 18:53 -
Correction: ECLAPTE: Effective Closure of LAParoTomy in Emergency—2023 World Society of Emergency Surgery guidelines for the closure of laparotomy in emergency settings
Citation: World Journal of Emergency Surgery 2023 18:52 -
Continuous versus interrupted abdominal wall closure after emergency midline laparotomy: CONTINT: a randomized controlled trial [NCT00544583]
High-level evidence regarding the technique of abdominal wall closure for patients undergoing emergency midline laparotomy is sparse. Therefore, we conducted a randomized controlled trial (RCT) to evaluate the...
Citation: World Journal of Emergency Surgery 2023 18:51 -
Ten golden rules for optimal antibiotic use in hospital settings: the WARNING call to action
Antibiotics are recognized widely for their benefits when used appropriately. However, they are often used inappropriately despite the importance of responsible use within good clinical practice. Effective ant...
Citation: World Journal of Emergency Surgery 2023 18:50 -
Limb salvage and survival after urgent surgical treatment of popliteal artery aneurysm
Popliteal artery aneurysms (PAAs) need urgent treatment in case of acute thrombosis, distal embolization, or rupture. Few data are available in the literature about the treatment results in these scenarios. Th...
Citation: World Journal of Emergency Surgery 2023 18:49 -
Surgical management of ostomy complications: a MISSTO–WSES mapping review
The creation of an ileostomy or colostomy is a common surgical event, both in elective and in emergency context. The main aim of stoma creation is to prevent postoperative complications, such as the anastomoti...
Citation: World Journal of Emergency Surgery 2023 18:48 -
Enhanced perioperative care in emergency general surgery: the WSES position paper
Enhanced perioperative care protocols become the standard of care in elective surgery with a significant improvement in patients’ outcome. The key element of the enhanced perioperative care protocol is the mul...
Citation: World Journal of Emergency Surgery 2023 18:47 -
Self-expanding metal stents versus decompression tubes as a bridge to surgery for patients with obstruction caused by colorectal cancer: a systematic review and meta-analysis
Using self-expanding metal stents (SEMS) and decompression tubes (DT) as a bridge-to-surgery (BTS) treatment may avoid emergency operations for patients with colorectal cancer-caused obstructions. This study a...
Citation: World Journal of Emergency Surgery 2023 18:46 -
2023 WSES guidelines for the prevention, detection, and management of iatrogenic urinary tract injuries (IUTIs) during emergency digestive surgery
Iatrogenic urinary tract injury (IUTI) is a severe complication of emergency digestive surgery. It can lead to increased postoperative morbidity and mortality and have a long-term impact on the quality of life...
Citation: World Journal of Emergency Surgery 2023 18:45 -
Diagnostic accuracy of biomarkers to detect acute mesenteric ischaemia in adult patients: a systematic review and meta-analysis
Acute mesenteric ischaemia (AMI) is a disease with different pathophysiological mechanisms, leading to a life-threatening condition that is difficult to diagnose based solely on clinical signs. Despite widely ...
Citation: World Journal of Emergency Surgery 2023 18:44 -
Management of complicated diaphragmatic hernia in the acute setting: a WSES position paper
Diaphragmatic hernia (DH) presenting acutely can be a potentially life-threatening condition. Its management continues to be debatable.
Citation: World Journal of Emergency Surgery 2023 18:43 -
ECLAPTE: Effective Closure of LAParoTomy in Emergency—2023 World Society of Emergency Surgery guidelines for the closure of laparotomy in emergency settings
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 ...
Citation: World Journal of Emergency Surgery 2023 18:42 -
Source control in emergency general surgery: WSES, GAIS, SIS-E, SIS-A guidelines
Intra-abdominal infections (IAI) are among the most common global healthcare challenges and they are usually precipitated by disruption to the gastrointestinal (GI) tract. Their successful management typically...
Citation: World Journal of Emergency Surgery 2023 18:41 -
Guided blood transfusion of trauma patients with rotational thromboelastometry: a single-center cohort study
Rotational thromboelastometry (ROTEM) is a blood test used to measure in vitro clot strength as a surrogate for a patient’s ability to form clots in vivo. This provides information about induction, formation, ...
Citation: World Journal of Emergency Surgery 2023 18:40 -
Advantages of using a polymeric clip versus an endoloop during laparoscopic appendectomy in uncomplicated appendicitis: a randomized controlled study
Polymeric clips are easy to apply, but whether they present more advantages than endoloops is unclear. This single-center, open-label, randomized controlled trial study was conducted to compare the advantages ...
Citation: World Journal of Emergency Surgery 2023 18:39 -
Assessing and managing frailty in emergency laparotomy: a WSES position paper
Many countries are facing an aging population. As people live longer, surgeons face the prospect of operating on increasingly older patients. Traditional teaching is that with older age, these patients face an...
Citation: World Journal of Emergency Surgery 2023 18:38 -
Improving clinical suspicion of acute mesenteric ischemia among patients with acute abdomen: a cross-sectional study from an intestinal stroke center
Early diagnosis of acute mesenteric ischemia (AMI) is essential for a favorable outcome. Selection of patients requiring a dedicated multiphasic computed tomography (CT) scan remains a clinical challenge.
Citation: World Journal of Emergency Surgery 2023 18:37 -
Accuracy of diagnostic tests in cardiac injury after blunt chest trauma: a systematic review and meta-analysis
The diagnosis of cardiac contusion, caused by blunt chest trauma, remains a challenge due to the non-specific symptoms it causes and the lack of ideal tests to diagnose myocardial damage. A cardiac contusion c...
Citation: World Journal of Emergency Surgery 2023 18:36 -
Complex duodenal fistulae: a surgical nightmare
A common feature of external duodenal fistulae is the devastating effect of the duodenal content rich in bile and pancreatic juice on nearby tissues with therapy-resistant local and systemic complications. Thi...
Citation: World Journal of Emergency Surgery 2023 18:35 -
WSES consensus guidelines on sigmoid volvulus management
Sigmoid volvulus is a common surgical emergency, especially in elderly patients. Patients can present with a wide range of clinical states: from asymptomatic, to frank peritonitis secondary to colonic perforat...
Citation: World Journal of Emergency Surgery 2023 18:34 -
The unrestricted global effort to complete the COOL trial
Severe complicated intra-abdominal sepsis (SCIAS) has an increasing incidence with mortality rates over 80% in some settings. Mortality typically results from disruption of the gastrointestinal tract, progress...
Citation: World Journal of Emergency Surgery 2023 18:33 -
The new timing in acute care surgery (new TACS) classification: a WSES Delphi consensus study
Timely access to the operating room for emergency general surgery (EGS) indications remains a challenge across the globe, largely driven by operating room availability and staffing constraints. The “timing in ...
Citation: World Journal of Emergency Surgery 2023 18:32 -
Trauma deaths of hospitalized patients in Abu Dhabi Emirate: a retrospective descriptive study
To study the epidemiology and pattern of trauma-related deaths of hospitalized patients in Abu Dhabi Emirate, United Arab Emirates, in order to improve trauma management and injury prevention.
Citation: World Journal of Emergency Surgery 2023 18:31 -
Unlocking the potential of TIPS placement as a bridge to elective and emergency surgery in cirrhotic patients: a meta-analysis and future directions for endovascular resuscitation in acute care surgery
In this systematic review and meta-analysis, we examined the evidence on transjugular intrahepatic portosystemic shunt (TIPS) as a bridge to elective and emergency surgery in cirrhotic patients. We aimed to as...
Citation: World Journal of Emergency Surgery 2023 18:30 -
Correction: Early management of isolated severe traumatic brain injury patients in a hospital without neurosurgical capabilities: a consensus and clinical recommendations of the World Society of Emergency Surgery (WSES)
Citation: World Journal of Emergency Surgery 2023 18:29 -
Risk factors for the leakage of the repair of duodenal wounds: a secondary analysis of the Panamerican Trauma Society multicenter retrospective review
Citation: World Journal of Emergency Surgery 2023 18:28 -
Emergency administration of fibrinogen concentrate for haemorrhage: systematic review and meta-analysis
The occurrence of massive haemorrhages in various emergency situations increases the need for blood transfusions and increases the risk of mortality. Fibrinogen concentrate (FC) use may increase plasma fibrino...
Citation: World Journal of Emergency Surgery 2023 18:27 -
Hospital mortality of blunt abdominal aortic injury (BAAI): a systematic review and meta-analysis
Studies on the mortality of blunt abdominal aortic injury (BAAI) are rare and have yielded inconsistent results. In the present study, we aimed to quantitatively analyse the retrieved data to more accurately d...
Citation: World Journal of Emergency Surgery 2023 18:26 -
The changing epidemiology of trauma in child-bearing age women
In the last two decades, there have been major improvements in the trauma system in the United Arab Emirates (UAE). We aimed to study the changes in the incidence, type, severity, and outcome of trauma of hosp...
Citation: World Journal of Emergency Surgery 2023 18:25 -
Effectiveness of intraoperative peritoneal lavage with saline in patient with intra-abdominal infections: a systematic review and meta-analysis
Intraoperative peritoneal lavage (IOPL) with saline has been widely used in surgical practice. However, the effectiveness of IOPL with saline in patients with intra-abdominal infections (IAIs) remains controve...
Citation: World Journal of Emergency Surgery 2023 18:24 -
The effect of hyperbaric oxygen therapy on the clinical outcomes of necrotizing soft tissue infections: a systematic review and meta-analysis
To determine the efficacy of hyperbaric oxygen therapy (HBO) in the treatment of necrotizing soft tissue infections (NSTI), we conducted a meta-analysis of the available evidence.
Citation: World Journal of Emergency Surgery 2023 18:23 -
Correction: Surgeons’ perspectives on artificial intelligence to support clinical decision-making in trauma and emergency contexts: results from an international survey
Citation: World Journal of Emergency Surgery 2023 18:22 -
Survival and neurologic outcomes following aortic occlusion for trauma and hemorrhagic shock in a hybrid operating room
Outcomes following aortic occlusion for trauma and hemorrhagic shock are poor, leading some to question the clinical utility of aortic occlusion in this setting. This study evaluates neurologically intact surv...
Citation: World Journal of Emergency Surgery 2023 18:21 -
Prediction of morbidity and mortality after early cholecystectomy for acute calculous cholecystitis: results of the S.P.Ri.M.A.C.C. study
Less invasive alternatives than early cholecystectomy (EC) for acute calculous cholecystitis (ACC) treatment have been spreading in recent years. We still lack a reliable tool to select high-risk patients who ...
Citation: World Journal of Emergency Surgery 2023 18:20 -
Retrospective cohort study of the impact of faecoliths on the natural history of acute appendicitis
Despite acute appendicitis is one of the most common surgical emergencies, its aetiology remains incompletely understood.
Citation: World Journal of Emergency Surgery 2023 18:18