Articles

WSES/GAIS/WSIS/SIS-E/AAST global clinical pathways for patients with skin and soft tissue infections

Skin and soft-tissue infections (SSTIs) encompass a variety of pathological conditions that involve the skin and underlying subcutaneous tissue, fascia, or muscle, ranging from simple superficial infections to...

Authors: Massimo Sartelli, Federico Coccolini, Yoram Kluger, Ervis Agastra, Fikri M. Abu-Zidan, Ashraf El Sayed Abbas, Luca Ansaloni, Abdulrashid Kayode Adesunkanmi, Goran Augustin, Miklosh Bala, Oussama Baraket, Walter L. Biffl, Marco Ceresoli, Elisabetta Cerutti, Osvaldo Chiara, Enrico Cicuttin…

Kuala Lumpur train collision during the COVID-19 pandemic

Two city trains collided in an underground tunnel on 24 May 2021 at the height of COVID-19 pandemic near the Petronas Towers, Kuala Lumpur, Malaysia, immediately after the evening rush hours. We aim to evaluat...

Authors: Alzamani M. Idrose, Fikri M. Abu-Zidan, Nurul Liana Roslan, Khairul Izwan M. Hashim, Saiyidi Mohd Azizi Mohd Adibi and Mahathar Abd. Wahab

Differentiating necrotizing soft tissue infections from cellulitis by soft tissue infectious fluid analysis: a pilot study

We conducted this study to evaluate the characteristics of the infectious fluid in soft tissue infection and investigate the utility of the biochemical tests and Gram stain smear of the infectious fluid in dis...

Authors: Kai-Hsiang Wu, Po-Han Wu, Chih-Yao Chang, Yen-Ting Kuo, Kuang-Yu Hsiao, Cheng-Ting Hsiao, Shang-Kai Hung and Chia-Peng Chang

Rethinking preparedness planning in disaster emergency care: lessons from a beyond-surge-capacity event

Large-scale burn disasters can produce casualties that threaten medical care systems. This study proposes a new approach for developing hospital readiness and preparedness plan for these challenging beyond-sur...

Authors: Sheuwen Chuang, David D. Woods, Morgan Reynolds, Hsien-Wei Ting, Asher Balkin and Chin-Wang Hsu

A clinical predictive model for risk stratification of patients with severe acute lower gastrointestinal bleeding

Lower gastrointestinal bleeding (LGIB) is a common presentation of surgical admissions, imposing a significant burden on healthcare costs and resources. There is a paucity of standardised clinical predictive t...

Authors: Manraj Singh, Jayne Chiang, Andre Seah, Nan Liu, Ronnie Mathew and Sachin Mathur

Impact of the COVID-19 Pandemic on road traffic collision injury patterns and severity in Al-Ain City, United Arab Emirates

The COVID-19 Pandemic lockdowns restricted human and traffic mobility impacting the patterns and severity of road traffic collisions (RTCs). We aimed to study the effects of the COVID-19 Pandemic on incidence, pa...

Authors: Yasin J. Yasin, David O. Alao, Michal Grivna and Fikri M. Abu-Zidan

Emergency angiography for trauma patients and potential association with acute kidney injury

Angiography has been conducted as a hemostatic procedure for trauma patients. While several complications, such as tissue necrosis after embolization, have been reported, little is known regarding subsequent a...

Authors: Ryo Yamamoto, Ramon F. Cestero, Jo Yoshizawa, Katsuya Maeshima and Junichi Sasaki

Correction to: Team dynamics in emergency surgery teams: results from a first international survey

Authors: Lorenzo Cobianchi, Francesca Dal Mas, Maurizio Massaro, Paola Fugazzola, Federico Coccolini, Yoram Kluger, Ari Leppäniemi, Ernest E. Moore, Massimo Sartelli, Peter Angelos, Fausto Catena and Luca Ansaloni

Accuracy of the WSES classification system for pelvic ring disruptions: an international validation study

In 2017, a novel classification for pelvic injuries was established by the World Society of Emergency Surgery (WSES). We validated its effectiveness using nationwide real-world data. The roles of associated va...

Authors: Szu-Han Wang, Chih-Yuan Fu, Francesco Bajani, Marissa Bokhari, Justin Mis, Stathis Poulakidas and Faran Bokhari

Variation in use of damage control laparotomy for trauma by trauma centers in the United States, Canada, and Australasia

It is unknown how frequently damage control (DC) laparotomy is used across trauma centers in different countries. We conducted a cross-sectional survey of trauma centers in the United States, Canada, and Austr...

Authors: Derek J. Roberts, Peter D. Faris, Chad G. Ball, Andrew W. Kirkpatrick, Ernest E. Moore, David V. Feliciano, Peter Rhee, Scott D’Amours and Henry T. Stelfox

Periappendiceal fat-stranding models for discriminating between complicated and uncomplicated acute appendicitis: a diagnostic and validation study

Recent studies have reported promising outcomes of non-operative treatment for uncomplicated appendicitis; however, the preoperative prediction of complicated appendicitis is challenging. We developed models b...

Authors: Hui-An Lin, Hung-Wei Tsai, Chun-Chieh Chao and Sheng-Feng Lin

Global impact of COVID-19 pandemic on road traffic collisions

Various strategies to reduce the spread of COVID-19 including lockdown and stay-at-home order are expected to reduce road traffic characteristics and consequently road traffic collisions (RTCs). We aimed to re...

Authors: Yasin J. Yasin, Michal Grivna and Fikri M. Abu-Zidan

WSES project on decision support systems based on artificial neural networks in emergency surgery

The article is a scoping review of the literature on the use of decision support systems based on artificial neural networks in emergency surgery. The authors present modern literature data on the effectivenes...

Authors: Andrey Litvin, Sergey Korenev, Sophiya Rumovskaya, Massimo Sartelli, Gianluca Baiocchi, Walter L. Biffl, Federico Coccolini, Salomone Di Saverio, Michael Denis Kelly, Yoram Kluger, Ari Leppäniemi, Michael Sugrue and Fausto Catena

WSES/GAIS/SIS-E/WSIS/AAST global clinical pathways for patients with intra-abdominal infections

Intra-abdominal infections (IAIs) are common surgical emergencies and have been reported as major contributors to non-trauma deaths in hospitals worldwide. The cornerstones of effective treatment of IAIs inclu...

Authors: Massimo Sartelli, Federico Coccolini, Yoram Kluger, Ervis Agastra, Fikri M. Abu-Zidan, Ashraf El Sayed Abbas, Luca Ansaloni, Abdulrashid Kayode Adesunkanmi, Boyko Atanasov, Goran Augustin, Miklosh Bala, Oussama Baraket, Suman Baral, Walter L. Biffl, Marja A. Boermeester, Marco Ceresoli…

Anorectal emergencies: WSES-AAST guidelines

Anorectal emergencies comprise a wide variety of diseases that share common symptoms, i.e., anorectal pain or bleeding and might require immediate management. While most of the underlying conditions do not nee...

Authors: Antonio Tarasconi, Gennaro Perrone, Justin Davies, Raul Coimbra, Ernest Moore, Francesco Azzaroli, Hariscine Abongwa, Belinda De Simone, Gaetano Gallo, Giorgio Rossi, Fikri Abu-Zidan, Vanni Agnoletti, Gianluigi de’Angelis, Nicola de’Angelis, Luca Ansaloni, Gian Luca Baiocchi…

Team dynamics in emergency surgery teams: results from a first international survey

Emergency surgery represents a unique context. Trauma teams are often multidisciplinary and need to operate under extreme stress and time constraints, sometimes with no awareness of the trauma’s causes or the ...

Authors: Lorenzo Cobianchi, Francesca Dal Mas, Maurizio Massaro, Paola Fugazzola, Federico Coccolini, Yoram Kluger, Ari Leppäniemi, Ernest E. Moore, Massimo Sartelli, Peter Angelos, Fausto Catena and Luca Ansaloni

A pandemic recap: lessons we have learned

On January 2020, the WHO Director General declared that the outbreak constitutes a Public Health Emergency of International Concern. The world has faced a worldwide spread crisis and is still dealing with it. ...

Authors: Federico Coccolini, Enrico Cicuttin, Camilla Cremonini, Dario Tartaglia, Bruno Viaggi, Akira Kuriyama, Edoardo Picetti, Chad Ball, Fikri Abu-Zidan, Marco Ceresoli, Bruno Turri, Sumita Jain, Carlo Palombo, Xavier Guirao, Gabriel Rodrigues, Mahir Gachabayov…

Subtotal cholecystectomy for difficult acute cholecystitis: how to finalize safely by laparoscopy—a systematic review

Aim of this study was to clarify the best laparoscopic subtotal cholecystectomy (LSTC) technique for finalizing a difficult cholecystectomy.

Authors: Adriana Toro, Michele Teodoro, Mansoor Khan, Elena Schembari, Salomone Di Saverio, Fausto Catena and Isidoro Di Carlo

Aspiration versus peritoneal lavage in appendicitis: a meta-analysis

Acute appendicitis is one of the most frequent abdominal surgical emergencies. Intra-abdominal abscess is a frequent post-operative complication. The aim of this meta-analysis was to compare peritoneal irrigat...

Authors: Gloria Burini, Maria Chiara Cianci, Marco Coccetta, Alessandro Spizzirri, Salomone Di Saverio, Riccardo Coletta, Paolo Sapienza, Andrea Mingoli, Roberto Cirocchi and Antonino Morabito

Systematic review of the efficacy of a hybrid operating theatre in the management of severe trauma

Hybrid operating theatres (OT) allow for simultaneous interventional radiology and operative procedures, serving as a one-stop facility for the treatment of severely injured patients. Several countries have ad...

Authors: Chun Yuet Khoo, Terence Yi Song Liew and Sachin Mathur

Thromboembolic complications among multiple injured patients with pelvic injuries: identifying risk factors for possible patient-tailored prophylaxis

Patients with pelvic and/or acetabular fractures are at high risk of developing thromboembolic (TE) complications. In our study we investigate TE complications and the potential negative effects of concomitant...

Authors: Tim Kirchner, Rolf Lefering, Richard Sandkamp, Helge Eberbach, Klaus Schumm, Hagen Schmal and Jörg Bayer

Resuscitative endovascular balloon occlusion of the aorta (REBOA) in patients with major trauma and uncontrolled haemorrhagic shock: a systematic review with meta-analysis

Multiple studies regarding the use of Resuscitative Endovascular Balloon Occlusion of the Aorta (REBOA) in patients with non-compressible torso injuries and uncontrolled haemorrhagic shock were recently publis...

Authors: Greta Castellini, Silvia Gianola, Annalisa Biffi, Gloria Porcu, Andrea Fabbri, Maria Pia Ruggieri, Carlo Coniglio, Antonello Napoletano, Daniela Coclite, Daniela D’Angelo, Alice Josephine Fauci, Laura Iacorossi, Roberto Latina, Katia Salomone, Shailvi Gupta, Primiano Iannone…

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

Immunocompromised patients are a heterogeneous and diffuse category frequently presenting to the emergency department with acute surgical diseases. Diagnosis and treatment in immunocompromised patients are oft...

Authors: Federico Coccolini, Mario Improta, Massimo Sartelli, Kemal Rasa, Robert Sawyer, Raul Coimbra, Massimo Chiarugi, Andrey Litvin, Timothy Hardcastle, Francesco Forfori, Jean-Louis Vincent, Andreas Hecker, Richard Ten Broek, Luigi Bonavina, Mircea Chirica, Ugo Boggi…

Impact of the COVID-19 outbreak on severe trauma trends and healthcare system reassessment in Lombardia, Italy: an analysis from the regional trauma registry

The COVID-19 pandemic drastically strained the health systems worldwide, obligating the reassessment of how healthcare is delivered. In Lombardia, Italy, a Regional Emergency Committee (REC) was established an...

Authors: Riccardo Giudici, Armando Lancioni, Hedwige Gay, Gabriele Bassi, Osvaldo Chiara, Claudio Mare, Nicola Latronico, Antonio Pesenti, Roberto Faccincani, Luca Cabrini, Roberto Fumagalli, Arturo Chieregato, Laura Briani, Fabrizio Sammartano, Giuseppe Sechi, Alberto Zoli…

The effectiveness of trauma care systems at different stages of development in reducing mortality: a systematic review and meta-analysis

Traumatic injury remains the leading cause of death, with more than five million deaths every year. Little is known about the comparative effectiveness in reducing mortality of trauma care systems at different...

Authors: Rayan Jafnan Alharbi, Sumina Shrestha, Virginia Lewis and Charne Miller

The negative effects of COVID-19 and national lockdown on emergency surgery morbidity due to delayed access

The aim of this retrospective comparative study was to assess the impact of COVID-19 and delayed emergency department access on emergency surgery outcomes, by comparing the main clinical outcomes in the period...

Authors: Francesco A. Ciarleglio, Marta Rigoni, Liliana Mereu, Cai Tommaso, Alessandro Carrara, Gianni Malossini, Saverio Tateo, Giuseppe Tirone, Truls E. Bjerklund Johansen, Pier Paolo Benetollo, Antonio Ferro, Giovanni Maria Guarrera, Mario Grattarola, Giandomenico Nollo and Alberto Brolese

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

Small bowel obstruction (SBO) is a common surgical emergency, causing high morbidity and healthcare costs. The majority of SBOs are caused by adhesions that result from previous surgeries. Bowel obstruction, h...

Authors: Yousef Amara, Ari Leppaniemi, Fausto Catena, Luca Ansaloni, Michael Sugrue, Gustavo P. Fraga, Federico Coccolini, Walter L. Biffl, Andrew B. Peitzman, Yoram Kluger, Massimo Sartelli, Ernest E. Moore, Salomone Di Saverio, Esfo Darwish, Chikako Endo, Harry van Goor…

Multidisciplinary management of elderly patients with rectal cancer: recommendations from the SICG (Italian Society of Geriatric Surgery), SIFIPAC (Italian Society of Surgical Pathophysiology), SICE (Italian Society of Endoscopic Surgery and new technologies), and the WSES (World Society of Emergency Surgery) International Consensus Project

Although rectal cancer is predominantly a disease of older patients, current guidelines do not incorporate optimal treatment recommendations for the elderly and address only partially the associated specific c...

Authors: Mauro Podda, Patricia Sylla, Gianluca Baiocchi, Michel Adamina, Vanni Agnoletti, Ferdinando Agresta, Luca Ansaloni, Alberto Arezzo, Nicola Avenia, Walter Biffl, Antonio Biondi, Simona Bui, Fabio C. Campanile, Paolo Carcoforo, Claudia Commisso, Antonio Crucitti…

Hybrid emergency rooms reduce the requirement of blood transfusion in patients with severe trauma

A hybrid emergency room (ER) is defined as an emergency unit with four functions—performing resuscitation, computed tomography (CT), surgery, and angiography. However, the safety and efficacy of performing CT ...

Authors: Hiroaki Watanabe, Ryo Matsumoto, Shunsuke Kuramoto, Tomohiro Muronoi, Kazuyuki Oka, Yoshihide Shimojo, Akihiko Kidani, Eiji Hira and Toshihiko Kawamura

Surgical site infection prevention and management in immunocompromised patients: a systematic review of the literature

Immunocompromised patients are at higher risk of surgical site infection and wound complications. However, optimal management in the perioperative period is not well established. Present systematic review aims...

Authors: Federico Coccolini, Mario Improta, Enrico Cicuttin, Fausto Catena, Massimo Sartelli, Raffaele Bova, Nicola de’ Angelis, Stefano Gitto, Dario Tartaglia, Camilla Cremonini, Carlos Ordonez, Gian Luca Baiocchi and Massimo Chiarugi

Who would benefit from open abdomen in severe acute pancreatitis?—a matched case-control study

Selection of patients for open abdomen (OA) treatment in severe acute pancreatitis (SAP) is challenging. Treatment related morbidity and risk of adverse events are high; however, refractory abdominal compartme...

Authors: Henrik Leonard Husu, Ari Kalevi Leppäniemi and Panu Juhani Mentula

Accuracy of pre-hospital triage tools for major trauma: a systematic review with meta-analysis and net clinical benefit

We conducted a systematic review to evaluate and compare the accuracy of pre-hospital triage tools for major trauma in the context of the development of the Italian National Institute of Health guidelines on m...

Authors: Silvia Gianola, Greta Castellini, Annalisa Biffi, Gloria Porcu, Andrea Fabbri, Maria Pia Ruggieri, Nino Stocchetti, Antonello Napoletano, Daniela Coclite, Daniela D’Angelo, Alice Josephine Fauci, Laura Iacorossi, Roberto Latina, Katia Salomone, Shailvi Gupta, Primiano Iannone…

2020 WSES guidelines for the detection and management of bile duct injury during cholecystectomy

Bile duct injury (BDI) is a dangerous complication of cholecystectomy, with significant postoperative sequelae for the patient in terms of morbidity, mortality, and long-term quality of life. BDIs have an esti...

Authors: Nicola de’Angelis, Fausto Catena, Riccardo Memeo, Federico Coccolini, Aleix Martínez-Pérez, Oreste M. Romeo, Belinda De Simone, Salomone Di Saverio, Raffaele Brustia, Rami Rhaiem, Tullio Piardi, Maria Conticchio, Francesco Marchegiani, Nassiba Beghdadi, Fikri M. Abu-Zidan, Ruslan Alikhanov…

Prophylactic transcatheter arterial embolization for high-risk ulcers following endoscopic hemostasis: a meta-analysis

To conduct a meta-analysis to assess the safety and efficacy of prophylactic transcatheter arterial embolization (PTAE) for the treatment of high-risk bleeding peptic ulcers after achieving endoscopic hemostasis.

Authors: Qian Yu, Chenyu Liu, Biagio Collura, Rakesh Navuluri, Mikin Patel, Zhiyong Yu and Osman Ahmed

EUS-guided drainage using lumen apposing metal stent and percutaneous endoscopic necrosectomy as dual approach for the management of complex walled-off necrosis: a case report and a review of the literature

Endoscopic ultrasound-guided drainage is suggested as the first approach in the management of symptomatic and complex walled-off pancreatic necrosis. Dual approach with percutaneous drainage could be the best ...

Authors: Cecilia Binda, Monica Sbrancia, Marina La Marca, Dora Colussi, Antonio Vizzuso, Matteo Tomasoni, Vanni Agnoletti, Emanuela Giampalma, Luca Ansaloni and Carlo Fabbri

Antithrombotic drugs have a minimal effect on intraoperative blood loss during emergency surgery for generalized peritonitis: a nationwide retrospective cohort study in Japan

The effect of antithrombotic drugs on intraoperative operative blood loss volume in patients undergoing emergency surgery for generalized peritonitis is not well defined. The purpose of this study was to inves...

Authors: Tadashi Matsuoka, Nao Ichihara, Hiroharu Shinozaki, Kenji Kobayashi, Alan Kawarai Lefor, Toshimoto Kimura, Yuko Kitagawa, Yoshihiro Kakeji, Hiroaki Miyata and Junichi Sasaki

Utility of modified Laboratory Risk Indicator for Necrotizing Fasciitis (MLRINEC) score in distinguishing necrotizing from non-necrotizing soft tissue infections

We conducted this study to promote a modified Laboratory Risk Indicator for Necrotizing Fasciitis (MLRINEC) score and evaluate the utility in distinguishing necrotizing fasciitis (NF) from other soft-tissue in...

Authors: Po-Han Wu, Kai-Hsiang Wu, Cheng-Ting Hsiao, Shu-Ruei Wu and Chia-Peng Chang

Management of abdominal tuberculosis in a community-based hospital in a high-income developing country

The delayed diagnosis and management of abdominal tuberculosis increases its mortality. We aimed to study the clinical presentation, management, and outcome of patients who had abdominal tuberculosis and were ...

Authors: Hussam Mousa, Saleh Abdel-Kader and Fikri M. Abu-Zidan

Mortality risk estimation in acute calculous cholecystitis: beyond the Tokyo Guidelines

Acute calculous cholecystitis (ACC) is the second most frequent surgical condition in emergency departments. The recommended treatment is the early laparoscopic cholecystectomy; however, the Tokyo Guidelines (...

Authors: Ana María González-Castillo, Juan Sancho-Insenser, Maite De Miguel-Palacio, Josep-Ricard Morera-Casaponsa, Estela Membrilla-Fernández, María-José Pons-Fragero, Miguel Pera-Román and Luis Grande-Posa

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

Despite the current therapeutic options for the treatment of inflammatory bowel disease, surgery is still frequently required in the emergency setting, although the number of cases performed seems to have decr...

Authors: Belinda De Simone, Justin Davies, Elie Chouillard, Salomone Di Saverio, Frank Hoentjen, Antonio Tarasconi, Massimo Sartelli, Walter L. Biffl, Luca Ansaloni, Federico Coccolini, Massimo Chiarugi, Nicola De’Angelis, Ernest E. Moore, Yoram Kluger, Fikri Abu-Zidan, Boris Sakakushev…

The effect of the COVID pandemic lockdown measures on surgical emergencies: experience and lessons learned from a Greek tertiary hospital

The COVID-19 pandemic caused a rise in healthcare demands leading to significant restructuring of hospital emergency departments worldwide. The aim of the present study is twofold: firstly, to discern any diff...

Authors: Emmanouil Pikoulis, Nikolaos Koliakos, Dimitrios Papaconstantinou, Nikolaos Pararas, Andreas Pikoulis, Stavratis Fotios-Christos, Constantinos Nastos, Georgios Bagias, Eleni Boutati, Federico Coccolini and Fausto Catena

Delayed embolization associated with increased mortality in pelvic fracture with hemodynamic stability at hospital arrival

Embolization is widely used for controlling arterial hemorrhage associated with pelvic fracture. However, the effect of a delay in embolization among hemodynamically stable patients at hospital arrival with a ...

Authors: Makoto Aoki, Toshikazu Abe, Shokei Matsumoto, Shuichi Hagiwara, Daizoh Saitoh and Kiyohiro Oshima

Emergency surgery for splenic flexure cancer: results of the SFC Study Group database

The effectiveness of surgical treatment for splenic flexure carcinomas (SFCs) in emergency settings remains unexplored. This study aims to compare the perioperative and long-term outcomes of different alternat...

Authors: Nicola de’Angelis, Eloy Espin, Frederic Ris, Filippo Landi, Bertrand Le Roy, Federico Coccolini, Valerio Celentano, Angela Gurrado, Denis Pezet, Giorgio Bianchi, Riccardo Memeo, Giulio C. Vitali, Alejandro Solis, Christine Denet, Salomone Di Saverio, Gian Luigi de’Angelis…

Hyperoxemia during resuscitation of trauma patients and increased intensive care unit length of stay: inverse probability of treatment weighting analysis

Information on hyperoxemia among patients with trauma has been limited, other than traumatic brain injuries. This study aimed to elucidate whether hyperoxemia during resuscitation of patients with trauma was a...

Authors: Ryo Yamamoto, Seitaro Fujishima, Junichi Sasaki, Satoshi Gando, Daizoh Saitoh, Atsushi Shiraishi, Shigeki Kushimoto, Hiroshi Ogura, Toshikazu Abe, Toshihiko Mayumi, Joji Kotani, Taka-aki Nakada, Yasukazu Shiino, Takehiko Tarui, Kohji Okamoto, Yuichiro Sakamoto…

Correction to: Intraoperative surgical site infection control and prevention: a position paper and future addendum to WSES intra-abdominal infections guidelines

An amendment to this paper has been published and can be accessed via the original article.

Authors: Belinda De Simone, Massimo Sartelli, Federico Coccolini, Chad G. Ball, Pietro Brambillasca, Massimo Chiarugi, Fabio Cesare Campanile, Gabriela Nita, Davide Corbella, Ari Leppaniemi, Elena Boschini, Ernest E. Moore, Walter Biffl, Andrew Peitzmann, Yoram Kluger, Michael Sugrue…

Combination of dirty mass volume and APACHE II score predicts mortality in patients with colorectal perforation

“Dirty mass” is a specific computed tomography (CT) finding that is seen frequently in colorectal perforation. The prognostic significance of this finding for mortality is unclear.

Authors: Daichi Ishikawa, Yukako Takehara, Atsushi Takata, Kazuhito Takamura and Hirohiko Sato

Timing of early laparoscopic cholecystectomy for acute calculous cholecystitis: a meta-analysis of randomized clinical trials

Early cholecystectomy for acute cholecystitis has proved to reduce hospital length of stay but with no benefit in morbidity when compared to delayed surgery. However, in the literature, early timing refers to ...

Authors: Giuseppe Borzellino, Safi Khuri, Michele Pisano, Subhi Mansour, Niccolò Allievi, Luca Ansaloni and Yoram Kluger

The role of procalcitonin in reducing antibiotics across the surgical pathway

Procalcitonin (PCT) is widely considered as a highly sensitive biomarker of bacterial infection, offering general and emergency surgeons a key tool in the management of surgical infections. A multidisciplinary...

Authors: Massimo Sartelli, Luca Ansaloni, Michele Bartoletti, Fausto Catena, Maurizio Cardi, Francesco Cortese, Francesco Di Marzo, Federico Pea, Mario Plebani, Gian Maria Rossolini, Gabriele Sganga, Bruno Viaggi and Pierluigi Viale

The management of surgical patients in the emergency setting during COVID-19 pandemic: the WSES position paper

Since the COVID-19 pandemic has occurred, nations showed their unpreparedness to deal with a mass casualty incident of this proportion and severity, which resulted in a tremendous number of deaths even among h...

Authors: Belinda De Simone, Elie Chouillard, Massimo Sartelli, Walter L. Biffl, Salomone Di Saverio, Ernest E. Moore, Yoram Kluger, Fikri M. Abu-Zidan, Luca Ansaloni, Federico Coccolini, Ari Leppänemi, Andrew B. Peitzmann, Leonardo Pagani, Gustavo P. Fraga, Ciro Paolillo, Edoardo Picetti…

The WSES: what do we see in the future?

We present the New Year letter from the WSES board to wish everyone a new year full of positive surprises and good news, despite COVID-19 pandemic.

Authors: Belinda De Simone, Yoram Kluger, Ernest E. Moore, Salomone Di Saverio, Massimo Sartelli, Luca Ansaloni, Federico Coccolini, Walter L. Biffl and Fausto Catena