Articles
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Citation: World Journal of Emergency Surgery 2021 16:55
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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...
Citation: World Journal of Emergency Surgery 2021 16:54 -
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...
Citation: World Journal of Emergency Surgery 2021 16:53 -
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...
Citation: World Journal of Emergency Surgery 2021 16:52 -
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...
Citation: World Journal of Emergency Surgery 2021 16:51 -
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...
Citation: World Journal of Emergency Surgery 2021 16:50 -
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...
Citation: World Journal of Emergency Surgery 2021 16:49 -
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...
Citation: World Journal of Emergency Surgery 2021 16:48 -
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 ...
Citation: World Journal of Emergency Surgery 2021 16:47 -
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. ...
Citation: World Journal of Emergency Surgery 2021 16:46 -
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.
Citation: World Journal of Emergency Surgery 2021 16:45 -
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...
Citation: World Journal of Emergency Surgery 2021 16:44 -
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...
Citation: World Journal of Emergency Surgery 2021 16:43 -
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...
Citation: World Journal of Emergency Surgery 2021 16:42 -
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...
Citation: World Journal of Emergency Surgery 2021 16:41 -
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...
Citation: World Journal of Emergency Surgery 2021 16:40 -
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...
Citation: World Journal of Emergency Surgery 2021 16:39 -
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...
Citation: World Journal of Emergency Surgery 2021 16:38 -
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...
Citation: World Journal of Emergency Surgery 2021 16:37 -
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...
Citation: World Journal of Emergency Surgery 2021 16:36 -
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...
Citation: World Journal of Emergency Surgery 2021 16:35 -
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 ...
Citation: World Journal of Emergency Surgery 2021 16:34 -
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...
Citation: World Journal of Emergency Surgery 2021 16:33 -
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...
Citation: World Journal of Emergency Surgery 2021 16:32 -
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...
Citation: World Journal of Emergency Surgery 2021 16:31 -
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...
Citation: World Journal of Emergency Surgery 2021 16:30 -
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.
Citation: World Journal of Emergency Surgery 2021 16:29 -
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 ...
Citation: World Journal of Emergency Surgery 2021 16:28 -
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...
Citation: World Journal of Emergency Surgery 2021 16:27 -
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...
Citation: World Journal of Emergency Surgery 2021 16:26 -
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 ...
Citation: World Journal of Emergency Surgery 2021 16:25 -
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 (...
Citation: World Journal of Emergency Surgery 2021 16:24 -
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...
Citation: World Journal of Emergency Surgery 2021 16:23 -
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...
Citation: World Journal of Emergency Surgery 2021 16:22 -
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 ...
Citation: World Journal of Emergency Surgery 2021 16:21 -
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...
Citation: World Journal of Emergency Surgery 2021 16:20 -
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...
Citation: World Journal of Emergency Surgery 2021 16:19 -
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.
Citation: World Journal of Emergency Surgery 2021 16:18 -
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.
Citation: World Journal of Emergency Surgery 2021 16:17 -
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 ...
Citation: World Journal of Emergency Surgery 2021 16:16 -
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...
Citation: World Journal of Emergency Surgery 2021 16:15 -
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...
Citation: World Journal of Emergency Surgery 2021 16:14 -
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.
Citation: World Journal of Emergency Surgery 2021 16:13 -
Prediction of functional loss in emergency surgery is possible with a simple frailty screening tool
Senior adults fear postoperative loss of independence the most, and this might represent an additional burden for families and society. The number of geriatric patients admitted to the emergency room requiring...
Citation: World Journal of Emergency Surgery 2021 16:12 -
Comparison of the prognosis of four different treatment strategies for acute left malignant colonic obstruction: a systematic review and network meta-analysis
There is controversy regarding the efficacy of different treatment strategies for acute left malignant colonic obstruction. This study investigated the 5-year overall survival (OS) and disease-free survival (D...
Citation: World Journal of Emergency Surgery 2021 16:11 -
Evidence for use of damage control surgery and damage control interventions in civilian trauma patients: a systematic review
Although damage control (DC) surgery is widely assumed to reduce mortality in critically injured patients, survivors often suffer substantial morbidity, suggesting that it should only be used when indicated. T...
Citation: World Journal of Emergency Surgery 2021 16:10 -
Serum ferritin levels in inflammation: a retrospective comparative analysis between COVID-19 and emergency surgical non-COVID-19 patients
SARS-CoV-2 infection has spread worldwide, and the pathogenic mechanism is still under investigation. The presence of a huge inflammatory response, defined as “cytokine storm,” is being studied in order to und...
Citation: World Journal of Emergency Surgery 2021 16:9 -
The management and outcome of paediatric splenic injuries in the Netherlands
Non-operative management (NOM) is generally accepted as a treatment method of traumatic paediatric splenic rupture. However, considerable variations in management exist. This study analyses local trends in aet...
Citation: World Journal of Emergency Surgery 2021 16:8 -
Colo-pancreaticoduodenectomy for locally advanced colon carcinoma—feasibility in patients presenting with acute abdomen
En bloc right hemicolectomy plus pancreaticoduodenectomy (PD) is administered for locally advanced colon carcinoma that invades the duodenum and/or pancreatic head. This procedure may also be called colo-pancr...
Citation: World Journal of Emergency Surgery 2021 16:7 -
Trauma quality indicators: internationally approved core factors for trauma management quality evaluation
Quality in medical care must be measured in order to be improved. Trauma management is part of health care, and by definition, it must be checked constantly. The only way to measure quality and outcomes is to ...
Citation: World Journal of Emergency Surgery 2021 16:6