Articles

The Global Alliance for Infections in Surgery: defining a model for antimicrobial stewardship—results from an international cross-sectional survey

Antimicrobial Stewardship Programs (ASPs) have been promoted to optimize antimicrobial usage and patient outcomes, and to reduce the emergence of antimicrobial-resistant organisms. However, the best strategies...

Authors: Massimo Sartelli, Francesco M. Labricciosa, Pamela Barbadoro, Leonardo Pagani, Luca Ansaloni, Adrian J. Brink, Jean Carlet, Ashish Khanna, Alain Chichom-Mefire, Federico Coccolini, Salomone Di Saverio, Addison K. May, Pierluigi Viale, Richard R. Watkins, Luigia Scudeller, Lilian M. Abbo…

Non-operative management for penetrating splenic trauma: how far can we go to save splenic function?

Selective non-operative management (NOM) for the treatment of blunt splenic trauma is safe. Currently, the feasibility of selective NOM for penetrating splenic injury (PSI) is unclear. Unfortunately, little is...

Authors: Roy Spijkerman, Michel Paul Johan Teuben, Fatima Hoosain, Liezel Phyllis Taylor, Timothy Craig Hardcastle, Taco Johan Blokhuis, Brian Leigh Warren and Luke Petrus Hendrikus Leenen

Delta neutrophil index as an early predictor of acute appendicitis and acute complicated appendicitis in adults

This retrospective study aimed to evaluate the ability of the delta neutrophil index (DNI) to predict histologically normal appendicitis preoperatively and to differentiate between simple and complicated appen...

Authors: Dong Hyuk Shin, Young Suk Cho, Gyu Chong Cho, Hee Cheol Ahn, Seung Min Park, Seung Wook Lim, Young Taeck Oh, Ji Woong Cho, Sang O. Park and Young Hwan Lee

Outcomes following repair of incarcerated and strangulated ventral hernias with or without synthetic mesh

The use of synthetic mesh for ventral hernia repair under contaminated conditions is a controversial issue due to the considerable risk of surgical site infection (SSI). This study aimed to review the outcomes...

Authors: Sameh Hany Emile, Hesham Elgendy, Ahmad Sakr, Waleed Ahmed Gado, Ahmed Aly Abdelmawla, Mahmoud Abdelnaby and Alaa Magdy

A meta-analysis of resuscitative endovascular balloon occlusion of the aorta (REBOA) or open aortic cross-clamping by resuscitative thoracotomy in non-compressible torso hemorrhage patients

The objective of this systematic review and meta-analysis was to determine the effect of REBOA, compared to resuscitative thoracotomy, on mortality and among non-compressible torso hemorrhage trauma patients.

Authors: Ramiro Manzano Nunez, Maria Paula Naranjo, Esteban Foianini, Paula Ferrada, Erika Rincon, Herney Andrés García-Perdomo, Paola Burbano, Juan Pablo Herrera, Alberto F. García and Carlos A. Ordoñez

The management of intra-abdominal infections from a global perspective: 2017 WSES guidelines for management of intra-abdominal infections

Intra-abdominal infections (IAIs) are common surgical emergencies and have been reported as major contributors to non-trauma deaths in the emergency departments worldwide.

Authors: Massimo Sartelli, Alain Chichom-Mefire, Francesco M. Labricciosa, Timothy Hardcastle, Fikri M. Abu-Zidan, Abdulrashid K. Adesunkanmi, Luca Ansaloni, Miklosh Bala, Zsolt J. Balogh, Marcelo A. Beltrán, Offir Ben-Ishay, Walter L. Biffl, Arianna Birindelli, Miguel A. Cainzos, Gianbattista Catalini, Marco Ceresoli…

Low values of central venous oxygen saturation (ScvO₂) during surgery and anastomotic leak of abdominal trauma patients

There is a well known relationship between hypoperfusion and postoperative complications like anastomotic leak. No studies have been done addressing this relationship in the context of abdominal trauma surgery...

Authors: Andres Isaza-Restrepo, Jose F. Moreno-Mejia, Juan S. Martin-Saavedra and Milciades Ibañez-Pinilla

The use of laparoscopy in managing penetrating thoracoabdominal injuries in Africa: 83 cases reviewed

The use of laparoscopy in managing haemodynamically stable patients with penetrating thoracoabdominal injuries in developed countries is wildly practiced, but in Africa, the use of laparoscopy is still in its ...

Authors: Zach M. Koto, Fusi Mosai and Oleh Y. Matsevych

Penetrating cardiac trauma: analysis of 240 cases from a hospital in Bogota, Colombia

Trauma characteristics and its management is influenced by socioeconomic context. Cardiac trauma constitutes a challenge for surgeons, and outcomes depend on multiple factors including initial care, characteri...

Authors: Andres Isaza-Restrepo, Dínimo José Bolívar-Sáenz, Marcos Tarazona-Lara and José Rafael Tovar

Early recognition of methicillin-resistant Staphylococcus aureus surgical site infections using risk and protective factors identified by a group of Italian surgeons through Delphi method

Surgical site infections (SSIs) constitute a major clinical problem in terms of morbidity, mortality, duration of hospital stay, and overall costs. The bacterial pathogens implicated most frequently are Streptoco...

Authors: G. Sganga, C. Tascini, E. Sozio and S. Colizza

The rate of success of the conservative management of liver trauma in a developing country

The conservative treatment of liver trauma has made important progress over the last 10 years at the Trauma University Hospital in Tirana, Albania. The percentage of success was 58.7%. The aims of this study w...

Authors: S. Buci, M. Torba, A. Gjata, I. Kajo, Gj. Bushi and K. Kagjini

Emergency surgery due to diaphragmatic hernia: case series and review

Congenital diaphragmatic hernia (CDH) is a congenital abnormality, rare in adults with a frequency of 0.17–6%. Diaphragmatic rupture is an infrequent consequence of trauma, occurring in about 5% of severe clos...

Authors: Mario Testini, Antonia Girardi, Roberta Maria Isernia, Angela De Palma, Giovanni Catalano, Angela Pezzolla and Angela Gurrado

Management of intra-abdominal infections: recommendations by the WSES 2016 consensus conference

This paper reports on the consensus conference on the management of intra-abdominal infections (IAIs) which was held on July 23, 2016, in Dublin, Ireland, as a part of the annual World Society of Emergency Sur...

Authors: Massimo Sartelli, Fausto Catena, Fikri M. Abu-Zidan, Luca Ansaloni, Walter L. Biffl, Marja A. Boermeester, Marco Ceresoli, Osvaldo Chiara, Federico Coccolini, Jan J. De Waele, Salomone Di Saverio, Christian Eckmann, Gustavo P. Fraga, Maddalena Giannella, Massimo Girardis, Ewen A. Griffiths…

The impact of preoperative etiology on emergent pancreaticoduodenectomy for non-traumatic patients

Emergent pancreaticoduodenectomy is a life-saving procedure in certain clinical scenarios when all the conservative treatment fails. The indications can be limited into perforation and bleeding. To clarify the...

Authors: Chun-Yi Tsai, Bo-Ru Lai, Shang-Yu Wang, Chien-Hung Liao, Yu-Yin Liu, Shih-Ching Kang, Chun-Nan Yeh, Yi-Yin Jan and Ta-Sen Yeh

Acute care surgery: a means for providing cost-effective, quality care for gallstone pancreatitis

Modern practice guidelines recommend index cholecystectomy (IC) for patients admitted with gallstone pancreatitis (GSP). However, this benchmark has been difficult to widely achieve. Previous work has demonstr...

Authors: Patrick B. Murphy, Dave Paskar, Richard Hilsden, Jennifer Koichopolos and Tina S. Mele

Non-iatrogenic esophageal injury: a retrospective analysis from the National Trauma Data Bank

Traumatic, non-iatrogenic esophageal injuries, despite their rarity, are associated with significant morbidity and mortality. The optimal management of these esophageal perforations remains largely debated. To...

Authors: Alberto Aiolfi, Kenji Inaba, Gustavo Recinos, Desmond Khor, Elizabeth R. Benjamin, Lydia Lam, Aaron Strumwasser, Emanuele Asti, Luigi Bonavina and Demetrios Demetriades

Role of intraoperative cholangiography for detecting residual stones after biliary pancreatitis: still useful? A retrospective study

Intraoperative cholangiography (IOC) may detect residual stones in the common bile duct (CBD) after acute biliary pancreatitis (ABP). The aim of the present study is to analyze the utility of IOC in detecting ...

Authors: Abdelrahman Abdelaal, Moamena El-Matbouly, Ibnouf Sulieman, Ahmad Elfaki, Tamer El-Bakary, Sherif Abdelaziem, Salahdin Gehani, Adriana Toro and Isidoro Di Carlo

Performance of new adjustments to the TRISS equation model in developed and developing countries

The Trauma and Injury Severity Score (TRISS) has been criticized for being based on data from the USA and Canada—high-income countries—and therefore, it may not be applicable to low-income and middle-income co...

Authors: Cristiane de Alencar Domingues, Raul Coimbra, Renato Sérgio Poggetti, Lilia de Souza Nogueira and Regina Marcia Cardoso Sousa

Combined totally mini-invasive approach in necrotizing pancreatitis: a case report and systematic literature review

Currently, both the step-up approach, combining percutaneous drainage (PD) and video-assisted retroperitoneal debridement (VARD), and endoscopic transgastric necrosectomy (ETN) are mini-invasive techniques for...

Authors: Luca Sorrentino, Osvaldo Chiara, Massimiliano Mutignani, Fabrizio Sammartano, Paolo Brioschi and Stefania Cimbanassi

The history of risk: a review

In the USA alone, around 22 million patients annually discuss the need for surgical procedure with their surgeon. On a global scale, more than 200 million patients are exposed to the risk of undergoing a surgi...

Authors: Philip F. Stahel, Ivor S. Douglas, Todd F. VanderHeiden and Sebastian Weckbach

A historical review of surgery for peritonitis secondary to acute colonic diverticulitis: from Lockhart-Mummery to evidence-based medicine

The management of patients with colonic diverticular perforation is still evolving. Initial lavage with or without simple suture and drainage was suggested in the late 19th century, replaced progressively by t...

Authors: Roberto Cirocchi, Sorena Afshar, Salomone Di Saverio, Georgi Popivanov, Angelo De Sol, Francesca Gubbiotti, Gregorio Tugnoli, Massimo Sartelli, Fausto Catena, David Cavaliere, Renata Taboła, Abe Fingerhut and Gian Andrea Binda

Erratum to: IROA: International Register of Open Abdomen, preliminary results

Authors: 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…

Acute appendicitis, inflammatory appendiceal mass and the risk of a hidden malignant tumor: a systematic review of the literature

Acute appendicitis is significantly common. Despite the increased use of computed tomography, the number of perforated cases has been stable in the past three decades. Between 2% and 6% of patients with acute ...

Authors: Frederico José Ribeiro Teixeira Jr, Sérgio Dias do Couto Netto, Eduardo Hiroshi Akaishi, Edivaldo Massazo Utiyama, Carlos Augusto Metidieri Menegozzo and Marcelo Cristiano Rocha

Safety and effectiveness of propranolol in severely burned patients: systematic review and meta-analysis

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...

Authors: Ramiro Manzano-Nunez, Herney Andrés García-Perdomo, Paula Ferrada, Carlos Alberto Ordoñez Delgado, Diego Andrés Gomez and Jorge Esteban Foianini

IROA: International Register of Open Abdomen, preliminary results

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 Ab...

Authors: 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…

A review of the epidemiology and treatment of orthopaedic injuries after earthquakes in developing countries

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 ...

Authors: James S. MacKenzie, Bibek Banskota, Norachart Sirisreetreerux, Babar Shafiq and Erik A. Hasenboehler

Laparoscopic vs. open surgery for the treatment of iatrogenic colonoscopic perforations: a systematic review and meta-analysis

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 p...

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

CD4 + CD25 + CD127 high cells as a negative predictor of multiple organ failure in acute pancreatitis

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 be...

Authors: Wei Wang, He-Ping Xiang, Hui-Ping Wang, Li-Xin Zhu and Xiao-Ping Geng

Performance of imaging studies in patients with suspected appendicitis after stratification with adult appendicitis score

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 a...

Authors: Henna E. Sammalkorpi, Ari Leppäniemi, Eila Lantto and Panu Mentula

Pelvic trauma: WSES classification and guidelines

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...

Authors: 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…

An investigation of bedside laparoscopy in the ICU for cases of non-occlusive mesenteric ischemia

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...

Authors: G. Cocorullo, A. Mirabella, N. Falco, T. Fontana, R. Tutino, L. Licari, G. Salamone, G. Scerrino and G. Gulotta

Preventive transarterial embolization in upper nonvariceal gastrointestinal bleeding

Transarterial embolization (TAE) is a therapeutic option for patients with a high risk of recurrent bleeding after endoscopic haemostasis. The aim of our prospective study was a preliminary assessment of the s...

Authors: Aleksejs Kaminskis, Aina Kratovska, Sanita Ponomarjova, Anna Tolstova, Maksims Mukans, Solvita Stabiņa, Raivis Gailums, Andrejs Bernšteins, Patricija Ivanova, Viesturs Boka and Guntars Pupelis

Youth traffic-related injuries: a prospective study

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 co...

Authors: Michal Grivna, Hani O. Eid and Fikri M. Abu-Zidan

Lower gastrointestinal bleeding—Computed Tomographic Angiography, Colonoscopy or both?

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 th...

Authors: Daniel Clerc, Fabian Grass, Markus Schäfer, Alban Denys, Nicolas Demartines and Martin Hübner

Laparoscopic cholecystectomy for acute calculous cholecystitis: a retrospective study assessing risk factors for conversion and complications

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 complicat...

Authors: Petra Maria Terho, Ari Kalevi Leppäniemi and Panu Juhani Mentula

OBITUARY: Giorgio Gambale (1955-2015)

Authors: Vanni Agnoletti, Marco Barozzi, Luca Ansaloni and Francesco Cancellieri

Erratum to: 2016 WSES guidelines on acute calculous cholecystitis

Authors: 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…

Triple diagnostics for early detection of ambivalent necrotizing fasciitis

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 ti...

Authors: Falco Hietbrink, Lonneke G. Bode, Louis Riddez, Luke P. H. Leenen and Marijke R. van Dijk

WSES classification and guidelines for liver trauma

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 ...

Authors: 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…

In-hospital costs of an admission for adhesive small bowel obstruction

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 o...

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

Validity of predictive factors of acute complicated appendicitis

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/...

Authors: Yuki Imaoka, Toshiyuki Itamoto, Yuji Takakura, Takahisa Suzuki, Satoshi Ikeda and Takashi Urushihara

Splenic artery embolization: technically feasible but not necessarily advantageous

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), sple...

Authors: F. Van der Cruyssen and A. Manzelli

Prediction of blunt traumatic injuries and hospital admission based on history and physical exam

We evaluated the ability of experienced trauma surgeons to accurately predict specific blunt injuries, as well as patient disposition from the emergency department (ED), based only on the initial clinical eval...

Authors: Alan L. Beal, Mark N. Ahrendt, Eric D. Irwin, John W. Lyng, Steven V. Turner, Christopher A. Beal, Matthew T. Byrnes and Greg A. Beilman

Ex-vivo and live animal models are equally effective training for the management of a penetrating cardiac injury

Live tissue models are considered the most useful simulation for training in the management for hemostasis of penetrating injuries. However, these models are expensive, with limited opportunities for repetitiv...

Authors: Yoshimitsu Izawa, Shuji Hishikawa, Tomohiro Muronoi, Keisuke Yamashita, Hiroyuki Maruyama, Masayuki Suzukawa and Alan Kawarai Lefor

Laparoscopic versus open appendectomy: a retrospective cohort study assessing outcomes and cost-effectiveness

Appendectomy is the most common surgical procedure performed in emergency surgery. Because of lack of consensus about the most appropriate technique, appendectomy is still being performed by both open (OA) and...

Authors: Antonio Biondi, Carla Di Stefano, Francesco Ferrara, Angelo Bellia, Marco Vacante and Luigi Piazza

Emergency abdominal surgery after solid organ transplantation: a systematic review

Due to the increasing number of solid organs transplantations, emergency abdominal surgery in transplanted patients is becoming a relevant challenge for the general surgeon. The aim of this systematic review o...

Authors: Nicola de’Angelis, Francesco Esposito, Riccardo Memeo, Vincenzo Lizzi, Aleix Martìnez-Pérez, Filippo Landi, Pietro Genova, Fausto Catena, Francesco Brunetti and Daniel Azoulay

Laparoscopic lavage versus resection in perforated diverticulitis with purulent peritonitis: a meta-analysis of randomized controlled trials

Purulent peritonitis from acute left colon diverticulitis is a relatively common presentation of diverticular disease; historically the treatment was the Hartmann procedure. Laparoscopic peritoneal lavage has ...

Authors: Marco Ceresoli, Federico Coccolini, Giulia Montori, Fausto Catena, Massimo Sartelli and Luca Ansaloni

Retrospective one-million-subject fixed-cohort survey of utilization of emergency departments due to traumatic causes in Taiwan, 2001–2010

Epidemiological study was needed to evaluate trends in emergency department (ED) utilization that could be taken into account when making policy decisions regarding the delivery and distribution of medical res...

Authors: Nan-Ping Yang, Dinh-Van Phan, Yi-Hui Lee, Jin-Chyr Hsu, Ren-Hao Pan, Chien-Lung Chan, Nien-Tzu Chang and Dachen Chu

Pattern and predictors of mortality in necrotizing fasciitis patients in a single tertiary hospital

Necrotizing fasciitis (NF) is a fatal aggressive infectious disease. We aimed to assess the major contributing factors of mortality in NF patients.

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

The learning curve of single-port laparoscopic appendectomy performed by emergent operation

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 fie...

Authors: YongHun Kim and WooSurng Lee