Articles

WSES Guidelines for the management of acute left sided colonic diverticulitis in the emergency setting

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 diverti...

Authors: 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…

Geriatric Assessment as a qualification element for elective and emergency cholecystectomy in older patients

Older patients experience a higher incidence of postoperative complications after cholecystectomy compared with younger patients. However, most studies have not considered patient frailty, particularly regardi...

Authors: Jakub Kenig, Piotr Wałęga, Urszula Olszewska, Aleksander Konturek and Wojciech Nowak

Patterns and management of degloving injuries: a single national level 1 trauma center experience

Degloving soft tissue injuries (DSTIs) are serious surgical conditions. We aimed to evaluate the pattern, management and outcome of DSTIs in a single institute.

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

WSES Jerusalem guidelines for diagnosis and treatment of acute appendicitis

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 find...

Authors: 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…

Antimicrobials: a global alliance for optimizing their rational use in intra-abdominal infections (AGORA)

Intra-abdominal infections (IAI) are an important cause of morbidity and are frequently associated with poor prognosis, particularly in high-risk patients.

Authors: 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…

Safety in selective surgical exploration in penetrating neck trauma

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, selectiv...

Authors: 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 and Edivaldo Massazo Utiyama

International normalized ratio and serum C-reactive protein are feasible markers to predict complicated appendicitis

Diagnostic approach for complicated appendicitis is still controversial. We planned this study to analyze preoperative laboratory markers that may predict complications of appendicitis.

Authors: Maru Kim, Sung-Jeep Kim and Hang Joo Cho

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)

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 ...

Authors: Carolina Prevaldi, Ciro Paolillo, Carlo Locatelli, Giorgio Ricci, Fausto Catena, Luca Ansaloni and Gianfranco Cervellin

Correlations of perioperative coagulopathy, fluid infusion and blood transfusions with survival prognosis in endovascular aortic repair for ruptured abdominal aortic aneurysm

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 st...

Authors: Yohei Kawatani, Yoshitsugu Nakamura, Hirotsugu Kurobe, Yuji Suda and Takaki Hori

Anatomical, physiological, and logistical indications for the open abdomen: a proposal for a new classification system

A systematic approach to the appropriate use of the open abdomen strategy has not been described. We propose three fundamental reasons for the use of this strategy, anatomical, physiological and logistical. An...

Authors: Joao Rezende-Neto, Timothy Rice, Emanuelle Savio Abreu, Ori Rotstein and Sandro Rizoli

Surgical treatment of multiple rib fractures and flail chest in trauma: a one-year follow-up study

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, prospec...

Authors: Eva-Corina Caragounis, Monika Fagevik Olsén, David Pazooki and Hans Granhed

Focus on the prophylaxis, epidemiology and therapy of methicillin-resistant Staphylococcus aureus surgical site infections and a position paper on associated risk factors: the perspective of an Italian group of surgeons

The aim of this research was to study the epidemiology, microbiology, prophylaxis, and antibiotic therapy of surgical site infections (SSIs), especially those caused by methicillin-resistant Staphylococcus aureus

Authors: G. Sganga, C. Tascini, E. Sozio, M. Carlini, P. Chirletti, F. Cortese, R. Gattuso, P. Granone, C. Pempinello, M. Sartelli and S. Colizza

2016 WSES guidelines on acute calculous cholecystitis

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 criter...

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…

Wells criteria for DVT is a reliable clinical tool to assess the risk of deep venous thrombosis in trauma patients

Deep Vein Thrombosis (DVT) is a common complication in trauma patients. Venous duplex surveillance is used widely for the diagnosis of DVT, however, there is controversy concerning its appropriate use. The Wel...

Authors: Shrey Modi, Ryan Deisler, Karen Gozel, Patty Reicks, Eric Irwin, Melissa Brunsvold, Kaysie Banton and Greg J. Beilman

Erratum to: Poor prognostic factors in patients who underwent surgery for acute non-occlusive ischemic colitis

Authors: Minsu Noh, Song Soo Yang, Seok Won Jung, Jae Ho Park, Yeong Cheol Im and Kyu Yeol Kim

Efficacy of extra-peritoneal pelvic packing in hemodynamically unstable pelvic fractures, a Propensity Score Analysis

An option for emergency control of pelvic hemorrhage is Extra-peritoneal Pelvic Packing (EPP), which addresses the retroperitoneal source of exsanguination in pelvic fractures. The aim of this study was to dem...

Authors: Osvaldo Chiara, Emanuele di Fratta, Anna Mariani, Bertuzzi Michaela, Lucia Prestini, Fabrizio Sammartano and Stefania Cimbanassi

Review of 58 patients with necrotizing fasciitis in the Netherlands

Necrotizing fasciitis is a rare, life threatening soft tissue infection, primarily involving the fascia and subcutaneous tissue. In a large cohort of patients presenting with Necrotizing fasciitis in the Nethe...

Authors: Sander F. L. van Stigt, Janneke de Vries, Jilles B. Bijker, Roland M. H. G. Mollen, Edo J. Hekma, Susan M. Lemson and Edward C. T. H. Tan

Resuscitative endovascular balloon occlusion of the aorta for uncontrollable nonvariceal upper gastrointestinal bleeding

Although resuscitative endovascular balloon occlusion of the aorta (REBOA) in various clinical settings was found to successfully elevate central blood pressure in hemorrhagic shock, this intervention is assoc...

Authors: Hidefumi Sano, Junya Tsurukiri, Akira Hoshiai, Taishi Oomura, Yosuke Tanaka and Shoichi Ohta

Emergency right colectomy: which strategy when primary anastomosis is not feasible?

Primary anastomosis is considered the standard strategy after right emergency colectomy. The present study aimed to evaluate alternative treatment strategies when primary anastomosis is not possible to prevent...

Authors: Hugo Teixeira Farinha, Emmanuel Melloul, Dieter Hahnloser, Nicolas Demartines and Martin Hübner

History of pelvic fracture management: a review

High-energy pelvic fractures represent potentially life-threatening injuries due to the risk of acute exsanguinating retroperitoneal hemorrhage. The first report of a severe pelvic ring disruption dates back t...

Authors: Philip F. Stahel and E. Mark Hammerberg

Learning curve after rapid introduction of laparoscopic appendectomy: are there any risks in surgical resident participation?

With the spread of the minimally invasive technique, laparoscopic appendectomy (LA) is performed with increasing frequency with excellent results. The method provides surgical residents with an excellent oppor...

Authors: Eszter Mán, Tibor Németh, Tibor Géczi, Zsolt Simonka and György Lázár

How to improve the clinical diagnosis of acute appendicitis in resource limited settings

This article is a general review of the diagnostic tools that the clinician can use for the early diagnosis of acute appendicitis with emphasis on the Alvarado Score, and it is aimed principally to the medical...

Authors: Alfredo Alvarado

Implementation of a quality improvement project on smoking cessation reduces smoking in a high risk trauma patient population

Cigarette smoking causes about one of every five deaths in the U.S. each year. In 2013 the prevalence of smoking in our institution’s trauma population was 26.7 %, well above the national adult average of 18.1...

Authors: Jeffry Nahmias, Andrew Doben, Shiva Poola, Samuel Korntner, Karen Carrens and Ronald Gross

Which cause of diffuse peritonitis is the deadliest in the tropics? A retrospective analysis of 305 cases from the South-West Region of Cameroon

Acute diffuse peritonitis is a common surgical emergency worldwide and a major contributor to non-trauma related death toll. Its causes vary widely and are correlated with mortality. Community acquired periton...

Authors: Alain Chichom-Mefire, Tabe Alain Fon and Marcelin Ngowe-Ngowe

Risk factors for delayed neuro-surgical intervention in patients with acute mild traumatic brain injury and intracranial hemorrhage

Mild traumatic brain injury (TBI) patients with initial traumatic intracranial hemorrhage (tICH) and without immediate neuro-surgical intervention require close monitoring of their neurologic status. Progressi...

Authors: Fu-Yuan Shih, Hsin-Huan Chang, Hung-Chen Wang, Tsung-Han Lee, Yu-Jun Lin, Wei-Che Lin, Wu-Fu Chen, Jih-Tsun Ho and Cheng-Hsien Lu

World Journal of Emergency Surgery reviewer acknowledgement 2015

The editors of World Journal of Emergency Surgery would like to thank all our reviewers who have contributed to the journal in volume 10 (2015).

Authors: Fausto Catena and Frederick Moore

Surgeon agreement at the time of handover, a prospective cohort study

Acute Care Surgical Teams are responsible for emergent surgical patients, and as such require regular handover and coordination between different surgeons. Despite the recent emergence of this model of care, m...

Authors: Richard Hilsden, Bradley Moffat, Sarah Knowles, Neil Parry and Ken Leslie

Damage control operations in non-trauma patients: defining criteria for the staged rapid source control laparotomy in emergency general surgery

The staged laparotomy in the operative management of emergency general surgery (EGS) patients is an extension of trauma surgeons operating on this population. Indications for its application, however, are not ...

Authors: Robert D. Becher, Andrew B. Peitzman, Jason L. Sperry, Jared R. Gallaher, Lucas P. Neff, Yankai Sun, Preston R. Miller and Michael C. Chang

Study of the occurrence of intra-abdominal hypertension and abdominal compartment syndrome in patients of blunt abdominal trauma and its correlation with the clinical outcome in the above patients

Intra-abdominal pressure (IAP) measurements have been identified as essential for diagnosis and management of both intra-abdominal hypertension (IAH) and Abdominal compartment syndrome (ACS). It has gained pro...

Authors: Ajeet Ramamani Tiwari and Jayashri Sanjay Pandya

Mass casualty incidents - time to engage

Mass casualty incident continues to overwhelm medical systems worldwide.

Authors: Offir Ben-Ishay, Michele Mitaritonno, Fausto Catena, Massimo Sartelli, Luca Ansaloni and Yoram Kluger

Plasma calprotectin level: usage in distinction of uncomplicated from complicated acute appendicitis

The aim of this study was to identify the diagnostic role of plasma calprotectin value for a distinction of presence acute appendicitis and the indifference of uncomplicated from complicated acute appendicitis.

Authors: Murat Cikot, Kivanc Derya Peker, Mehmet Abdussamet Bozkurt, Ali Kocatas, Osman Kones, Sinan Binboga, Asuman Gedikbasi and Halil Alis

Association between increased blood interleukin-6 levels on emergency department arrival and prolonged length of intensive care unit stay for blunt trauma

Systemic immune response to injury plays a key role in the pathophysiological mechanism of blunt trauma. We tested the hypothesis that increased blood interleukin-6 (IL-6) levels of blunt trauma patients on em...

Authors: Masashi Taniguchi, Taka-aki Nakada, Koichiro Shinozaki, Yasuaki Mizushima and Tetsuya Matsuoka

Diagnostic accuracy of oblique chest radiograph for occult pneumothorax: comparison with ultrasonography

An occult pneumothorax is a pneumothorax that is not seen on a supine chest X-ray but is detected by computed tomography scanning. However, critical patients are difficult to transport to the computed tomograp...

Authors: Shokei Matsumoto, Kazuhiko Sekine, Tomohiro Funabiki, Tomohiko Orita, Masayuki Shimizu, Kei Hayashida, Taku Kazamaki, Tatsuya Suzuki, Masanobu Kishikawa, Motoyasu Yamazaki and Mitsuhide Kitano

Comparison of the results of laparoscopic appendectomies with application of different techniques for closure of the appendicular stump

Nowadays laparoscopy is used frequently not only in elective surgery but also in abdominal emergencies, including acute appendicitis. There are several techniques used to close the appendicular stump during la...

Authors: Marcin Strzałka, Maciej Matyja and Kazimierz Rembiasz

Obese patients who fall have less injury severity but a longer hospital stay than normal-weight patients

The effects of obesity on injury severity and outcome have been studied in trauma patients but not in those who have experienced a fall. The aim of this study was to compare injury patterns, injury severities,...

Authors: Jung-Fang Chuang, Cheng-Shyuan Rau, Hang-Tsung Liu, Shao-Chun Wu, Yi-Chun Chen, Shiun-Yuan Hsu, Hsiao-Yun Hsieh and Ching-Hua Hsieh

Emergency General Surgery: evolution of a subspecialty by stealth

Emergency surgical patients account for around half of all NHS surgical workload and 80 % of surgical deaths. Few trainees opt to CCT in General Surgery, and there is no recognised subspecialty training progra...

Authors: L. Pearce, S. R. Smith, E. Parkin, C. Hall, J. Kennedy and A. Macdonald

Intraoperative diagnosis of solitary cecal diverticulum not requiring surgery: is appendectomy indicated?

To compare experience with solitary cecal diverticulum (SCD) with literature on the indication for appendectomy in cases of solitary cecal diverticulitis.

Authors: Renol M. Koshy, Abdelrahman Abusabeib, Saif Al-Mudares, Mohamed Khairat, Adriana Toro and Isidoro Di Carlo

Patient-reported health-related quality of life after a displaced intra-articular calcaneal fracture: a systematic review

A displaced intra-articular calcaneal fracture (DIACF) is known for having a negative influence on the daily activities of patients. A health-related quality of life (HRQoL) outcome instrument is used to quant...

Authors: G. Alexandridis, A. C. Gunning and L. P. H. Leenen

Global validation of the WSES Sepsis Severity Score for patients with complicated intra-abdominal infections: a prospective multicentre study (WISS Study)

To validate a new practical Sepsis Severity Score for patients with complicated intra-abdominal infections (cIAIs) including the clinical conditions at the admission (severe sepsis/septic shock), the origin of...

Authors: Massimo Sartelli, Fikri M. Abu-Zidan, Fausto Catena, Ewen A. Griffiths, Salomone Di Saverio, Raul Coimbra, Carlos A. Ordoñez, Ari Leppaniemi, Gustavo P. Fraga, Federico Coccolini, Ferdinando Agresta, Asrhaf Abbas, Saleh Abdel Kader, John Agboola, Adamu Amhed, Adesina Ajibade…

Acute appendicitis: proposal of a new comprehensive grading system based on clinical, imaging and laparoscopic findings

Advances in the technology and improved access to imaging modalities such as Computed Tomography and laparoscopy have changed the contemporary diagnostic and management of acute appendicitis. Complicated appen...

Authors: Carlos Augusto Gomes, Massimo Sartelli, Salomone Di Saverio, Luca Ansaloni, Fausto Catena, Federico Coccolini, Kenji Inaba, Demetrios Demetriades, Felipe Couto Gomes and Camila Couto Gomes

Critically ill patients with acute cholecystitis are at increased risk for extensive gallbladder inflammation

Acute cholecystitis is a common diagnosis and surgery is the standard of care for young and fit patients. However, due to high risk of postoperative morbidity and mortality, surgical management of critically i...

Authors: Marios Papadakis, Peter C. Ambe and Hubert Zirngibl

Massive hemothorax due to inferior phrenic artery injury after blunt trauma

Injury to the inferior phrenic artery after blunt trauma is an extremely rare event, and it may occur under unanticipated conditions. This case report describes an injury to the left inferior phrenic artery ca...

Authors: Makoto Aoki, Kei Shibuya, Minoru Kaneko, Ayana Koizumi, Masato Murata, Jun Nakajima, Shuichi Hagiwara, Masahiko Kanbe, Yoshinori Koyama, Yoshito Tsushima and Kiyohiro Oshima

Intra-abdominal hypertension; prevalence, incidence and outcomes in a low resource setting; a prospective observational study

Intra-abdominal hypertension (IAH) is defined as a sustained elevation in intra-abdominal pressure (IAP) greater than or equal to 12 mmHg. IAH has been shown to cause organ derangements and dysfunction in the ...

Authors: Job Kuteesa, Olivia Kituuka, Dan Namuguzi, Cynthia Ndikuno, Samuel Kirunda, David Mukunya and Moses Galukande

Erratum to: caustic ingestion management: world society of emergency surgery preliminary survey of expert opinion

Authors: Yoram Kluger, Ofir Ben Ishay, Massimo Sartelli, Amit Katz, Luca Ansaloni, Carlos Augusto Gomez, Walter Biffl, Fausto Catena, Gustavo P. Fraga, Salomone Di Saverio, Augustin Goran, Wagih Ghnnam, Jeffry Kashuk, Ari Leppäniemi, Sanjay Marwah, Ernest E. Moore…

Occult fractures of the proximal femur: imaging diagnosis and management of 82 cases in a regional trauma center

Occult hip fractures are often difficult to identify in busy trauma units. We aimed to present our institutions experience in the diagnosis and treatment of occult fractures around the hip and to help define a...

Authors: Bogdan Deleanu, Radu Prejbeanu, Eleftherios Tsiridis, Dinu Vermesan, Dan Crisan, Horia Haragus, Vlad Predescu and Florin Birsasteanu

The impact of early surgical intervention in free intestinal perforation: a time-to-intervention pilot study

An abdominal inflammatory focus is the second most often source of sepsis with a high risk of death in surgical intensive care units. By establishing evidence-based bundled strategies the surviving sepsis camp...

Authors: Andreas Hecker, E. Schneck, R. Röhrig, F. Roller, B. Hecker, J. Holler, C. Koch, M. Hecker, M. Reichert, C. Lichtenstern, G. A. Krombach, W. Padberg and M. A. Weigand

Metallothionein ameliorates burn sepsis partly via activation of Akt signaling pathway in mice: a randomized animal study

Metallothioneins (MTs) are a family of cysteine-rich and low molecular-weight proteins that can regulate metal metabolism and act as antioxidants. Recent studies showed that MTs played a protective role in exc...

Authors: Keqin Luo, Huibao Long, Bincan Xu and Yanling Luo

Gunshot wound without entrance hole: where is the trick? A case report and review of the literature

The presence at CT scan of more retained bullets than expected could be a very difficult interpretation challenge in the early management of gunshot wounds. The modern non operative management of haemodinamica...

Authors: Silvia Ministrini, Gianluca Baiocchi, Frida Pittiani, Daniele Lomiento, Federico Gheza and Nazario Portolani

Antibiotics alone versus appendectomy to treat uncomplicated acute appendicitis in adults: what do meta-analyses say?

Primary appendectomy is the current standard of care for treating uncomplicated acute appendicitis, but interest in conservative treatment with antibiotics alone has been increasing in recent years. Clinical t...

Authors: Leonardo Lima Rocha, Felipe Martin Bianco Rossi, Camila Menezes Souza Pessoa, Flavia Nunes Dias Campos, Carlos Eduardo Fonseca Pires and Milton Steinman

Transcatheter thrombolysis combined with damage control surgery for treatment of acute mesenteric venous thrombosis associated with bowel necrosis: a retrospective study

This study aims to evaluate the clinical outcomes of transcatheter thrombolysis in acute superior mesenteric venous thrombosis (ASMVT) associated with bowel necrosis.

Authors: Kai Liu, Jiaxiang Meng, Shuofei Yang, Baochen Liu, Weiwei Ding, Xingjiang Wu and Jieshou Li