Articles

Epidemiology and socioeconomic features of appendicitis in Taiwan: a 12-year population-based study

This paper presents an epidemiologic study of appendicitis in Taiwan over a twelve-year period. An analysis of the incidence in the low-income population (LIP) is included to explore the effects of lower socio...

Authors: Kai-Biao Lin, K. Robert Lai, Nan-Ping Yang, Chien-Lung Chan, Yuan-Hung Liu, Ren-Hao Pan and Chien-Hsun Huang

Elevated white blood cell count, decreased hematocrit and presence of macrohematuria correlate with abdominal organ injury in pediatric blunt trauma patients: a retrospective study

Computerized tomography (CT) has become an important diagnostic modality in trauma patients. Pediatric patients are particularly susceptible to ionized radiation making liberal CT use in this age group unaccep...

Authors: Yehuda Hershkovitz, Sergei Naveh, Boris Kessel, Zahar Shapira, Ariel Halevy and Igor Jeroukhimov

World Society of Emergency Surgery-indication of globalism and renaissance through the 2015 biennial assembly

Authors: Yoram Kluger, Fausto Catena, Jeffry Kashuk and Luca Ansaloni

Liver trauma: WSES position paper

The liver is the most injured organ in abdominal trauma. Road traffic crashes and antisocial, violent behavior account for the majority of liver injuries. The present position paper represents the position of ...

Authors: Federico Coccolini, Giulia Montori, Fausto Catena, Salomone Di Saverio, Walter Biffl, Ernest E. Moore, Andrew B. Peitzman, Sandro Rizoli, Gregorio Tugnoli, Massimo Sartelli, Roberto Manfredi and Luca Ansaloni

WSES guidelines for management of Clostridium difficile infection in surgical patients

In the last two decades there have been dramatic changes in the epidemiology of Clostridium difficile infection (CDI), with increases in incidence and severity of disease in many countries worldwide. The incidenc...

Authors: Massimo Sartelli, Mark A. Malangoni, Fikri M. Abu-Zidan, Ewen A. Griffiths, Stefano Di Bella, Lynne V. McFarland, Ian Eltringham, Vishal G. Shelat, George C. Velmahos, Ciarán P. Kelly, Sahil Khanna, Zaid M. Abdelsattar, Layan Alrahmani, Luca Ansaloni, Goran Augustin, Miklosh Bala…

IROA: the International Register of Open Abdomen.

Actually the most common indications for Open Abdomen (OA) are trauma, abdominal sepsis, severe acute pancreatitis and more in general all those situations in which an intra-abdominal hypertension condition is...

Authors: Federico Coccolini, Fausto Catena, Giulia Montori, Marco Ceresoli, Roberto Manfredi, Gabriela Elisa Nita, Ernest E. Moore, Walter Biffl, Rao Ivatury, James Whelan, Gustavo Fraga, Ari Leppaniemi, Massimo Sartelli, Salomone Di Saverio and Luca Ansaloni

Trauma resuscitation requiring massive transfusion: a descriptive analysis of the role of ratio and time

We aimed to evaluate whether early administration of high plasma to red blood cells ratios influences outcomes in injured patients who received massive transfusion protocol (MTP).

Authors: Ruben Peralta, Adarsh Vijay, Ayman El-Menyar, Rafael Consunji, Husham Abdelrahman, Ashok Parchani, Ibrahim Afifi, Ahmad Zarour, Hassan Al-Thani and Rifat Latifi

The role of the open abdomen procedure in managing severe abdominal sepsis: WSES position paper

The open abdomen (OA) procedure is a significant surgical advance, as part of damage control techniques in severe abdominal trauma. Its application can be adapted to the advantage of patients with severe abdom...

Authors: Massimo Sartelli, Fikri M. Abu-Zidan, Luca Ansaloni, Miklosh Bala, Marcelo A. Beltrán, Walter L. Biffl, Fausto Catena, Osvaldo Chiara, Federico Coccolini, Raul Coimbra, Zaza Demetrashvili, Demetrios Demetriades, Jose J. Diaz, Salomone Di Saverio, Gustavo P. Fraga, Wagih Ghnnam…

Surgical management of AAST grades III-V hepatic trauma by Damage control surgery with perihepatic packing and Definitive hepatic repair–single centre experience

Severe liver injury in trauma patients still accounts for significant morbidity and mortality. Operative techniques in liver trauma are some of the most challenging. They include the broad and complex area, fr...

Authors: Krstina Doklestić, Branislav Stefanović, Pavle Gregorić, Nenad Ivančević, Zlatibor Lončar, Bojan Jovanović, Vesna Bumbaširević, Vasilije Jeremić, Sanja Tomanović Vujadinović, Branislava Stefanović, Nataša Milić and Aleksandar Karamarković

The selection of diagnostic modalities in the management of pelvic fracture patients requiring transfers

Pelvic fractures can result in life-threatening hemorrhages. Therefore, pelvic fracture patients must usually be transferred to a trauma center for additional management. We attempted to analyze transferred pe...

Authors: Chih-Yuan Fu, Shang-Ju Yang, Chien-Hung Liao, Being-Chuan Lin, Shih-Ching Kang, Shang-Yu Wang and Yu-Pao Hsu

The open abdomen, indications, management and definitive closure

The indications for Open Abdomen (OA) are generally all those situations in which is ongoing the development an intra-abdominal hypertension condition (IAH), in order to prevent the development of abdominal co...

Authors: Federico Coccolini, Walter Biffl, Fausto Catena, Marco Ceresoli, Osvaldo Chiara, Stefania Cimbanassi, Luca Fattori, Ari Leppaniemi, Roberto Manfredi, Giulia Montori, Giovanni Pesenti, Michael Sugrue and Luca Ansaloni

Maxillofacial and neck trauma: a damage control approach

Severe maxillofacial and neck trauma exposes patients to life threatening complications such as airway compromise and hemorrhagic shock. These conditions require rapid actions (diagnosis and management) and a ...

Authors: Amir A. Krausz, Michael M. Krausz and Edoardo Picetti

Severe mutilating injuries with complex macroamputations of the upper extremity – is it worth the effort?

An amputation of the upper extremity and the following replantation is still one of the most challenging operations in the field of reconstructive surgery, especially in extremely severe cases of combined muti...

Authors: Katrin Stanger, Raymund E. Horch and Adrian Dragu

Inferior vena cava enteric fistula due to unresected colorectal metastasis

A 57 year old male presented to our department with recurrent attacks of sepsis and upper gastrointestinal bleeding due to colorectal cancer metastasis that resulted in a fistula involving the inferior vena ca...

Authors: Hayim Gilshtein, Offir Ben-Ishay, Karina Nascovica and Yoram Kluger

One year experience of swine dermal non-crosslinked collagen prostheses for abdominal wall repairs in elective and emergency surgery

The approach to the abdominal wall surgical repair is dramatically changed in the last years. This study evaluates our institutional outcomes about the usage of biological meshes for abdominal wall repair in d...

Authors: Giulia Montori, Federico Coccolini, Roberto Manfredi, Marco Ceresoli, Luca Campanati, Stefano Magnone, Michele Pisano, Elia Poiasina, Gabriela Nita, Fausto Catena and Luca Ansaloni

Focused abdominal sonography for trauma in the clinical evaluation of children with blunt abdominal trauma

In pediatric care, the role of focused abdominal sonography in trauma (FAST) remains ill defined. The objective of this study was to assess the sensitivity and specificity of FAST for detecting free peritoneal...

Authors: Offir Ben-Ishay, Mai Daoud, Zvi Peled, Eran Brauner, Hany Bahouth and Yoram Kluger

Defining our destiny: trainee working group consensus statement on the future of emergency surgery training in the United Kingdom

The United Kingdom National Health Service treats both elective and emergency patients and seeks to provide high quality care, free at the point of delivery. Equal numbers of emergency and elective general sur...

Authors: A. E. Sharrock, V. J. Gokani, R. L. Harries, L. Pearce, S. R. Smith, O. Ali, H. Chu, A. Dubois, H. Ferguson, G. Humm, M. Marsden, D. Nepogodiev, M. Venn, S. Singh, C. Swain and J. Kirkby-Bott

Microbial colonization of open abdomen in critically ill surgical patients

This study was designed to describe the time-course and microbiology of colonization of open abdomen in critically ill surgical patients and to study its association with morbidity, mortality and specific comp...

Authors: Suvi Kaarina Rasilainen, Mentula Panu Juhani and Leppäniemi Ari Kalevi

Prediction of mortality in patients with colorectal perforation based on routinely available parameters: a retrospective study

Even after surgery and intensive postoperative management, the mortality rate associated with colorectal perforation is high. Identification of mortality markers using routinely available preoperative paramete...

Authors: Takehito Yamamoto, Ryosuke Kita, Hideyuki Masui, Hiromitsu Kinoshita, Yusuke Sakamoto, Kazuyuki Okada, Junji Komori, Akira Miki, Kenji Uryuhara, Hiroyuki Kobayashi, Hiroki Hashida, Satoshi Kaihara and Ryo Hosotani

Prediction of neurosurgical intervention after mild traumatic brain injury using the national trauma data bank

Patients with mild traumatic brain injury (TBI) as defined by an admission Glasgow Coma Score (GCS) of 14–15 often do not require neurosurgical interventions, but which patients will go on to require neurosurg...

Authors: Timothy E. Sweeney, Arghavan Salles, Odette A. Harris, David A. Spain and Kristan L. Staudenmayer

The duration of intra-abdominal hypertension strongly predicts outcomes for the critically ill surgical patients: a prospective observational study

Intra-abdominal hypertension (IAH) is associated with morbidity and mortality in critically ill patients. The present study analyzed the clinical significance of IAH in surgical patients with severe sepsis.

Authors: Kyu-Hyouck Kyoung and Suk-Kyung Hong

Factors affecting morbidity and mortality in traumatic colorectal injuries and reliability and validity of trauma scoring systems

This study aims to determine the factors that affect morbidity and mortality in colon and rectum injuries related with trauma, the use of trauma scoring systems in predicting mortality and morbidity.

Authors: Nurettin Ay, Vahhaç Alp, İbrahim Aliosmanoğlu, Utkan Sevük, Şafak Kaya and Bülent Dinç

Epidemiology of spinal injuries in the United Arab Emirates

To assess the risk factors, mechanism of injury, and clinical outcome of hospitalized patients with spinal injuries in order to recommend preventive measures.

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

Non operative management of traumatic esophageal perforation leading to esophagocutaneous fistula in pediatric age group: review and case report

Management of delayed presenting esophageal perforations has long been a topic of debate. Most authors consider definitive surgery being the management of choice. Management, however, differs in pediatric pati...

Authors: Biplab Mishra, Saurabh Singhal, Divya Aggarwal, Nitesh Kumar and Subodh Kumar

Benefits of WSES guidelines application for the management of intra-abdominal infections

The use of antibiotics is very high in the departments of Emergency and Trauma Surgery above all in the treatment of the intra-abdominal infections, to decrease morbidity and mortality rates; often the antimic...

Authors: Belinda De Simone, Federico Coccolini, Fausto Catena, Massimo Sartelli, Salomone Di Saverio, Rodolfo Catena, Antonio Tarasconi and Luca Ansaloni

Iatrogenic ureteric injuries following abdomino-pelvic operations: a 10-year tertiary care hospital experience in Tanzania

Iatrogenic ureteric injuries are rare complications of abdomino-pelvic surgery but associated with high morbidity and even mortality. There is paucity of data regarding iatrogenic ureteric injuries in Tanzania...

Authors: Phillipo L Chalya, Anthony N Massinde, Albert Kihunrwa and Samson Simbila

Laparoscopic surgery in abdominal trauma: a single center review of a 7-year experience

Laparoscopic surgery has greatly improved surgical outcome in many areas of abdominal surgery. But many concerns of safety have limited its application in abdominal trauma. We hypothesized that laparoscopy cou...

Authors: Kyoung Hoon Lim, Bong Soo Chung, Jong Yeol Kim and Sung Soo Kim

Non-heparinized ECMO serves a rescue method in a multitrauma patient combining pulmonary contusion and nonoperative internal bleeding: a case report and literature review

Pulmonary contusion and acute respiratory distress syndrome (ARDS) is a common manifestation in polytraumatic patients. Although mechanical ventilation is still the first choice of treatment, a group of patien...

Authors: Pei-Hung Wen, Wai Hung Chan, Ying-Cheng Chen, Yao-Li Chen, Chien-Pin Chan and Ping-Yi Lin

Grading operative findings at laparoscopic cholecystectomy- a new scoring system

Variation in outcomes from surgery is a major challenge and defining surgical findings may help set benchmarks, which currently do not exist in laparoscopic cholecystectomy. This study outlines a new surgical ...

Authors: Michael Sugrue, Shaheel M Sahebally, Luca Ansaloni and Martin D Zielinski

Hepato-pancreato-biliary emergencies for the acute care surgeon: etiology, diagnosis and treatment

Hepatopancreatobiliary (HPB) emergencies include an ample range of conditions with overlapping clinical presentations and diverse therapeutic options. The most common etiologies are related to cholelithiasis (...

Authors: Jean M Butte, Morad Hameed and Chad G Ball

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

Ischemic colitis (IC) is a disease with high postoperative morbidity and mortality. Knowledge of the risk factors for postoperative mortality could be helpful in clinical decision making and in optimizing post...

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

Non-invasive hemodynamic monitoring in trauma patients

The assessment of hemodynamic status is a crucial task in the initial evaluation of trauma patients. However, blood pressure and heart rate are often misleading, as multiple variables may impact these conventi...

Authors: Matthias Kuster, Aristomenis Exadaktylos and Beat Schnüriger

Sigmoid volvulus and ileo-sigmoid knotting: a five-year experience at a tertiary care hospital in Tanzania

Sigmoid volvulus is a common cause of intestinal obstruction in developing countries where it affects relatively young people compared to developed countries. No prospective study has been done on this subject...

Authors: Phillipo L Chalya and Joseph B Mabula

Prevention of lung-to-lung aspiration during emergency thoracic surgery: an experimental study

Lung separation is essential for an emergency thoracic surgery for massive hemoptysis. When using a double lumen tube (DLT), a commonly adopted lung separation device during thoracic surgery, a water-tight sea...

Authors: Jin-Young Hwang, Jiseok Baik, Sahngun Francis Nahm, Dongjin Kim, Young-Tae Jeon, Jinhee Kim, Seongjoo Park and Sunghee Han

Analysis of the correlation between blood glucose level and prognosis in patients younger than 18 years of age who had head trauma

To analyze the correlation between early-term blood glucose level and prognosis in patients with isolated head trauma.

Authors: Bahadir Danisman, Muhittin Serkan Yilmaz, Bahattin Isik, Cemil Kavalci, Cihat Yel, Alper Gorkem Solakoglu, Burak Demirci, Selim Inan and M Evvah Karakilic

A practical scoring system to predict mortality in patients with perforated peptic ulcer

The mortality rate of perforated peptic ulcer is still high particularly for aged patients and all the existing scoring systems to predict mortality are complicated or based on history taking which is not alwa...

Authors: Ebru Menekse, Belma Kocer, Ramazan Topcu, Aydemir Olmez, Mesut Tez and Cuneyt Kayaalp

A proposal for a CT driven classification of left colon acute diverticulitis

Computed tomography (CT) imaging is the most appropriate diagnostic tool to confirm suspected left colonic diverticulitis. However, the utility of CT imaging goes beyond accurate diagnosis of diverticulitis; t...

Authors: Massimo Sartelli, Frederick A Moore, Luca Ansaloni, Salomone Di Saverio, Federico Coccolini, Ewen A Griffiths, Raul Coimbra, Ferdinando Agresta, Boris Sakakushev, Carlos A Ordoñez, Fikri M Abu-Zidan, Aleksandar Karamarkovic, Goran Augustin, David Costa Navarro, Jan Ulrych, Zaza Demetrashvili…

Can we respect the principles of oncologic resection in an emergency surgery to treat colon cancer?

Patients with colorectal cancer admitted to the emergency room are generally at more advanced stage of the disease and are usually submitted to a resection with curative intent in a smaller scale. In such scen...

Authors: Frederico Teixeira, Eduardo Hiroshi Akaishi, Adriano Zuardi Ushinohama, Tiago Cypriano Dutra, Sérgio Dias do Couto Netto, Edivaldo Massazo Utiyama, Celso Oliveira Bernini and Samir Rasslan

Hospital tests and patient related factors influencing time-to-theatre in 1000 cases of suspected appendicitis: a cohort study

Acute appendicitis is increasingly being managed in the setting of a dedicated emergency theatre. However understanding of hospital factors that influence time-to-theatre (TTT) is poor. Thus, the aim of this s...

Authors: Suzanne Beecher, Donal Peter O’Leary and Ray McLaughlin

The risk factors of concomitant intraperitoneal and retroperitoneal hemorrhage in the patients with blunt abdominal trauma

Intraperitoneal and retroperitoneal hemorrhages may occur simultaneously in blunt abdominal trauma (BAT) patients. These patients undergo emergency laparotomies because of concomitant unstable hemodynamics and...

Authors: Chun-Yi Wu, Shang-Ju Yang, Chih-Yuan Fu, Chien-Hung Liao, Shih-Ching Kang, Yu-Pao Hsu, Being-Chuan Lin, Kuo-Ching Yuan and Shang-Yu Wang

Alcohol-related hospitalizations of adult motorcycle riders

To provide an overview of the demographic characteristics of adult motorcycle riders with alcohol-related hospitalizations.

Authors: Hang-Tsung Liu, Chi-Cheng Liang, Cheng-Shyuan Rau, Shiun-Yuan Hsu and Ching-Hua Hsieh

Retrospective study of the effectiveness of Intra-Aortic Balloon Occlusion (IABO) for traumatic haemorrhagic shock

Intra-aortic balloon occlusion (IABO) is useful for proximal vascular control, by clamping the descending aorta, in traumatic haemorrhagic shock. However, there are limited clinical studies regarding its effec...

Authors: Takayuki Irahara, Norio Sato, Yuuta Moroe, Reo Fukuda, Yusuke Iwai and Kyoko Unemoto

Toothpick ingestion complicated by cecal perforation: case report and literature review

Diverticulitis and carcinoma represent the most common causes of colon perforation, but other causes, like ingestion of foreign bodies, should be taken into account.

Authors: Andrea Lovece, Emanuele Asti, Andrea Sironi and Luigi Bonavina

Important CT findings for prediction of severe appendicitis: involvement of retroperitoneal space

Determination of the severity of appendicitis and differentiation between complicated and uncomplicated appendicitis are clinically important. Severe appendicitis frequently affects extraperitoneal spaces. We ...

Authors: Kumiko Kitaoka, Kazuhiro Saito and Koichi Tokuuye

Increased of serum high-mobility group box chromosomal protein 1 correlated with intestinal mucosal barrier injury in patients with severe acute pancreatitis

Secondary infections are the leading cause of death in patients with severe acute pancreatitis (SAP). The gut represents the main source of pancreatic contamination and related septic complications. High-mobil...

Authors: Gui-fang Xu, Ming Guo, Zhi-qiang Tian, Guo-zhong Wu, Xiao-ping Zou and Wei-jie Zhang

Cholecystectomy for acute cholecystitis. How time-critical are the so called “golden 72 hours”? Or better “golden 24 hours” and “silver 25–72 hour”? A case control study

Early cholecystectomy within 72 hours has been shown to be superior to late or delayed cholecystectomy with regard to outcome and cost of treatment. Recently, immediate cholecystectomy within 24 hours of onset...

Authors: Peter Ambe, Sebastian A Weber, Hildegard Christ and Dirk Wassenberg

Geriatric trauma hip fractures: is there a difference in outcomes based on fracture patterns?

Annually in the US, there are over 300,000 hospital admissions due to hip fractures in geriatric patients. Consequently, there have been several large observational studies, which continue to provide new insig...

Authors: Alicia Mangram, Phillip Moeser, Michael G Corneille, Laura J Prokuski, Nicolas Zhou, Jacqueline Sohn, Shalini Chaliki, Olakunle F Oguntodu and James K Dzandu

Acute cholecystitis: WSES position statement

The management of acute calculous cholecystitis still offers room for debate in terms of diagnosis, severity scores, treatment options and timing for surgery.

Authors: Fabio Cesare Campanile, Michele Pisano, Federico Coccolini, Fausto Catena, Ferdinando Agresta and Luca Ansaloni

World Society of Emergency Surgery (WSES) guidelines for management of skin and soft tissue infections

Skin and soft tissue infections (SSTIs) encompass a variety of pathological conditions ranging from simple superficial infections to severe necrotizing soft tissue infections. Necrotizing soft tissue infection...

Authors: Massimo Sartelli, Mark A Malangoni, Addison K May, Pierluigi Viale, Lillian S Kao, Fausto Catena, Luca Ansaloni, Ernest E Moore, Fred A Moore, Andrew B Peitzman, Raul Coimbra, Ari Leppaniemi, Yoram Kluger, Walter Biffl, Kaoru Koike, Massimo Girardis…

Patient delay is the main cause of treatment delay in acute limb ischemia: an investigation of pre- and in-hospital time delay

The prognosis of acute limb ischemia is severe, with amputation rates of up to 25% and in-hospital mortality of 9-15%. Delay in treatment increases the risk of major amputation and may be present at different ...

Authors: Louise S Londero, Birgitte Nørgaard and Kim Houlind