Articles

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

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

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

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

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

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

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

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

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

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…

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

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

Impact of high prevalence of pseudomonas and polymicrobial gram-negative infections in major sub-/total traumatic amputations on empiric antimicrobial therapy: a retrospective study

Emergency treatment of major sub-/total traumatic amputations continue to represent a clinical challenge due to high infection rates and serious handicaps. Effective treatment is based on two columns: surgery ...

Authors: Moritz T Giesecke, Philipp Schwabe, Florian Wichlas, Andrej Trampuz and Christian Kleber

The HAC trial (harmonic for acute cholecystitis): a randomized, double-blind, controlled trial comparing the use of harmonic scalpel to monopolar diathermy for laparoscopic cholecystectomy in cases of acute cholecystitis

The HARMONIC SCALPEL (H) is an advanced ultrasonic cutting and coagulating surgical device with important clinical advantages, such as: reduced ligature demand; greater precision due to minimal lateral thermal...

Authors: Fausto Catena, Salomone Di Saverio, Luca Ansaloni, Federico Coccolini, Massimo Sartelli, Carlo Vallicelli, Michele Cucchi, Antonio Tarasconi, Rodolfo Catena, Gian Luigi De’ Angelis, Hariscine Keng Abongwa, Daniel Lazzareschi and Antonio Pinna

Resuscitative thoracotomies and open chest cardiac compressions in non-traumatic cardiac arrest

Since the popularisation of closed chest cardiac compressions in the 1960s, open chest compressions in non-traumatic cardiac arrest have become a largely forgotten art. Today, open chest compressions are only ...

Authors: Daniel Kristoffer Kornhall and Thomas Dolven

Hartmann’s procedure vs loop colostomy in the treatment of obstructive rectosigmoid cancer

Colorectal carcinoma is the most common malignant gastrointestinal tumour. There is still a considerable controversy when it comes to urgent surgical treatment of obstructive carcinoma of the left colon and re...

Authors: Slobodan Krstic, Vladimir Resanovic, Tamara Alempijevic, Aleksandar Resanovic, Ana Sijacki, Vladimir Djukic, Zlatibor Loncar and Aleksandar Karamarkovic

Non-operative management attempted for selective high grade blunt hepatosplenic trauma is a feasible strategy

There is growing evidence of clinical data recently for successful outcomes of non-operative management (NOM) for blunt hepatic and spleen injuries (BHSI). However, the effectiveness of NOM for high-grade BHSI...

Authors: Ting-Min Hsieh, Tsung Cheng Tsai, Jiun-Lung Liang and Chih Che Lin

Catastrophic hemorrhage of adrenal pheochromocytoma following thrombolysis for acute myocardial infarction: case report and literature review

We describe here the case of a 62-year-old man with acute abdominal syndrome and severe hemorrhagic shock following successful thrombolysis for acute cardiac infarction. Emergency surgical exploration revealed...

Authors: Tarik Souiki, Zoheir Tekni, Hind Laachach, Amal Bennani, Youssef Zrihni, Azeddine Tadmori, Farida Ajdi, Abderahim Bouazzaoui, Laila Chbani, Hafid Akoudad, Khalid Mazaz and Said Aitlaalim

A systematic review and meta-analysis of randomised controlled trials of delayed primary wound closure in contaminated abdominal wounds

A systematic review and meta-analysis was conducted to compare surgical site infection (SSI) between delayed primary (DPC) and primary wound closure (PC) in complicated appendicitis and other contaminated abdo...

Authors: Boonying Siribumrungwong, Pinit Noorit, Chumpon Wilasrusmee and Ammarin Thakkinstian

Successful open abdomen treatment for multiple ischemic duodenal perforated ulcers in dermatomyositis

Dermatomyositis is an autoimmune disease characterized by proximal myopathy, cutaneous Gottron papules and heliotrope rash; intestinal involvement associated to acute vasculitis is less common but could be a l...

Authors: Roberta Villa, Stefano Costa, Sibilla Focchi, Carlo Corbellini, Massimo Vigorelli and Ettore Contessini Avesani

Isolated dissection of the superior mesenteric artery treated using open emergency surgery

Isolated dissection of the superior mesenteric artery (IDSMA) remains a rare diagnosis. However, new diagnostic means such as computed tomography makes it possible to detect even asymptomatic patients. If pati...

Authors: Markus Udo Wagenhäuser, Tolga Atilla Sagban, Mareike Witte, Mansur Duran, Hubert Schelzig and Alexander Oberhuber

Triage using a self-assessment questionnaire to detect potentially life-threatening emergencies in gynecology

Acute pelvic pain is a common reason for emergency room visits that can indicate a potentially life-threatening emergency (PLTE). Our objective here was to develop a triage process for PLTE based on a self-ass...

Authors: Cyrille Huchon, Alexandre Dumont, Anne Chantry, Bruno Falissard and Arnaud Fauconnier

Diagnosis and treatment of perforated or bleeding peptic ulcers: 2013 WSES position paper

Authors: Salomone Di Saverio, Marco Bassi, Nazareno Smerieri, Michele Masetti, Francesco Ferrara, Carlo Fabbri, Luca Ansaloni, Stefania Ghersi, Matteo Serenari, Federico Coccolini, Noel Naidoo, Massimo Sartelli, Gregorio Tugnoli, Fausto Catena, Vincenzo Cennamo and Elio Jovine

Strangulated or incarcerated spontaneous lumbar hernia as exceptional cause of intestinal obstruction: case report and review of the literature

Lumbar hernias are rare conditions and about 300 cases have been reported since the first description by Barbette in 1672. Therefore strangulation or incarceration are also exceptionally encountered. We presen...

Authors: Marcus Fokou, Patrick Fotso, Marcelin Ngowe Ngowe, Arthur Essomba and Maurice Sosso

Predictors of in-hospital mortality and complications in very elderly patients undergoing emergency surgery

With the increasing aging population demographics and life expectancies the number of very elderly patients (age ≥ 80) undergoing emergency surgery is expected to rise. This investigation examines the outcomes...

Authors: Shaheed Merani, Judd Payne, Raj S Padwal, Darren Hudson, Sandy L Widder and Rachel G Khadaroo

Analysis and injury paterns of walnut tree falls in central anatolia of turkey

Falls are the second most common cause of injury-associated mortality worldwide. This study aimed to analysis the injuries caused by falls from walnut tree and assess their mortality and morbidity risk.

Authors: Suleyman Ersoy, Bedriye Müge Sonmez, Fevzi Yilmaz, Cemil Kavalci, Derya Ozturk, Ertugrul Altinbilek, Fatih Alagöz, Fatma Cesur, Ali Erdem Yildirim, Ozhan Merzuk Uckun and Tezcan Akin

Endoscopic reduction of a volvulus of the sigmoid colon in pregnancy: case report and a comprehensive review of the literature

Sigmoid volvulus is a rare, but serious, complication that can occur during pregnancy. We present a case of a 33-year-old pregnant female in the third trimester with a sigmoid volvulus. Detorsion of the volvul...

Authors: Zia Aftab, Adriana Toro, Abdelrahmam Abdelaal, Mohammed Dasovky, Salahdin Gehani, Abdelatif Abdel Mola and Isidoro Di Carlo

Establishment and implementation of an effective rule for the interpretation of computed tomography scans by emergency physicians in blunt trauma

Computed tomography (CT) can detect subtle organ injury and is applicable to many body regions. However, its interpretation requires significant skill. In our hospital, emergency physicians (EPs) must interpre...

Authors: Yukihiro Ikegami, Tsuyoshi Suzuki, Chiaki Nemoto, Yasuhiko Tsukada, Arifumi Hasegawa, Jiro Shimada and Choichiro Tase

Cost of care and antibiotic prescribing attitudes for community-acquired complicated intra-abdominal infections in Italy: a retrospective study

Complicated intra-abdominal infections (cIAIs) are a common cause of morbidity worldwide, and in spite of improvements in patient care, therapeutic failure still occurs, impacting in-hospital resource consumpt...

Authors: Lidia Dalfino, Francesco Bruno, Sergio Colizza, Ercole Concia, Andrea Novelli, Fabrizio Rebecchi, Federico Spandonaro and Cristina Alato

Lemierre’s disease: a case with bilateral iliopsoas abscesses and a literature review

Lemierre’s disease is characterized by sepsis, often with an oropharyngeal source, secondary septic emboli and internal jugular vein thrombosis (Lancet 1:701–3, 1936. Clin Microbiol Rev 20(4):622–59, 2007). Se...

Authors: Nicholas TE Bird, Derek Cocker, Paul Cullis, Richard Schofield, Ben Challoner, Alastair Hayes and Martin Brett

Complicated intra-abdominal infections worldwide: the definitive data of the CIAOW Study

The CIAOW study (Complicated intra-abdominal infections worldwide observational study) is a multicenter observational study underwent in 68 medical institutions worldwide during a six-month study period (Octob...

Authors: Massimo Sartelli, Fausto Catena, Luca Ansaloni, Federico Coccolini, Davide Corbella, Ernest E Moore, Mark Malangoni, George Velmahos, Raul Coimbra, Kaoru Koike, Ari Leppaniemi, Walter Biffl, Zsolt Balogh, Cino Bendinelli, Sanjay Gupta, Yoram Kluger…

Blunt cerebrovascular injury in rugby and other contact sports: case report and review of the literature

Contact sports have long been a part of human existence. The two earliest recorded organized contact games, both of which still exist, include Royal Shrovetide Football played since the 12^th century in England an...

Authors: Trajan A Cuellar, Lawrence Lottenberg and Frederick A Moore