Articles
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Citation: World Journal of Emergency Surgery 2015 10:40
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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 ...
Citation: World Journal of Emergency Surgery 2015 10:39 -
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...
Citation: World Journal of Emergency Surgery 2015 10:38 -
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...
Citation: World Journal of Emergency Surgery 2015 10:37 -
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).
Citation: World Journal of Emergency Surgery 2015 10:36 -
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...
Citation: World Journal of Emergency Surgery 2015 10:35 -
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...
Citation: World Journal of Emergency Surgery 2015 10:34 -
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...
Citation: World Journal of Emergency Surgery 2015 10:33 -
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...
Citation: World Journal of Emergency Surgery 2015 10:32 -
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 ...
Citation: World Journal of Emergency Surgery 2015 10:31 -
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...
Citation: World Journal of Emergency Surgery 2015 10:30 -
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...
Citation: World Journal of Emergency Surgery 2015 10:29 -
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...
Citation: World Journal of Emergency Surgery 2015 10:28 -
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...
Citation: World Journal of Emergency Surgery 2015 10:27 -
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...
Citation: World Journal of Emergency Surgery 2015 10:26 -
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...
Citation: World Journal of Emergency Surgery 2015 10:25 -
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...
Citation: World Journal of Emergency Surgery 2015 10:24 -
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...
Citation: World Journal of Emergency Surgery 2015 10:23 -
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.
Citation: World Journal of Emergency Surgery 2015 10:22 -
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.
Citation: World Journal of Emergency Surgery 2015 10:21 -
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.
Citation: World Journal of Emergency Surgery 2015 10:20 -
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...
Citation: World Journal of Emergency Surgery 2015 10:19 -
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...
Citation: World Journal of Emergency Surgery 2015 10:18 -
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...
Citation: World Journal of Emergency Surgery 2015 10:17 -
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...
Citation: World Journal of Emergency Surgery 2015 10:16 -
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...
Citation: World Journal of Emergency Surgery 2015 10:15 -
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 ...
Citation: World Journal of Emergency Surgery 2015 10:14 -
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 (...
Citation: World Journal of Emergency Surgery 2015 10:13 -
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...
Citation: World Journal of Emergency Surgery 2015 10:12 -
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...
Citation: World Journal of Emergency Surgery 2015 10:11 -
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...
Citation: World Journal of Emergency Surgery 2015 10:10 -
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...
Citation: World Journal of Emergency Surgery 2015 10:9 -
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.
Citation: World Journal of Emergency Surgery 2015 10:8 -
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...
Citation: World Journal of Emergency Surgery 2015 10:7 -
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...
Citation: World Journal of Emergency Surgery 2015 10:3 -
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...
Citation: World Journal of Emergency Surgery 2015 10:5 -
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...
Citation: World Journal of Emergency Surgery 2015 10:6 -
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...
Citation: World Journal of Emergency Surgery 2015 10:4 -
Alcohol-related hospitalizations of adult motorcycle riders
To provide an overview of the demographic characteristics of adult motorcycle riders with alcohol-related hospitalizations.
Citation: World Journal of Emergency Surgery 2015 10:2 -
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...
Citation: World Journal of Emergency Surgery 2015 10:1 -
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.
Citation: World Journal of Emergency Surgery 2014 9:63 -
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 ...
Citation: World Journal of Emergency Surgery 2014 9:62 -
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...
Citation: World Journal of Emergency Surgery 2014 9:61 -
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...
Citation: World Journal of Emergency Surgery 2014 9:60 -
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...
Citation: World Journal of Emergency Surgery 2014 9:59 -
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.
Citation: World Journal of Emergency Surgery 2014 9:58 -
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...
Citation: World Journal of Emergency Surgery 2014 9:57 -
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 ...
Citation: World Journal of Emergency Surgery 2014 9:56 -
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 ...
Citation: World Journal of Emergency Surgery 2014 9:55 -
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 ...
Citation: World Journal of Emergency Surgery 2014 9:54