Articles

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

On table POCUS assessment for the IVC following abdominal packing: how I do it

Some surgeons may lack proper experience in abdominal packing. Overpacking may directly compress the inferior vena cava (IVC). This reduces the venous return and possibly causes hypotension. Here, a new on tab...

Authors: Fikri M. Abu-Zidan

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