Journals World Journal of Emergency Sur...

World Journal of Emergency Surgery : WJES
Paola Fugazzola, Lorenzo Cobianchi, Marcello Di Martino, Matteo Tomasoni, Francesca Dal Mas, Fikri M Abu-Zidan, Vanni Agnoletti, Marco Ceresoli, Federico Coccolini, Salomone Di Saverio, Tommaso Dominioni, Camilla Nikita Farè, Simone Frassini, Giulia Gambini, Ari Leppäniemi, Marcello Maestri, Elena Martín-Pérez, Ernest E Moore, Valeria Musella, Andrew B Peitzman, Ángela de la Hoz Rodríguez, Benedetta Sargenti, Massimo Sartelli, Jacopo Viganò, Andrea Anderloni, Walter Biffl, Fausto Catena, Luca Ansaloni
BACKGROUND: Less invasive alternatives than early cholecystectomy (EC) for acute calculous cholecystitis (ACC) treatment have been spreading in recent years. We still lack a reliable tool to select high-risk patients who could benefit from these alternatives. Our study aimed to prospectively validate the Chole-risk score in predicting postoperative complications in patients undergoing EC for ACC compared with other preoperative risk prediction models. METHOD: The S...
March 18, 2023: World Journal of Emergency Surgery: WJES
Mei Sze Lee, Rachel Purcell, Andrew McCombie, Frank Frizelle, Timothy Eglinton
BACKGROUND: Despite acute appendicitis is one of the most common surgical emergencies, its aetiology remains incompletely understood. AIM: This study aimed to assess the rate at which faecoliths were present in acute appendicitis treated with appendicectomy and whether their presence was associated with complicated appendicitis. METHODS: All adult patients who underwent appendicectomy for acute appendicitis in a 2 years period (January 2018 and December 2019) at a single institution were retrospectively reviewed...
March 14, 2023: World Journal of Emergency Surgery: WJES
Dong Wang, Lei Deng, Ruipeng Zhang, Yiyue Zhou, Jun Zeng, Hua Jiang
BACKGROUND: During medical emergencies, intraosseous (IO) access and intravenous (IV) access are methods of administering therapies and medications to patients. Treating patients in emergency medical situations is a highly time sensitive practice; however, research into the optimal access method is limited and existing systematic reviews have only considered out-of-hospital cardiac arrest (OHCA) patients. We focused on severe trauma patients and conducted a systematic review to evaluate the efficacy and efficiency of intraosseous (IO) access compared to intravenous (IV) access for trauma resuscitation in prehospital care...
March 14, 2023: World Journal of Emergency Surgery: WJES
Edwin A Roozen, Roger M L M Lomme, Nicole U B Calon, Richard P G Ten Broek, Harry van Goor
BACKGROUND: A new hemostatic sealant based on a N-hydroxy-succinimide polyoxazoline (NHS-POx) polymer was evaluated to determine hemostatic efficacy and long-term wound healing and adverse effects in a large animal model of parenchymal organ surgical bleeds. METHODS: Experiment 1 included 20 pigs that were treated with two NHS-POx patch prototypes [a gelatin fibrous carrier (GFC) with NHS-POx and an oxidized regenerated cellulose (ORC) with poly(lactic-co-glycolic acid)-NHS-POx:NU-POx (nucleophilically activated polyoxazoline)], a blank gelatin patch (GFC Blank), TachoSil® and Veriset™ to stop moderate liver and spleen punch bleedings...
March 14, 2023: World Journal of Emergency Surgery: WJES
Olivia F Hunter, Frances Perry, Mina Salehi, Hubert Bandurski, Alan Hubbard, Chad G Ball, S Morad Hameed
Artificial intelligence (AI) and machine learning describe a broad range of algorithm types that can be trained based on datasets to make predictions. The increasing sophistication of AI has created new opportunities to apply these algorithms within within trauma care. Our paper overviews the current uses of AI along the continuum of trauma care, including injury prediction, triage, emergency department volume, assessment, and outcomes. Starting at the point of injury, algorithms are being used to predict severity of motor vehicle crashes, which can help inform emergency responses...
March 6, 2023: World Journal of Emergency Surgery: WJES
Tamer A A M Habeeb, Abdulzahra Hussain, Vishal Shelat, Massimo Chiaretti, Jose Bueno-Lledó, Alfonso García Fadrique, Abd-Elfattah Kalmoush, Mohamed Elnemr, Khaled Safwat, Ahmed Raafat, Tamer Wasefy, Ibrahim A Heggy, Gamal Osman, Waleed A Abdelhady, Walid A Mawla, Alaa A Fiad, Mostafa M Elaidy, Wessam Amr, Mohamed I Abdelhamid, Ahmed Mahmoud Abdou, Abdelaziz I A Ibrahim, Muhammad Ali Baghdadi
BACKGROUND: This study aimed to evaluate the results of posterior component separation (CS) and transversus abdominis muscle release (TAR) with retro-muscular mesh reinforcement in patients with primary abdominal wall dehiscence (AWD). The secondary aims were to detect the incidence of postoperative surgical site occurrence and risk factors of incisional hernia (IH) development following AWD repair with posterior CS with TAR reinforced by retromuscular mesh. METHODS: Between June 2014 and April 2018, 202 patients with grade IA primary AWD (Björck's first classification) following midline laparotomies were treated using posterior CS with TAR release reinforced by a retro-muscular mesh in a prospective multicenter cohort study...
March 3, 2023: World Journal of Emergency Surgery: WJES
Lorenzo Cobianchi, Francesca Dal Mas, Vanni Agnoletti, Luca Ansaloni, Walter Biffl, Giovanni Butturini, Stefano Campostrini, Fausto Catena, Stefano Denicolai, Paola Fugazzola, Jacopo Martellucci, Maurizio Massaro, Pietro Previtali, Federico Ruta, Alessandro Venturi, Sarah Woltz, Haytham M Kaafarani, Tyler J Loftus
BACKGROUND: Shared decision-making (SDM) between clinicians and patients is one of the pillars of the modern patient-centric philosophy of care. This study aims to explore SDM in the discipline of trauma and emergency surgery, investigating its interpretation as well as the barriers and facilitators for its implementation among surgeons. METHODS: Grounding on the literature on the topics of the understanding, barriers, and facilitators of SDM in trauma and emergency surgery, a survey was created by a multidisciplinary committee and endorsed by the World Society of Emergency Surgery (WSES)...
February 17, 2023: World Journal of Emergency Surgery: WJES
Molly Q Nyren, Amanda C Filiberto, Patrick W Underwood, Kenneth L Abbott, Jeremy A Balch, Francesca Dal Mas, Lorenzo Cobianchi, Philip A Efron, Brian C George, Benjamin Shickel, Gilbert R Upchurch, George A Sarosi, Tyler J Loftus
BACKGROUND: Common bile duct exploration (CBDE) is safe and effective for managing choledocholithiasis, but most US general surgeons have limited experience with CBDE and are uncomfortable performing this procedure in practice. Surgical trainee exposure to CBDE is limited, and their learning curve for achieving autonomous, practice-ready performance has not been previously described. This study tests the hypothesis that receipt of one or more prior CBDE operative performance assessments, combined with formative feedback, is associated with greater resident operative performance and autonomy...
February 6, 2023: World Journal of Emergency Surgery: WJES
Philipp H von Kroge, Anna Duprée, Oliver Mann, Jakob R Izbicki, Jonas Wagner, Paymon Ahmadi, Sören Weidemann, Raissa Adjallé, Nicolaus Kröger, Carsten Bokemeyer, Walter Fiedler, Franziska Modemann, Susanne Ghandili
BACKGROUND: Hematologic patients requiring abdominal emergency surgery are considered to be a high-risk population based on disease- and treatment-related immunosuppression. However, the optimal surgical therapy and perioperative management of patients with abdominal emergency surgery in patients with coexisting hematological malignancies remain unclear. METHODS: We here report a single-center retrospective analysis aimed to investigate the impact of abdominal emergency surgery due to clinically suspected gastrointestinal perforation (group A), intestinal obstruction (group B), or acute cholecystitis (group C) on mortality and morbidity of patients with coexisting hematological malignancies...
February 6, 2023: World Journal of Emergency Surgery: WJES
Nicola de'Angelis, Francesco Marchegiani, Carlo Alberto Schena, Jim Khan, Vanni Agnoletti, Luca Ansaloni, Ana Gabriela Barría Rodríguez, Paolo Pietro Bianchi, Walter Biffl, Francesca Bravi, Graziano Ceccarelli, Marco Ceresoli, Osvaldo Chiara, Mircea Chirica, Lorenzo Cobianchi, Federico Coccolini, Raul Coimbra, Christian Cotsoglou, Mathieu D'Hondt, Dimitris Damaskos, Belinda De Simone, Salomone Di Saverio, Michele Diana, Eloy Espin-Basany, Stefan Fichtner-Feigl, Paola Fugazzola, Paschalis Gavriilidis, Caroline Gronnier, Jeffry Kashuk, Andrew W Kirkpatrick, Michele Ammendola, Ewout A Kouwenhoven, Alexis Laurent, Ari Leppaniemi, Mickaël Lesurtel, Riccardo Memeo, Marco Milone, Ernest Moore, Nikolaos Pararas, Andrew Peitzmann, Patrick Pessaux, Edoardo Picetti, Manos Pikoulis, Michele Pisano, Frederic Ris, Tyler Robison, Massimo Sartelli, Vishal G Shelat, Giuseppe Spinoglio, Michael Sugrue, Edward Tan, Ellen Van Eetvelde, Yoram Kluger, Dieter Weber, Fausto Catena
BACKGROUND: Minimally invasive surgery (MIS), including laparoscopic and robotic approaches, is widely adopted in elective digestive surgery, but selectively used for surgical emergencies. The present position paper summarizes the available evidence concerning the learning curve to achieve proficiency in emergency MIS and provides five expert opinion statements, which may form the basis for developing standardized curricula and training programs in emergency MIS. METHODS: This position paper was conducted according to the World Society of Emergency Surgery methodology...
January 27, 2023: World Journal of Emergency Surgery: WJES
Yang Yang, Yu Zhang, Shuaiyong Wen, Yunfeng Cui
BACKGROUND: A series of randomized controlled trials have investigated the efficacy and safety of different timings of interventions and methods of intervention. However, the optimal treatment strategy is not yet clear. METHODS: We searched PubMed, EMBASE, and the Cochrane Library until November 30, 2022. A systematic review and Bayesian network meta-analysis were performed following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines...
January 27, 2023: World Journal of Emergency Surgery: WJES
Barza Afzal, Roberto Cirocchi, Aruna Dawani, Jacopo Desiderio, Antonio Di Cintio, Domenico Di Nardo, Federico Farinacci, James Fung, Alessandro Gemini, Lorenzo Guerci, Sen Yin Melina Kam, Svetlana Lakunina, Lee Madi, Stefano Mazzetti, Bakhtiar Nadyrshine, Ola Shams, Maria Chiara Ranucci, Francesco Ricci, Afroza Sharmin, Stefano Trastulli, Tanzela Yasin, Giles Bond-Smith, Giovanni D Tebala
INTRODUCTION: Recent evidence confirms that the treatment of acute appendicitis is not necessarily surgical, and selected patients with uncomplicated appendicitis can benefit from a non-operative management. Unfortunately, no cost-effective test has been proven to be able to effectively predict the degree of appendicular inflammation as yet, therefore, patient selection is too often left to the personal choice of the emergency surgeon. Our paper aims to clarify if basic and readily available blood tests can give reliable prognostic information to build up predictive models to help the decision-making process...
January 27, 2023: World Journal of Emergency Surgery: WJES
Barend A W van den Beukel, Masja K Toneman, Fleur van Veelen, Marjolein Blusse van Oud-Alblas, Koen van Dongen, Martijn W J Stommel, Harry van Goor, Richard P G Ten Broek
BACKGROUND: Selected patients with adhesion-related chronic abdominal pain can be treated effectively by adhesiolysis with the application of adhesion barriers. These patients might also have an increased risk to develop adhesive small bowel obstruction (ASBO). It is unknown how frequently these patients develop ASBO, and how elective adhesiolysis for pain impacts the risk of ASBO. METHODS: Patients with adhesion-related chronic pain were included in this cohort study with long-term follow-up...
January 23, 2023: World Journal of Emergency Surgery: WJES
Mallaika Viswanath, Darja Clinch, Marco Ceresoli, Jugdeep Dhesi, Mario D'Oria, Belinda De Simone, Mauro Podda, Salomone Di Saverio, Federico Coccolini, Massimo Sartelli, Fausto Catena, Ernest Moore, Deepa Rangar, Walter L Biffl, Dimitrios Damaskos
BACKGROUND: Frailty is associated with poor post-operative outcomes in emergency surgical patients. Shared multidisciplinary models have been developed to provide a holistic, reactive model of care to improve outcomes for older people living with frailty. We aimed to describe current perioperative practices, and surgeons' awareness and perception of perioperative frailty management, and barriers to its implementation. METHODS: A qualitative cross-sectional survey was sent via the World Society of Emergency Surgery e-letter to their members...
January 18, 2023: World Journal of Emergency Surgery: WJES
Martin Reichert, Massimo Sartelli, Ingolf H Askevold, Jaqueline Braun, Markus A Weigand, Matthias Hecker, Vanni Agnoletti, Federico Coccolini, Fausto Catena, Winfried Padberg, Jens G Riedel, Andreas Hecker
BACKGROUND: In contrast to adults, the situation for pediatric trauma care from an international point of view and the global management of severely injured children remain rather unclear. The current study investigates structural management of pediatric trauma in centers of different trauma levels as well as experiences with pediatric trauma management around the world. METHODS: A web-survey had been distributed to the global mailing list of the World Society of Emergency Surgery from 10/2021-03/2022, investigating characteristics of respondents and affiliated hospitals, case-load of pediatric trauma patients, capacities and infrastructure for critical care in children, trauma team composition, clinical work-up and individual experiences with pediatric trauma management in response to patients´ age...
January 13, 2023: World Journal of Emergency Surgery: WJES
Edoardo Picetti, Fausto Catena, Fikri Abu-Zidan, Luca Ansaloni, Rocco A Armonda, Miklosh Bala, Zsolt J Balogh, Alessandro Bertuccio, Walt L Biffl, Pierre Bouzat, Andras Buki, Davide Cerasti, Randall M Chesnut, Giuseppe Citerio, Federico Coccolini, Raul Coimbra, Carlo Coniglio, Enrico Fainardi, Deepak Gupta, Jennifer M Gurney, Gregory W J Hawrylux, Raimund Helbok, Peter J A Hutchinson, Corrado Iaccarino, Angelos Kolias, Ronald W Maier, Matthew J Martin, Geert Meyfroidt, David O Okonkwo, Frank Rasulo, Sandro Rizoli, Andres Rubiano, Juan Sahuquillo, Valerie G Sams, Franco Servadei, Deepak Sharma, Lori Shutter, Philip F Stahel, Fabio S Taccone, Andrew Udy, Tommaso Zoerle, Vanni Agnoletti, Francesca Bravi, Belinda De Simone, Yoram Kluger, Costanza Martino, Ernest E Moore, Massimo Sartelli, Dieter Weber, Chiara Robba
BACKGROUND: Severe traumatic brain-injured (TBI) patients should be primarily admitted to a hub trauma center (hospital with neurosurgical capabilities) to allow immediate delivery of appropriate care in a specialized environment. Sometimes, severe TBI patients are admitted to a spoke hospital (hospital without neurosurgical capabilities), and scarce data are available regarding the optimal management of severe isolated TBI patients who do not have immediate access to neurosurgical care...
January 9, 2023: World Journal of Emergency Surgery: WJES
Örvar Arnarson, Ingvar Syk, Salma Tunå Butt
BACKGROUND: Colorectal cancer presents as emergencies in 20% of the cases. Emergency resection is associated with high postoperative morbidity and mortality. The specialization of the operating team in the emergency settings differs from the elective setting, which may have an impact on outcome. The aim of this study was to evaluate short- and long-term outcomes following emergent colon cancer surgery depending on sub-specialization of the operating team. METHODS: This is a retrospective population study based on data from the Swedish Colorectal Cancer Registry (SCRCR)...
January 9, 2023: World Journal of Emergency Surgery: WJES
Alberto F García, Ramiro Manzano-Nunez, Diana Cristina Carrillo, Julian Chica-Yanten, María Paula Naranjo, Álvaro I Sánchez, Jorge Humberto Mejía, Gustavo Adolfo Ospina-Tascón, Carlos A Ordoñez, Juan Gabriel Bayona, Juan Carlos Puyana
BACKGROUND: Previous observational studies showed higher rates of abdominal wall closure with the use of hypertonic saline in trauma patients with abdominal injuries. However, no randomized controlled trials have been performed on this matter. This double-blind randomized clinical trial assessed the effect of 3% hypertonic saline (HS) solution on primary fascial closure and the timing of abdominal wall closure among patients who underwent damage control laparotomy for bleeding control...
January 9, 2023: World Journal of Emergency Surgery: WJES
Silvia Gianola, Silvia Bargeri, Annalisa Biffi, Stefania Cimbanassi, Daniela D'Angelo, Daniela Coclite, Gabriella Facchinetti, Alice Josephine Fauci, Carla Ferrara, Marco Di Nitto, Antonello Napoletano, Ornella Punzo, Katya Ranzato, Alina Tratsevich, Primiano Iannone, Greta Castellini, Osvaldo Chiara
BACKGROUND: A structured approach involves systematic management of trauma patients. We aim to conduct an overview of reviews about the clinical efficacy and safety of structured approach (i.e., primary and secondary survey) by guideline checklist compared to non-structured approach (i.e. clinical examination); moreover, routine screening whole-body computer tomography (WBCT) was compared to non-routine WBCT in patients with suspected major trauma. METHODS: We systematically searched MEDLINE (PubMed), EMBASE and Cochrane Database of Systematic Reviews up to 3 May 2022...
January 4, 2023: World Journal of Emergency Surgery: WJES
Lorenzo Cobianchi, Daniele Piccolo, Francesca Dal Mas, Vanni Agnoletti, Luca Ansaloni, Jeremy Balch, Walter Biffl, Giovanni Butturini, Fausto Catena, Federico Coccolini, Stefano Denicolai, Belinda De Simone, Isabella Frigerio, Paola Fugazzola, Gianluigi Marseglia, Giuseppe Roberto Marseglia, Jacopo Martellucci, Mirko Modenese, Pietro Previtali, Federico Ruta, Alessandro Venturi, Haytham M Kaafarani, Tyler J Loftus
BACKGROUND: Artificial intelligence (AI) is gaining traction in medicine and surgery. AI-based applications can offer tools to examine high-volume data to inform predictive analytics that supports complex decision-making processes. Time-sensitive trauma and emergency contexts are often challenging. The study aims to investigate trauma and emergency surgeons' knowledge and perception of using AI-based tools in clinical decision-making processes. METHODS: An online survey grounded on literature regarding AI-enabled surgical decision-making aids was created by a multidisciplinary committee and endorsed by the World Society of Emergency Surgery (WSES)...
January 3, 2023: World Journal of Emergency Surgery: WJES
Fetch more papers »
Fetching more papers... Fetching...
Remove bar
Read by QxMD icon Read

Save your favorite articles in one place with a free QxMD account.


Search Tips

Use Boolean operators: AND/OR

diabetic AND foot
diabetes OR diabetic

Exclude a word using the 'minus' sign

Virchow -triad

Use Parentheses

water AND (cup OR glass)

Add an asterisk (*) at end of a word to include word stems

Neuro* will search for Neurology, Neuroscientist, Neurological, and so on

Use quotes to search for an exact phrase

"primary prevention of cancer"
(heart or cardiac or cardio*) AND arrest -"American Heart Association"

We want to hear from doctors like you!

Take a second to answer a survey question.