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Mass casualty incidents - time to engage

Mass casualty incident continues to overwhelm medical systems worldwide. Preparedness for an MCI is a crucial requisite for the injured better outcome. The World Society of Emergency Surgery initiated a survey in regard to its senior member's personal and institutional preparedness for MCI. The results here in presented indicate that WSES should engage in a formatted and structured ...

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 haemodynamic status and associated injuries should be considered. Thus the management of liver trauma is ultimately based on the anatomy of the injury and the physiology of ...

Acute appendicitis: proposal of a new comprehensive grading system based on clinical, imaging and laparoscopic findings

Sartelli 2 Salomone Di Saverio 1 Luca Ansaloni 6 Fausto Catena 5 Federico Coccolini 6 Kenji Inaba 4 Demetrios Demetriades 3 4 Felipe Couto Gomes 8 Camila Couto Gomes 7 0 Surgery Department, Therezinha de

WSES Jerusalem guidelines for diagnosis and treatment of acute appendicitis

, Fausto Catena, Massimo Sartelli Organization Committee members: Salomone Di Saverio, Fausto Catena, Micheal D. Kelly, Dieter Weber, Federico Coccolini, Massimo Sartelli, Luca Ansaloni, Ernest E Moore ... , Jeffry Kashuk, Yoram Kluger Scientific Committee members: Salomone Di Saverio, Dieter Weber, Michael Denis Kelly, Michael Sugrue, Fausto Catena, Arianna Birindelli, Aneel Bhangu, Kjetil Soreide, Ferdinando

Caustic ingestion management: world society of emergency surgery preliminary survey of expert opinion

Sartelli Amit Katz 0 Luca Ansaloni Carlos Augusto Gomez Walter Biffl Fausto Catena Gustavo P. Fraga Salomone Di Saverio Augustin Goran Wagih Ghnnam Jeffry Kashuk Ari Leppäniemi Sanjay Marwah Ernest E. Moore

Foregut caustic injuries: results of the world society of emergency surgery consensus conference

7 Yoram Kluger 13 Nelson A. Andreollo 12 Sandro Contini 11 Aleksander Simic 7 Luca Ansaloni 10 Fausto Catena 15 Gustavo P. Fraga 12 Carlo Locatelli 14 Osvaldo Chiara 9 Jeffry Kashuk 5 Federico

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 diverticulitis was held during the 3rd World Congress of the WSES in Jerusalem, Israel, on July 7th, 2015. During this consensus conference the guidelines for the management of acute ...

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 abdominal sepsis, however its precise role in these patients is still not clear. In severe abdominal sepsis the OA may allow early identification and draining of any residual ...

Current concept of abdominal sepsis: WSES position paper

Although sepsis is a systemic process, the pathophysiological cascade of events may vary from region to region.Abdominal sepsis represents the host’s systemic inflammatory response to bacterial peritonitis.It is associated with significant morbidity and mortality rates, and is the second most common cause of sepsis-related mortality in the intensive care unit.The review focuses on ...

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 infections (NSTIs) are potentially life-threatening infections of any layer of the soft tissue compartment associated with widespread necrosis and systemic toxicity. Successful ...

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. The cornerstones in the management of complicated IAIs are timely effective source control with appropriate antimicrobial therapy. Empiric antimicrobial therapy is important in the management of intra-abdominal infections and ...

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

Corcione Diego Piazza Fausto Catena 0 Department of Surgery, Macerata Hospital , Macerata , Italy 1 General Surgery I, Papa Giovanni XXIII Hospital , Bergamo , Italy 2 Department of Surgery, University of

Global validation of the WSES Sepsis Severity Score for patients with complicated intra-abdominal infections: a prospective multicentre study (WISS Study)

Background To validate a new practical Sepsis Severity Score for patients with complicated intra-abdominal infections (cIAIs) including the clinical conditions at the admission (severe sepsis/septic shock), the origin of the cIAIs, the delay in source control, the setting of acquisition and any risk factors such as age and immunosuppression. Methods The WISS study (WSES cIAIs Score ...

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 incidence of CDI has also increased in surgical patients. Optimization of management of C difficile, has therefore become increasingly urgent. An international multidisciplinary ...

World society of emergency surgery study group initiative on Timing of Acute Care Surgery classification (TACS)

Luca Ansaloni Ashraf E Abbas Ferdinando Agresta Walter L Biffl Luca Baiocchi Miklosh Bala Fausto Catena Raul Coimbra Yunfeng Cui Salomone Di Saverio Koray Das Tamer El Zalabany Gustavo P Fraga Carlos

WSES guidelines for emergency repair of complicated abdominal wall hernias

Segovia Lohse Jakub Kenig Stefano Mandal Andrea Patrizi 0 Rodolfo Scib 0 Fausto Catena 0 Department of Surgery, Macerata Hospital , Macerata , Italy Emergency repair of complicated abdominal hernias is

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 (October 2012-March 2013). The study included patients older than 18 years undergoing surgery or interventional drainage to address complicated intra-abdominal infections ...

2013 WSES guidelines for management of intra-abdominal infections

Despite advances in diagnosis, surgery, and antimicrobial therapy, mortality rates associated with complicated intra-abdominal infections remain exceedingly high.The 2013 update of the World Society of Emergency Surgery (WSES) guidelines for the management of intra-abdominal infections contains evidence-based recommendations for management of patients with intra-abdominal ...

Complicated intra-abdominal infections in a worldwide context: an observational prospective study (CIAOW Study)

Despite advances in diagnosis, surgery, and antimicrobial therapy, mortality rates associated with complicated intra-abdominal infections remain exceedingly high. The World Society of Emergency Surgery (WSES) has designed the CIAOW study in order to describe the clinical, microbiological, and management-related profiles of both community- and healthcare-acquired complicated ...