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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

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 the World Society of Emergency Surgery (WSES) about the management of liver injuries.

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 compartmental syndrome (ACS). In fact all those involved in care of a critically ill patient should in the first instance think how to prevent IAH and ACS. In case of ACS goal ...

WSES position paper on vascular emergency surgery

Cimbanassi 0 Belinda De Simone 6 Korana Musicki 3 Guilherme Vieira Meirelles 1 Fausto Catena 6 Luca Ansaloni 5 Federico Coccolini 5 Massimo Sartelli 4 Salomone Di Saverio 7 Cino Bendinelli 2 Gustavo Pereira

IROA: the International Register of Open Abdomen.: An international effort to better understand the open abdomen: call for participants

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 present, in order to prevent the development of an abdominal compartment syndrome. The mortality and morbidity rate in patients undergone to OA procedures is still high. At ...

WSES Jerusalem guidelines for diagnosis and treatment of acute appendicitis

Kluger Ari Leppaniemi Luca Ansaloni Manne Andersson Federico Coccolini Raul Coimbra Kurinchi S. Gurusamy Fabio Cesare Campanile Walter Biffl Osvaldo Chiara Fred Moore Andrew B. Peitzman Gustavo P. Fraga ... , 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

Isn't it time to start speaking about "European surgeons"?

Background Emergency surgery has become a neglected specialization in Europe and in many other parts of the world. In certain medical fields, emergency surgery isn't even considered an autonomous specialization. However every emergency surgeon must have a good formation in General Surgery but exist huge disparities between different European surgical formative systems. Methods An ...

WSES Guidelines for the management of acute left sided colonic diverticulitis in the emergency setting

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

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 ...

T.E.A. Study: three-day ertapenem versus three-day Ampicillin-Sulbactam

Background Intra-abdominal infections are one of the most common infections encountered by a general surgeon. However, despite this prevalence, standardized guidelines outlining the proper use of antibiotic therapy are poorly defined due to a lack of clinical trials investigating the ideal duration of antibiotic treatment. The aim of this study is to compare the efficacy and safety ...

Current concept of abdominal sepsis: WSES position paper

Frederick A Moore Rao Ivatury Raul Coimbra Ari Leppaniemi Walter Biffl Yoram Kluger Gustavo P Fraga Carlos A Ordonez Sanjay Marwah Igor Gerych Jae Gil Lee Cristian Tran 0 Federico Coccolini Francesco

A prospective, multi centre, randomized clinical study to compare the efficacy and safety of Ertapenem 3 days versus Ampicillin - Sulbactam 3 days in the treatment of localized community acquired intra-abdominal infection. (T.E.A. Study: Three days Ertapenem vs three days Ampicillin-sulbactam)

Background The recommendations outlined in the latest guidelines published by the Surgical Infection Society (SIS) and the Infectious Disease Society of America (IDSA) regarding the proper duration of antibiotic therapy in patients with intra-abdominal infections are limited and non-specific. This ambiguity is due mainly to the lack of clinical trials on the topic of optimal ...

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 ...

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 ...

Bologna guidelines for diagnosis and management of adhesive small bowel obstruction (ASBO): 2013 update of the evidence-based guidelines from the world society of emergency surgery ASBO working group

emergency surgery ASBO working group Salomone Di Saverio Federico Coccolini Marica Galati Nazareno Smerieri Walter L Biffl Luca Ansaloni Gregorio Tugnoli George C Velmahos Massimo Sartelli Cino Bendinelli

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

Coccolini 1 Ewen A Griffiths 6 Raul Coimbra 5 Ferdinando Agresta 4 Boris Sakakushev 9 Carlos A Ordoez 8 Fikri M Abu-Zidan 3 Aleksandar Karamarkovic 12 Goran Augustin 13 David Costa Navarro 10 Jan Ulrych 11

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 ...