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46 papers found.
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Resuscitative Endovascular Balloon Occlusion of the Aorta in trauma: a systematic review of the literature

Resuscitative endovascular balloon occlusion of the aorta has been a hot topic in trauma resuscitation during these last years. The aims of this systematic review are to analyze when, how, and where this technique is performed and to evaluate preliminary results. The literature search was performed on online databases in December 2016, without time limits. Studies citing ...

Splenic trauma: WSES classification and guidelines for adult and pediatric patients

Spleen injuries are among the most frequent trauma-related injuries. At present, they are classified according to the anatomy of the injury. The optimal treatment strategy, however, should keep into consideration the hemodynamic status, the anatomic derangement, and the associated injuries. The management of splenic trauma patients aims to restore the homeostasis and the normal ...

The role of open abdomen in non-trauma patient: WSES Consensus Paper

The open abdomen (OA) is defined as intentional decision to leave the fascial edges of the abdomen un-approximated after laparotomy (laparostomy). The abdominal contents are potentially exposed and therefore must be protected with a temporary coverage, which is referred to as temporal abdominal closure (TAC). OA use remains widely debated with many specific details deserving ...

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 ...

Laparoscopic lavage versus resection in perforated diverticulitis with purulent peritonitis: a meta-analysis of randomized controlled trials

Objective 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 been proposed as a lesser invasive treatment option with great interest and debate among surgeons and with contrasting results. The aim of this meta-analysis was to ...

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

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

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 ...

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 ...

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 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

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

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.

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 ...

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 ...

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 ...

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 ...

One year experience of swine dermal non-crosslinked collagen prostheses for abdominal wall repairs in elective and emergency surgery

Introduction 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 different setting: in elective surgery, in emergency surgery and in abdominal wall repair following open abdomen (OA) procedure. Methods A database was ...

Benefits of WSES guidelines application for the management of intra-abdominal infections

Introduction 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 antimicrobial drugs are prescribed without a rationale and they are second-line antibiotics; this clinical practice increases costs without decreasing mortality. Aim of ...