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69 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...

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...

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 to provide a standardized method for wound management in the ED, we have organized a workshop, involving several Italian and European experts. Later, all the discussed...


A voluminous radiopaque foreign body (7 cm in diameter bowl) in the rectum of a 45-year-old male patient was removed uneventfully by a transanal approach with an obstetric forceps.

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...

Grading operative findings at laparoscopic cholecystectomy- a new scoring system

Introduction Variation in outcomes from surgery is a major challenge and defining surgical findings may help set benchmarks, which currently do not exist in laparoscopic cholecystectomy. This study outlines a new surgical scoring system incorporating key operative findings. Methods English language studies (from January 1965 to July 2014) pertaining to severity scoring and...

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

Francesco Salvetti 0 Gianmariano Marchesi Tino M. Valetti Thomas Scalea Osvaldo Chiara Jeffry L. Kashuk Luca Ansaloni 0 0 General, Emergency and Trauma Surgery dept., Papa Giovanni XXIII Hospital , Piazza OMS

WSES classification and guidelines for liver trauma

Nicola Zanini Luca Ansaloni 0 0 General Emergency and Trauma Surgery Department, Papa Giovanni XXIII Hospital , Piazza OMS 1, 24127 Bergamo , Italy The severity of liver injuries has been universally

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

Dieter Weber Marco Ceresoli 0 Andrew B. Peitzman Liban Wehlie Massimo Sartelli Salomone Di Saverio Luca Ansaloni 0 0 General, Emergency and Trauma Surgery, Papa Giovanni XXIII Hospital , P.zza OMS 1, 24128

Acute appendicitis: position paper, WSES, 2013

Appendectomy is one of the most frequently performed operative procedures in general surgery departments of every size and category. Laparoscopic Appendectomy – LA - as compared to Open Appendectomy – OA - was very controversial at first but has found increasing acceptance all over the World, although the percentage of its acceptance is different in the various single National...

Cytoreduction (Peritonectomy Procedures) Combined with Hyperthermic Intraperitoneal Chemotherapy (HIPEC) in Advanced Ovarian Cancer: Retrospective Italian Multicenter Observational Study of 511 Cases

Verdecchia, Luca Ansaloni, Antonio Macr`ı, Paolo Cappellini, Valerio Ceriani, Giorgio Giorda, Daniele Biacchi, Marco Vaira, Mario Valle, and Paolo Sammartino have no disclosures to declare. OPEN ACCESS This

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

Acute cholecystitis: WSES position statement

Background The management of acute calculous cholecystitis still offers room for debate in terms of diagnosis, severity scores, treatment options and timing for surgery. Material and methods A systematic review about the treatment of acute cholecystitis has been completed. The recommendations of recent guidelines have also been examined taking into account the results of the...

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

Massimo Sartelli 1 Salomone Di Saverio 5 Rodolfo Catena 4 Antonio Tarasconi 3 Luca Ansaloni 2 0 Department of Emergency and Trauma Surgery, University Hospital of Parma , Via Gramsci 11, 43100 Parma , Italy

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...

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...