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Laparoscopic lavage in perforated purulent diverticulitis—is it time for definitive conclusions?

General and Emergency Surgery, Papa Giovanni XXIII Hospital , Piazza OMS 1, 24127 Bergamo , Italy Marco Ceresoli - Dear Editor: We read with great interest the recent meta-analysis published about

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 ...

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 ...

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

WSES classification and guidelines for liver trauma

Ivatury Walter Biffl Andrew Peitzman Raul Coimbra Sandro Rizoli Yoram Kluger Fikri M. Abu-Zidan Marco Ceresoli 0 Giulia Montori 0 Massimo Sartelli Dieter Weber Gustavo Fraga Noel Naidoo Frederick A. Moore

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 ...

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 ...