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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 ...

Inferior vena cava enteric fistula due to unresected colorectal metastasis

A 57 year old male presented to our department with recurrent attacks of sepsis and upper gastrointestinal bleeding due to colorectal cancer metastasis that resulted in a fistula involving the inferior vena cava and the third part of the duodenum. Four and a half years ago he underwent laparoscopic right hemicolectomy due to colonic adenocarcinoma. A year prior to his recent ...

Focused abdominal sonography for trauma in the clinical evaluation of children with blunt abdominal trauma

Introduction In pediatric care, the role of focused abdominal sonography in trauma (FAST) remains ill defined. The objective of this study was to assess the sensitivity and specificity of FAST for detecting free peritoneal fluid in children. Methods The trauma registry of a single level I pediatric trauma center was queried for the results of FAST examination of consecutive ...

Total ileocolic intussusception with rectal prolapse presenting in an adult: a case report and review of the literature

Introduction Intussusception is rarely encountered in adults, accounting for just 5% of all occurrences and 1% of bowel obstructions. In up to 90% of episodes of adult intussusceptions, operative intervention is required secondary to pathological lead points. Prior to the current report, only three cases of total ileocolic intussusception with rectal prolapse in adults have been ...

Gallbladder ulcer erosion into the cystic artery: a rare cause ofupper gastro-intestinal bleeding Case report

Intra luminal gallbladder bleeding is a rare cause of hemobilia that results in upper gastro-intestinal bleeding. In this case report we present a patient who presented with melena and eventually was diagnosed as bleeding from an ulcer in the gallbladder which was induced by gallstones and eroded into the cystic artery. Surgery revealed perforation of gallbladder which was the ...

Surgical emergencies confounded by H1N1 influenza infection - a plea for concern

The outbreak of the H1N1 influenza pandemic resulted in unprecedented, overwhelming exposure in the medical and lay media, with the obvious focus of healthcare providers being on patients in internal medicine or intensive care settings. Recently, we treated 3 patients with various surgical emergencies who were also diagnosed with active H1N1 influenza. The purpose of this report is ...

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

Zaza Demetrashvili Renato B Melo Sanjay Marwah Sanoop K Zachariah Imtiaz Wani Vishal G Shelat Jae Il Kim Michael McFarlane Tadaja Pintar Miran Rems Miklosh Bala Offir Ben-Ishay Carlos Augusto Gomes Mario

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)

Timing of surgical intervention is critical for outcomes of patients diagnosed with surgical emergencies. Facing the challenge of multiple patients requiring emergency surgery, or of limited resource availability, the acute care surgeon must triage patients according to their disease process and physiological state. Emergency operations from all surgical disciplines should be ...

WSES guidelines for emergency repair of complicated abdominal wall hernias

Gianluca Guercioni Cristian Tran 0 Yunfeng Cui Kenneth YY Kok Wagih M Ghnnam Ashraf El-Sayed Abbas Norio Sato Sanjay Marwah Muthukumaran Rangarajan Offir Ben-Ishay Abdul Rashid K Adesunkanmi Helmut Alfredo

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 ...

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

Ahmed Ashraf Abbas Ricardo Alessandro Teixeira Gonsaga Gianluca Guercioni Nereo Vettoretto Elia Poiasina Offir Ben-Ishay Rafael Díaz-Nieto Damien Massalou Matej Skrovina Ihor Gerych Goran Augustin Jakub