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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

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

20 Rifat Latifi David Costa Navarro Yashuiro Otomo Raul Coimbra Ronald V. Maier Frederick Moore Sandro Rizoli Boris Sakakushev Joseph M. Galante Osvaldo Chiara Stefania Cimbanassi Alain Chichom Mefire

Efficacy of extra-peritoneal pelvic packing in hemodynamically unstable pelvic fractures, a Propensity Score Analysis

Background An option for emergency control of pelvic hemorrhage is Extra-peritoneal Pelvic Packing (EPP), which addresses the retroperitoneal source of exsanguination in pelvic fractures. The aim of this study was to demonstrate the efficacy of early EPP in reducing mortality due to hemorrhage from pelvic fractures, and to evaluate the impact of packing on transfusion requirements ...

Blood Component Therapy and Coagulopathy in Trauma: A Systematic Review of the Literature from the Trauma Update Group

Background Traumatic coagulopathy is thought to increase mortality and its treatment to reduce preventable deaths. However, there is still uncertainty in this field, and available literature results may have been overestimated. Methods We searched the MEDLINE database using the PubMed platform. We formulated four queries investigating the prognostic weight of traumatic coagulopathy ...

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 ...

A population based study of hospitalised seriously injured in a region of Northern Italy

Background Injury is a public health problem in terms of mortality, morbidity and disability. The implementation of a regionalised trauma system has been proved to significantly reduce the social impact of severe trauma on population. A population-based registry may be useful to obtain reliable epidemiologic data. Aim To perform an exhaustive analysis of severe trauma patients ...

WSES position paper on vascular emergency surgery

Trauma, both blunt and penetrating, is extremely common worldwide, as trauma to major vessels. The management of these patients requires specialized surgical skills and techniques of the trauma surgeon. Furthermore few other surgical emergencies require immediate diagnosis and treatment like a ruptured abdominal aortic aneurysm (rAAA). Mortality of patients with a rAAA reaches 85 ...

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 ... Agresta, Marc De Moya, Massimo Sartelli, Carlos Augusto Gomes, Ewen Griffths, Steve De Castro, Osvaldo Chiara, Fabio Cesare Campanile, Walt Biffl, George Velmahos, Raul Coimbra, Ari Leppaniemi, Ernest E

Isolated extrahepatic bile duct rupture: a rare consequence of blunt abdominal trauma. Case report and review of the literature

A 16-year-old girl suffered blunt abdominal trauma. Clinically, a severe motor impairment with paraesthesia of the legs was found. Posterior osteosynthesis in T10-L1 with laminectomy in T10-T12 and posterolateral arthrodesis in T11-T12 was performed because of a dorsal traumatic vertebral fracture. On hospital day 7, because of an acute abdomen, surgical laparoscopic exploration ...

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

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

Gustavo P. Fraga Ronald V. Maier Osvaldo Chiara Jeffry Kashuk Boris Sakakushev Dieter G. Weber Rifat Latifi Walter Biffl Miklosh Bala Aleksandar Karamarkovic Kenji Inaba Carlos A. Ordonez Andreas Hecker

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 ...

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 ...

Preventable trauma deaths: from panel review to population based-studies

Preventable trauma deaths are defined as deaths which could be avoided if optimal care has been delivered. Studies on preventable trauma deaths have been accomplished initially with panel reviews of pre-hospital and hospital charts. However, several investigators questioned the reliability and validity of this method because of low reproducibility of implicit judgments when they ...