المؤلفون: Simone, B. De, Davies, J., Chouillard, E., Saverio, S. Di, Hoentjen, F., Tarasconi, A., Sartelli, M., Biffl, W.L., Ansaloni, L., Coccolini, F., Chiarugi, M., De'Angelis, N., Moore, E.E., Kluger, Y., Abu-Zidan, F., Sakakushev, B., Coimbra, R., Celentano, V., Wani, I., Pintar, T., Sganga, G., Carlo, I. Di, Tartaglia, D., Pikoulis, M., Cardi, M., Moya, M.A. De, Leppaniemi, A., Kirkpatrick, A., Agnoletti, V., Poggioli, G., Carcoforo, P., Baiocchi, G.L., Catena, F.

المصدر: World Journal of Emergency Surgery, 16, 1

مصطلحات موضوعية: Radboudumc 5: Inflammatory diseases RIMLS: Radboud Institute for Molecular Life Sciences

الوصف: Contains fulltext : 235705.pdf (Publisher’s version ) (Open Access) ; BACKGROUND: Despite the current therapeutic options for the treatment of inflammatory bowel disease, surgery is still frequently required in the emergency setting, although the number of cases performed seems to have decreased in recent years. The World Society of Emergency Surgery decided to debate in a consensus conference of experts, the main pertinent issues around the management of inflammatory bowel disease in the emergent situation, with the need to provide focused guidelines for acute care and emergency surgeons. METHOD: A group of experienced surgeons and gastroenterologists were nominated to develop the topics assigned and answer the questions addressed by the Steering Committee of the project. Each expert followed a precise analysis and grading of the studies selected for review. Statements and recommendations were discussed and voted at the Consensus Conference of the 6th World Society of Emergency Surgery held in Nijmegen (The Netherlands) in June 2019. CONCLUSIONS: Complicated inflammatory bowel disease requires a multidisciplinary approach because of the complexity of this patient group and disease spectrum in the emergency setting, with the aim of obtaining safe surgery with good functional outcomes and a decreasing stoma rate where appropriate.

العلاقة: https://repository.ubn.ru.nl//bitstream/handle/2066/235705/235705.pdfTest; https://repository.ubn.ru.nl/handle/2066/235705Test; https://doi.org/10.1186/s13017-021-00362-3Test

الإتاحة: https://doi.org/10.1186/s13017-021-00362-3Test
https://repository.ubn.ru.nl//bitstream/handle/2066/235705/235705.pdfTest
https://repository.ubn.ru.nl/handle/2066/235705Test

المؤلفون: De Simone, B. Davies, J. Chouillard, E. Di Saverio, S. Hoentjen, F. Tarasconi, A. Sartelli, M. Biffl, W.L. Ansaloni, L. Coccolini, F. Chiarugi, M. De’Angelis, N. Moore, E.E. Kluger, Y. Abu-Zidan, F. Sakakushev, B. Coimbra, R. Celentano, V. Wani, I. Pintar, T. Sganga, G. Di Carlo, I. Tartaglia, D. Pikoulis, M. Cardi, M. De Moya, M.A. Leppaniemi, A. Kirkpatrick, A. Agnoletti, V. Poggioli, G. Carcoforo, P. Baiocchi, G.L. Catena, F.

الوصف: Background: Despite the current therapeutic options for the treatment of inflammatory bowel disease, surgery is still frequently required in the emergency setting, although the number of cases performed seems to have decreased in recent years. The World Society of Emergency Surgery decided to debate in a consensus conference of experts, the main pertinent issues around the management of inflammatory bowel disease in the emergent situation, with the need to provide focused guidelines for acute care and emergency surgeons. Method: A group of experienced surgeons and gastroenterologists were nominated to develop the topics assigned and answer the questions addressed by the Steering Committee of the project. Each expert followed a precise analysis and grading of the studies selected for review. Statements and recommendations were discussed and voted at the Consensus Conference of the 6th World Society of Emergency Surgery held in Nijmegen (The Netherlands) in June 2019. Conclusions: Complicated inflammatory bowel disease requires a multidisciplinary approach because of the complexity of this patient group and disease spectrum in the emergency setting, with the aim of obtaining safe surgery with good functional outcomes and a decreasing stoma rate where appropriate. © 2021, The Author(s).

الوصول الحر: https://explore.openaire.eu/search/publication?articleId=od______2127::df38e90cfe00da22bea6640db1d88963Test
https://pergamos.lib.uoa.gr/uoa/dl/object/uoadl:3101701Test

المؤلفون: Coccolini F., Ceresoli M., Kluger Y., Kirkpatrick A., Montori G., Salvetti F., Fugazzola P., Tomasoni M., Sartelli M., Ansaloni L., Catena F., Negoi I., Zese M., Occhionorelli S., Shlyapnikov S., Galatioto C., Chiarugi M., Demetrashvili Z., Dondossola D., Ioannidis O., Novelli G., Nacoti M., Khor D., Inaba K., Demetriades D., Kaussen T., Jusoh A. C., Ghannam W., Sakakushev B., Guetta O., Dogjani A., Costa S., Singh S., Damaskos D., Isik A., Yuan K. -C., Trotta F., Rausei S., Martinez-Perez A., Bellanova G., Fonseca V., Hernandez F., Marinis A., Fernandes W., Quiodettis M., Bala M., Vereczkei A., Curado R., Fraga G. P., Pereira B. M., Gachabayov M., Chagerben G. P., Arellano M. L., Ozyazici S., Costa G., Tezcaner T., Porta M., Li Y., Karateke F., Manatakis D., Mariani F., Lora F., Sahderov I., Atanasov B., Zegarra S., Gianotti L., Fattori L., Ivatury R.

المساهمون: Coccolini, F., Ceresoli, M., Kluger, Y., Kirkpatrick, A., Montori, G., Salvetti, F., Fugazzola, P., Tomasoni, M., Sartelli, M., Ansaloni, L., Catena, F., Negoi, I., Zese, M., Occhionorelli, S., Shlyapnikov, S., Galatioto, C., Chiarugi, M., Demetrashvili, Z., Dondossola, D., Ioannidis, O., Novelli, G., Nacoti, M., Khor, D., Inaba, K., Demetriades, D., Kaussen, T., Jusoh, A. C., Ghannam, W., Sakakushev, B., Guetta, O., Dogjani, A., Costa, S., Singh, S., Damaskos, D., Isik, A., Yuan, K. -C., Trotta, F., Rausei, S., Martinez-Perez, A., Bellanova, G., Fonseca, V., Hernandez, F., Marinis, A., Fernandes, W., Quiodettis, M., Bala, M., Vereczkei, A., Curado, R., Fraga, G. P., Pereira, B. M., Gachabayov, M., Chagerben, G. P., Arellano, M. L., Ozyazici, S., Costa, G., Tezcaner, T., Porta, M., Li, Y., Karateke, F., Manatakis, D., Mariani, F., Lora, F., Sahderov, I., Atanasov, B., Zegarra, S., Gianotti, L., Fattori, L., Ivatury, R.

مصطلحات موضوعية: Entero-atmospheric fistula, Fistula, IROA, Open abdomen, Abdominal Cavity, Adult, Digestive System Surgical Procedure, Female, Human, Intestinal Fistula, Male, Middle Aged, Negative-Pressure Wound Therapy, Prospective Studie, Treatment Outcome, Young Adult, Abdominal Wound Closure Techniques

الوصف: Introduction: No definitive data describing associations between cases of Open Abdomen (OA) and Entero-atmospheric fistulae (EAF) exist. The World Society of Emergency Surgery (WSES) and the Panamerican Trauma Society (PTS) thus analyzed the International Register of Open Abdomen (IROA) to assess this question. Material and methods: A prospective analysis of adult patients enrolled in the IROA. Results: Among 649 adult patients with OA 58 (8.9%) developed EAF. Indications for OA were peritonitis (51.2%) and traumatic-injury (16.8%). The most frequently utilized temporary abdominal closure techniques were Commercial-NPWT (46.8%) and Bogotà-bag (21.9%). Mean OA days were 7.9 ± 18.22. Overall mortality rate was 29.7%, with EAF having no impact on mortality. Multivariate analysis associated cancer (p = 0.018), days of OA (p = 0.003) and time to provision-of-nutrition (p = 0.016) with EAF occurrence. Conclusion: Entero-atmospheric fistulas are influenced by the duration of open abdomen treatment and by the nutritional status of the patient. Peritonitis, intestinal anastomosis, negative pressure and oral or enteral nutrition were not risk factors for EAF during OA treatment.

وصف الملف: STAMPA

العلاقة: info:eu-repo/semantics/altIdentifier/pmid/30274755; info:eu-repo/semantics/altIdentifier/wos/WOS:000454717700029; volume:50; issue:1; firstpage:160; lastpage:166; numberofpages:7; journal:INJURY; http://hdl.handle.net/11571/1348209Test; info:eu-repo/semantics/altIdentifier/scopus/2-s2.0-85054002495

الإتاحة: https://doi.org/10.1016/j.injury.2018.09.040Test
http://hdl.handle.net/11571/1348209Test

المؤلفون: Sartelli M., Di Bella S., McFarland L. V., Khanna S., Furuya-Kanamori L., Abuzeid N., Abu-Zidan F. M., Ansaloni L., Augustin G., Bala M., Ben-Ishay O., Biffl W. L., Brecher S. M., Camacho-Ortiz A., Cainzos M. A., Chan S., Cherry-Bukowiec J. R., Clanton J., Coccolini F., Cocuz M. E., Coimbra R., Cortese F., Cui Y., Czepiel J., Demetrashvili Z., Di Carlo I., Di Saverio S., Dumitru I. M., Eckmann C., Eiland E. H., Forrester J. D., Fraga G. P., Frossard J. L., Fry D. E., Galeiras R., Ghnnam W., Gomes C. A., Griffiths E. A., Guirao X., Ahmed M. H., Herzog T., Kim J. I., Iqbal T., Isik A., Itani K. M. F., Labricciosa F. M., Lee Y. Y., Juang P., Karamarkovic A., Kim P. K., Kluger Y., Leppaniemi A., Lohsiriwat V., MacHain G. M., Marwah S., Mazuski J. E., Metan G., Moore E. E., Moore F. A., Ordonez C. A., Pagani L., Petrosillo N., Portela F., Rasa K., Rems M., Sakakushev B. E., Segovia-Lohse H., Sganga G., Shelat V. G., Spigaglia P., Tattevin P., Trana C., Urbanek L., Ulrych J., Viale P., Baiocchi G. L., Catena F.

المساهمون: Sartelli, M., Di Bella, S., Mcfarland, L. V., Khanna, S., Furuya-Kanamori, L., Abuzeid, N., Abu-Zidan, F. M., Ansaloni, L., Augustin, G., Bala, M., Ben-Ishay, O., Biffl, W. L., Brecher, S. M., Camacho-Ortiz, A., Cainzos, M. A., Chan, S., Cherry-Bukowiec, J. R., Clanton, J., Coccolini, F., Cocuz, M. E., Coimbra, R., Cortese, F., Cui, Y., Czepiel, J., Demetrashvili, Z., Di Carlo, I., Di Saverio, S., Dumitru, I. M., Eckmann, C., Eiland, E. H., Forrester, J. D., Fraga, G. P., Frossard, J. L., Fry, D. E., Galeiras, R., Ghnnam, W., Gomes, C. A., Griffiths, E. A., Guirao, X., Ahmed, M. H., Herzog, T., Kim, J. I., Iqbal, T., Isik, A., Itani, K. M. F., Labricciosa, F. M., Lee, Y. Y., Juang, P., Karamarkovic, A., Kim, P. K., Kluger, Y., Leppaniemi, A., Lohsiriwat, V., Machain, G. M., Marwah, S., Mazuski, J. E., Metan, G., Moore, E. E., Moore, F. A., Ordonez, C. A., Pagani, L., Petrosillo, N., Portela, F., Rasa, K., Rems, M., Sakakushev, B. E., Segovia-Lohse, H., Sganga, G., Shelat, V. G., Spigaglia, P., Tattevin, P., Trana, C., Urbanek, L., Ulrych, J., Viale, P., Baiocchi, G. L., Catena, F.

مصطلحات موضوعية: Antimicrobial stewardship, Antimicrobial treatment, Clostridioides difficile infection, Clostridium difficile infection, Fecal microbiota transplantation, Infection control, Pseudomembranous coliti, Anti-Bacterial Agent, Clostridium Infection, Clostridium difficile, Enterocolitis, Pseudomembranou, Guidelines as Topic, Human, Incidence, Postoperative Complication, Risk Factors

الوصف: In the last three decades, Clostridium difficile infection (CDI) has increased in incidence and severity in many countries worldwide. The increase in CDI incidence has been particularly apparent among surgical patients. Therefore, prevention of CDI and optimization of management in the surgical patient are paramount. An international multidisciplinary panel of experts from the World Society of Emergency Surgery (WSES) updated its guidelines for management of CDI in surgical patients according to the most recent available literature. The update includes recent changes introduced in the management of this infection.

العلاقة: info:eu-repo/semantics/altIdentifier/pmid/30858872; info:eu-repo/semantics/altIdentifier/wos/WOS:000460085100001; volume:14; issue:1; firstpage:8; journal:WORLD JOURNAL OF EMERGENCY SURGERY; http://hdl.handle.net/11571/1348166Test; info:eu-repo/semantics/altIdentifier/scopus/2-s2.0-85062416919

الإتاحة: https://doi.org/10.1186/s13017-019-0228-3Test
http://hdl.handle.net/11571/1348166Test

المؤلفون: Sorella, Maria Cristina, Sakakushev, B., Coccolini, F., Sartelli, M., Ansaloni, L., Tarasconi, A., Di Saverio, S., Melotti, R. M., Catena, F.

المصدر: Intensive Care for Emergency Surgeons ; Hot Topics in Acute Care Surgery and Trauma ; page 321-329 ; ISSN 2520-8284 2520-8292 ; ISBN 9783030118297 9783030118303

الإتاحة: https://doi.org/10.1007/978-3-030-11830-3_18Test

المؤلفون: Saverio, S. Di, Podda, M., Simone, B. De, Ceresoli, M., Augustin, G., Gori, A., Boermeester, M., Sartelli, M., Coccolini, F., Tarasconi, A., Angelis, N. De', Weber, D.G., Tolonen, M., Birindelli, A., Biffl, W., Moore, E.E., Kelly, M., Soreide, K., Kashuk, J., Broek, R.P. ten, Gomes, C.A., Sugrue, M., Davies, R.J., Damaskos, D., Leppäniemi, A., Kirkpatrick, A., Peitzman, A.B., Fraga, G.P., Maier, R.V., Coimbra, R., Chiarugi, M., Sganga, G., Pisanu, A., Angelis, G.L. De', Tan, E.C.T.H., Goor, H. van, Pata, F., Carlo, I. Di, Chiara, O., Litvin, A., Campanile, F.C., Sakakushev, B., Tomadze, G., Demetrashvili, Z., Latifi, R., Abu-Zidan, F., Romeo, O., Segovia-Lohse, H., Baiocchi, G., Costa, D., Rizoli, S., Balogh, Z.J., Bendinelli, C., Scalea, T., Ivatury, R., Velmahos, G., Andersson, R., Kluger, Y., Ansaloni, L., Catena, F.

المصدر: World Journal of Emergency Surgery, 15, 1

مصطلحات موضوعية: Radboudumc 10: Reconstructive and regenerative medicine RIHS: Radboud Institute for Health Sciences

الوصف: Contains fulltext : 225845.pdf (publisher's version ) (Open Access) ; BACKGROUND AND AIMS: Acute appendicitis (AA) is among the most common causes of acute abdominal pain. Diagnosis of AA is still challenging and some controversies on its management are still present among different settings and practice patterns worldwide. In July 2015, the World Society of Emergency Surgery (WSES) organized in Jerusalem the first consensus conference on the diagnosis and treatment of AA in adult patients with the intention of producing evidence-based guidelines. An updated consensus conference took place in Nijemegen in June 2019 and the guidelines have now been updated in order to provide evidence-based statements and recommendations in keeping with varying clinical practice: use of clinical scores and imaging in diagnosing AA, indications and timing for surgery, use of non-operative management and antibiotics, laparoscopy and surgical techniques, intra-operative scoring, and peri-operative antibiotic therapy. METHODS: This executive manuscript summarizes the WSES guidelines for the diagnosis and treatment of AA. Literature search has been updated up to 2019 and statements and recommendations have been developed according to the GRADE methodology. The statements were voted, eventually modified, and finally approved by the participants to the consensus conference and by the board of co-authors, using a Delphi methodology for voting whenever there was controversy on a statement or a recommendation. Several tables highlighting the research topics and questions, search syntaxes, and the statements and the WSES evidence-based recommendations are provided. Finally, two different practical clinical algorithms are provided in the form of a flow chart for both adults and pediatric (< 16 years old) patients. CONCLUSIONS: The 2020 WSES guidelines on AA aim to provide updated evidence-based statements and recommendations on each of the following topics: (1) diagnosis, (2) non-operative management for uncomplicated AA, (3) timing of ...

العلاقة: https://repository.ubn.ru.nl//bitstream/handle/2066/225845/225845.pdfTest; https://hdl.handle.net/2066/225845Test; https://doi.org/10.1186/s13017-020-00306-3Test

الإتاحة: https://doi.org/10.1186/s13017-020-00306-3Test
https://hdl.handle.net/2066/225845Test
https://repository.ubn.ru.nl//bitstream/handle/2066/225845/225845.pdfTest

المؤلفون: Coccolini, Federico, Montori, G, Salvetti, F, Negoi, I, Zese, M, Occhionorelli, S, Shlyapnikov, S, Sugrue, M, Demetrashvili, Z, Dondossola, D, Ioannidis, O, Novelli, G, Nacoti, M, Khor, D, Inaba, K, Demetriades, D, Kaussen, T, Jusoh, AC, Ghannam, W, Sakakushev, B, Guetta, O, Dogjani, A, Costa, S, Singh, S, Damaskos, D, Isik, A, Yuan, KC, Trotta, F, Rausei, S, Martinez-Perez, A, Bellanova, G, Fonseca, VC, Hernández, F, Marinis, A, Fernandes, W, Quiodettis, M, Bala, M, Vereczkei, A, Curado, R, Fraga, GP, Pereira, BM, Gachabayov, M, Chagerben, GP, Arellano, ML, Ozyazici, S, Costa, G, Tezcaner, T, Porta, M, Li, Y, Karateke, F, Manatakis, D, Mariani, F, Lora, F, Sahderov, I, Atanasov, B, Zegarra, S, Fattori, L, Ivatury, R, Xiao, J, Ben-Ishay, O, Lippi, A, Improta, M, Zharikov, A, Dubuisson, V, Gubbiotti, Francesca, Catena, Fausto, Chiarugi, Massimo, Ceresoli, Marco, Tartaglia, Dario, Fugazzola, Paola, Ansaloni, Luca, Sartelli, Massimo, Kluger, Yoram, Kirkpatrick, Andrew, Amico, Francesco

المساهمون: The University of Newcastle. College of Health, Medicine & Wellbeing, School of Medicine and Public Health

مصطلحات موضوعية: abdomen, fluid, adult, septic abdomen

الوصف: Background: Open abdomen (OA) is a surgical option that can be used in patients with severe peritonitis. Few evidences exist to recommend the use of intraperitoneal fluid instillation associated with OA in managing septic abdomen. Materials and methods: A prospective analysis of adult patients enrolled in the International Register of Open Abdomen (trial registration: NCT02382770) was performed. Results: A total of 387 patients were enrolled in two groups: 84 with peritoneal fluid instillation (FI) and 303 without (NFI). The groups were homogeneous for baseline characteristics. Overall complications were 92.9% in FI and 86.3% in NFI (p = 0.106). Complications during OA were 72.6% in FI and 59.9% in NFI (p = 0.034). Complications after definitive closure were 70.8% in FI and 61.1% in NFI (p = 0.133). Entero-atmospheric fistula was 13.1% in FI and 12% in NFI (p = 0.828). Fascial closure was 78.6% in FI and 63.7% in NFI (p = 0.02). Analysis of FI in negative pressure wound therapy (NPWT) showed: Overall morbidity in NPWT was 94% and in non-NPWT 91.2% (p = 0.622) and morbidity during OA was 68% and 79.4% (p = 0.25), respectively. Definitive fascial closure in NPWT was 87.8% and 96.8% in non-NPWT (p = 0.173). Overall mortality was 40% in NPWT and 29.4% in non-NPWT (p = 0.32) and morality during OA period was 18% and 8.8% (p = 0.238), respectively. Conclusion: We found intraperitoneal fluid instillation during open abdomen in peritonitic patients to increase the complication rate during the open abdomen period, with no impact on mortality, entero-atmospheric fistula rate and opening time. Fascial closure rate is increased by instillation. Fluid instillation is feasible even when associated with nonnegative pressure temporary abdominal closure techniques.

العلاقة: World Journal of Surgery Vol. 44, Issue 12, p. 4032-4040; http://hdl.handle.net/1959.13/1443455Test; uon:42002

الإتاحة: http://hdl.handle.net/1959.13/1443455Test

المؤلفون: Coccolini F, Register of Open Abdomen (IROA)., Ceresoli, M, Kluger, Y, Kirkpatrick, A, Montori, G, Salvetti, F, Fugazzola, P, Tomasoni, M, Sartelli, M, Ansaloni, L1, Catena, F, Nego, I, Zese, M, Occhionorelli, S, Shlyapnikov, S, Galatioto, C, Chiarugi, M, Demetrashvili, Z, Dondossola, D, Ioannidis, O, Novelli, G, Nacoti, M, Khor, D, Inaba, K, Demetriades, D, Kaussen, T, Jusoh, Ac, Ghannam, W, Sakakushev, B, Guetta, O, Dogjani, A, Costa, S, Singh, S, Damaskos, D, Ardaisik, Yuan, Kc, Trotta, F, Rausei, S, Martinez-Perez, A, Bellanova, G, Fonseca, V, Hernández, F, Marinis, A, Fernandes, W, Quiodettis, M, Bala, M, Vereczkei, A, Curado, R, Fraga, Gp, Pereira, Bm, Gachabayov, M, Chagerben, Gp, Arellano, Ml, Ozyazici, S, Costa, G, Tezcaner, T, Porta, M, Li, Y, Karateke, F, Manatakis, D, Mariani, F, Lora, F, Sahderov, I, Atanasov, B, Zegarra, S, Gianotti, L, Fattori, L, Ivatury, R, IROA study group

المساهمون: Coccolini, F, Ceresoli, M, Kluger, Y, Kirkpatrick, A, Montori, G, Salvetti, F, Fugazzola, P, Tomasoni, M, Sartelli, M, Ansaloni, L, Catena, F, Negoi, I, Zese, M, Occhionorelli, S, Shlyapnikov, S, Galatioto, C, Chiarugi, M, Demetrashvili, Z, Dondossola, D, Ioannidis, O, Novelli, G, Nacoti, M, Khor, D, Inaba, K, Demetriades, D, Kaussen, T, Jusoh, A, Ghannam, W, Sakakushev, B, Guetta, O, Dogjani, A, Costa, S, Singh, S, Damaskos, D, Isik, A, Yuan, K, Trotta, F, Rausei, S, Martinez-Perez, A, Bellanova, G, Fonseca, V, Hernández, F, Marinis, A, Fernandes, W, Quiodettis, M, Bala, M, Vereczkei, A, Curado, R, Fraga, G, Pereira, B, Gachabayov, M, Chagerben, G, Arellano, M, Ozyazici, S, Costa, G, Tezcaner, T, Porta, M, Li, Y, Karateke, F, Manatakis, D, Mariani, F, Lora, F, Sahderov, I, Atanasov, B, Zegarra, S, Gianotti, L, Fattori, L, Ivatury, R

مصطلحات موضوعية: Adult, Male, medicine.medical_specialty, Fistula, medicine.medical_treatment, Peritonitis, Entero-atmospheric fistula, NO, Young Adult, 03 medical and health sciences, 0302 clinical medicine, Negative-pressure wound therapy, MED/18 - CHIRURGIA GENERALE, Intestinal Fistula, Humans, Medicine, Orthopedics and Sports Medicine, Prospective Studies, Young adult, Open abdomen, Prospective cohort study, Digestive System Surgical Procedures, General Environmental Science, 030222 orthopedics, business.industry, Mortality rate, Abdominal Cavity, Abdominal Wound Closure Techniques, 030208 emergency & critical care medicine, Middle Aged, Interim analysis, medicine.disease, Surgery, IROA, Treatment Outcome, Parenteral nutrition, Emergency Medicine, General Earth and Planetary Sciences, Female, business, Negative-Pressure Wound Therapy

الوصف: Introduction No definitive data describing associations between cases of Open Abdomen (OA) and Entero-atmospheric fistulae (EAF) exist. The World Society of Emergency Surgery (WSES) and the Panamerican Trauma Society (PTS) thus analyzed the International Register of Open Abdomen (IROA) to assess this question. Material and methods A prospective analysis of adult patients enrolled in the IROA. Results Among 649 adult patients with OA 58 (8.9%) developed EAF. Indications for OA were peritonitis (51.2%) and traumatic-injury (16.8%). The most frequently utilized temporary abdominal closure techniques were Commercial-NPWT (46.8%) and Bogota-bag (21.9%). Mean OA days were 7.9 ± 18.22. Overall mortality rate was 29.7%, with EAF having no impact on mortality. Multivariate analysis associated cancer (p = 0.018), days of OA (p = 0.003) and time to provision-of-nutrition (p = 0.016) with EAF occurrence. Conclusion Entero-atmospheric fistulas are influenced by the duration of open abdomen treatment and by the nutritional status of the patient. Peritonitis, intestinal anastomosis, negative pressure and oral or enteral nutrition were not risk factors for EAF during OA treatment.

الوصول الحر: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::a4e9a55094646b07086acdd5cc6aff8aTest
http://hdl.handle.net/11392/2398046Test

المؤلفون: Sartelli, M. Weber, D.G. Kluger, Y. Ansaloni, L. Coccolini, F. Abu-Zidan, F. Augustin, G. Ben-Ishay, O. Biffl, W.L. Bouliaris, K. Catena, R. Ceresoli, M. Chiara, O. Chiarugi, M. Coimbra, R. Cortese, F. Cui, Y. Damaskos, D. De' Angelis, G.L. Delibegovic, S. Demetrashvili, Z. De Simone, B. Di Marzo, F. Di Saverio, S. Duane, T.M. Faro, M.P. Fraga, G.P. Gkiokas, G. Gomes, C.A. Hardcastle, T.C. Hecker, A. Karamarkovic, A. Kashuk, J. Khokha, V. Kirkpatrick, A.W. Kok, K.Y.Y. Inaba, K. Isik, A. Labricciosa, F.M. Latifi, R. Leppäniemi, A. Litvin, A. Mazuski, J.E. Maier, R.V. Marwah, S. McFarlane, M. Moore, E.E. Moore, F.A. Negoi, I. Pagani, L. Rasa, K. Rubio-Perez, I. Sakakushev, B. Sato, N. Sganga, G. Siquini, W. Tarasconi, A. Tolonen, M. Ulrych, J. Zachariah, S.K. Catena, F.

الوصف: Acute colonic diverticulitis is one of the most common clinical conditions encountered by surgeons in the acute setting. An international multidisciplinary panel of experts from the World Society of Emergency Surgery (WSES) updated its guidelines for management of acute left-sided colonic diverticulitis (ALCD) according to the most recent available literature. The update includes recent changes introduced in the management of ALCD. The new update has been further integrated with advances in acute right-sided colonic diverticulitis (ARCD) that is more common than ALCD in select regions of the world. © 2020 The Author(s).

الوصول الحر: https://explore.openaire.eu/search/publication?articleId=od______2127::c34c14cd9f48a9d7a1cd7498855386d9Test
https://pergamos.lib.uoa.gr/uoa/dl/object/uoadl:3104455Test

المؤلفون: Coccolini, F. Sartelli, M. Kluger, Y. Pikoulis, E. Karamagioli, E. Moore, E.E. Biffl, W.L. Peitzman, A. Hecker, A. Chirica, M. Damaskos, D. Ordonez, C. Vega, F. Fraga, G.P. Chiarugi, M. Di Saverio, S. Kirkpatrick, A.W. Abu-Zidan, F. Mefire, A.C. Leppaniemi, A. Khokha, V. Sakakushev, B. Catena, R. Coimbra, R. Ansaloni, L. Corbella, D. Catena, F.

الوصف: Since December 2019, the world is potentially facing one of the most difficult infectious situations of the last decades. COVID-19 epidemic warrants consideration as a mass casualty incident (MCI) of the highest nature. An optimal MCI/disaster management should consider all four phases of the so-called disaster cycle: mitigation, planning, response, and recovery. COVID-19 outbreak has demonstrated the worldwide unpreparedness to face a global MCI. This present paper thus represents a call for action to solicitate governments and the Global Community to actively start effective plans to promote and improve MCI management preparedness in general, and with an obvious current focus on COVID-19. © 2020 The Author(s).

الوصول الحر: https://explore.openaire.eu/search/publication?articleId=od______2127::436110c604dd39e62d4bf53af0162c23Test
https://pergamos.lib.uoa.gr/uoa/dl/object/uoadl:3104561Test