(World journal of emergency surgery[TA])
- Triple diagnostics for early detection of ambivalent necrotizing fasciitis. [Journal Article]
- WJWorld J Emerg Surg 2016; 11:51
- CONCLUSIONS: In the early phases of necrotizing fasciitis, clinical presentation can be ambivalent. In the present cohort, triple diagnostics consisting of an incisional biopsy with macroscopic, histologic and microbiotic findings was helpful in timely identification of necrotizing fasciitis.
- WSES classification and guidelines for liver trauma. [Review]
- WJWorld J Emerg Surg 2016; 11:50
- The severity of liver injuries has been universally classified according to the American Association for the Surgery of Trauma (AAST) grading scale. In determining the optimal treatment strategy, how...
The severity of liver injuries has been universally classified according to the American Association for the Surgery of Trauma (AAST) grading scale. In determining the optimal treatment strategy, however, the haemodynamic status and associated injuries should be considered. Thus the management of liver trauma is ultimately based on the anatomy of the injury and the physiology of the patient. This paper presents the World Society of Emergency Surgery (WSES) classification of liver trauma and the management Guidelines.
- In-hospital costs of an admission for adhesive small bowel obstruction. [Journal Article]
- WJWorld J Emerg Surg 2016; 11:49
- CONCLUSIONS: The in-hospital costs of an admission for ASBO are higher than previously thought. These costs can be used to guide hospital reimbursement policy and for the development of a cost-effective model for the use of adhesion barriers.
- Validity of predictive factors of acute complicated appendicitis. [Journal Article]
- WJWorld J Emerg Surg 2016; 11:48
- CONCLUSIONS: The above-mentioned preoperative factors predictive of complicated appendicitis preoperatively are useful for emergency surgical decisions and reduce the burdens on surgeons and medical staff.
- Splenic artery embolization: technically feasible but not necessarily advantageous. [Review]
- WJWorld J Emerg Surg 2016; 11(1):47
- CONCLUSIONS: NOM+ SAE involves potential risks and operative management may be preferable to SAE for certain patients. To clarify current literature, we propose a new algorithm for blunt abdominal trauma that should be validated prospectively. New evidence-based protocols should be developed to guide diagnosis and management of patients with splenic trauma.
- Prediction of blunt traumatic injuries and hospital admission based on history and physical exam. [Journal Article]
- WJWorld J Emerg Surg 2016; 11(1):46
- CONCLUSIONS: In a neurologically-intact group of trauma patients, experienced trauma surgeons would have missed 46.7 % of the actual injuries, based only on their history and physical exam. Once accurate diagnoses of injuries were completed, usually with the help of CT scans, admission dispositions changed in 20.6 % of patients. Treatment changes occurred in 44.2 % of the missed injuries, though usually minimal. Broad elimination of early imaging studies in alert, blunt trauma patients cannot be advocated.
- Ex-vivo and live animal models are equally effective training for the management of a penetrating cardiac injury. [Journal Article]
- WJWorld J Emerg Surg 2016; 11(1):45
- CONCLUSIONS: Training with an ex-vivo model and live tissue training are similar for the management of a penetrating cardiac injury, with increased self-efficacy of participants in both groups. The ex-vivo model is useful to learn hemostatic skills in trauma surgery.
- Laparoscopic versus open appendectomy: a retrospective cohort study assessing outcomes and cost-effectiveness. [Journal Article]
- WJWorld J Emerg Surg 2016; 11(1):44
- CONCLUSIONS: The laparoscopic approach is a safe and efficient operative procedure in appendectomy and it provides clinically beneficial advantages over open method (including shorter hospital stay, decreased need for postoperative analgesia, early food tolerance, earlier return to work, lower rate of wound infection) against only marginally higher hospital costs.
- Emergency abdominal surgery after solid organ transplantation: a systematic review. [Review]
- WJWorld J Emerg Surg 2016; 11(1):43
- CONCLUSIONS: Emergency abdominal surgery in transplanted patients is not a rare event. Although associated with relevant mortality and morbidity, a prompt and appropriate surgery can lead to satisfactory results if performed taking into account the patient's immunosuppression therapy and hemodynamic stability.
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- Laparoscopic lavage versus resection in perforated diverticulitis with purulent peritonitis: a meta-analysis of randomized controlled trials. [Review]
- WJWorld J Emerg Surg 2016; 11(1):42
- CONCLUSIONS: The present meta-analysis shows that in acute perforated diverticulitis with purulent peritonitis laparoscopic lavage is comparable to sigmoid resection in term of mortality but it is associated with a significantly higher rate of reoperations and a higher rate of intra-abdominal abscess. No differences in term of mortality were demonstrated at follow-up. Further studies are needed to better define the safety and appropriateness of this treatment.