Factors affecting morbidity and mortality in traumatic colorectal injuries and reliability and validity of trauma scoring systems
This study aims to determine the factors that affect morbidity and mortality in colon and rectum injuries related with trauma, the use of trauma scoring systems in predicting mortality and morbidity.Patients and methodsBesides patient demographic characteristics, the mechanism of injury, the time between injury and surgery, accompanying body injuries, admittance Glasgow coma scale (GCS), findings at surgery and treatment methods were also recorded. With the obtained data, the abbreviated injury scale (AIS), injury severity score (ISS), revised trauma score (RTS) and trauma-ISS (TRISS) scores of each patient were calculated...
Source: World Journal of Emergency Surgery - May 12, 2015 Category: Emergency Medicine Authors: Nurettin AyVahhaç Alp¿brahim Aliosmano¿luUtkan Sevük¿afak KayaBülent Dinç Source Type: research

Epidemiology of spinal injuries in the United Arab Emirates
AimTo assess the risk factors, mechanism of injury, and clinical outcome of hospitalized patients with spinal injuries in order to recommend preventive measures. Methods: Patients with spinal injuries admitted to Al Ain Hospital, United Arab Emirates (UAE) for more than 24 h or who died after arrival to the hospital were studied over 3 years. Demography, location and time of injury, affected body regions, hospital and ICU stay, and outcome were analyzed. Results: 239 patients were studied, 90 % were males, and 84 % were in the productive years of 25–54. Majority were from the Indian subcontinent (...
Source: World Journal of Emergency Surgery - May 9, 2015 Category: Emergency Medicine Authors: Michal GrivnaHani EidFikri Abu-Zidan Source Type: research

Non operative management of traumatic esophageal perforation leading to esophagocutaneous fistula in pediatric age group: review and case report
Management of delayed presenting esophageal perforations has long been a topic of debate. Most authors consider definitive surgery being the management of choice. Management, however, differs in pediatric patients in consideration with better healing of younger tissues. We extensively review the role of aggressive non-operative management in pediatric esophageal perforations, especially with delayed presentation and exemplify with case of a young boy with esophageal perforation and esophago-cutaneous fistula. We also lay down the protocol to manage such patients based on our institutional recommendations. (Source: World Jo...
Source: World Journal of Emergency Surgery - April 2, 2015 Category: Emergency Medicine Authors: Biplab MishraSaurabh SinghalDivya AggarwalNitesh KumarSubodh Kumar Source Type: research

Benefits of WSES guidelines application for the management of intra-abdominal infections
IntroductionThe use of antibiotics is very high in the departments of emergency and trauma surgery above all in the treatment of the intra-abdominal infections to decrease morbidity and mortality rates but often the antimicrobial drugs are prescribed without a rationale and they are second-line antibiotics; this clinical practice increases costs without decreasing mortality.Aim of our study is to report the results in the application to the clinical practice of the World Society Emergency Surgeons (WSES) guidelines for the management of intra-abdominal infections, at the department of Emergency and Trauma Surgery of the Un...
Source: World Journal of Emergency Surgery - March 18, 2015 Category: Emergency Medicine Authors: Belinda De SimoneFederico CoccoliniFausto CatenaMassimo SartelliSalomone Di SaverioRodolfo CatenaAntonio TarasconiLuca Ansaloni Source Type: research

Laparoscopic surgery in abdominal trauma: a single center review of a 7-year experience
Conclusions: Laparoscopic surgery can be performed safely whether injuries are blunt or penetrating, given hemodynamic stability and proper technique. Patients may thus benefit from the shorter hospital stays, greater postoperative comfort (less pain), quicker recoveries, and low morbidity/mortality rates that laparoscopy affords. (Source: World Journal of Emergency Surgery)
Source: World Journal of Emergency Surgery - March 12, 2015 Category: Emergency Medicine Authors: Kyoung LimBong ChungJong KimSung Kim Source Type: research

Non-heparinized ECMO serves a rescue method in a multitrauma patient combining pulmonary contusion and nonoperative internal bleeding: a case report and literature review
Pulmonary contusion and acute respiratory distress syndrome (ARDS) is a common manifestation in polytraumatic patients. Although mechanical ventilation is still the first choice of treatment, a group of patients are still unable to maintain their oxygenation. The role of extracorporeal membrane oxygenation (ECMO) has been more clarified when the lung is extensively damaged and when conventional modality failed. ECMO provides the lung an opportunity to rest by permitting reduced ventilator settings and limiting further barotraumas. However, ECMO is still considered contraindicated in polytramatic patients combining pulmonar...
Source: World Journal of Emergency Surgery - March 12, 2015 Category: Emergency Medicine Authors: Pei-Hung WenWai ChanYing-Cheng ChenYao-Li ChenChien-Pin ChanPing-Yi Lin Source Type: research

Iatrogenic ureteric injuries following abdomino-pelvic operations: a 10-year tertiary care hospital experience in Tanzania
This study describes our experience in the management and outcome of ureteric injuries following abdomino-pelvic operations outlining the causes, clinical presentation and outcome of management of this condition in our local setting. Methods: This was a retrospective descriptive study of patients with iatrogenic ureteric injuries following abdomino-pelvic operations that were managed in Bugando Medical Centre between July 2004 and June 2014. Results: A total of 164 patients (M: F = 1: 1.6) were studied. Of these, 154 (93.9%) were referred to Bugando Medical Centre having had their initial surgeries performed ...
Source: World Journal of Emergency Surgery - March 12, 2015 Category: Emergency Medicine Authors: Phillipo ChalyaAnthony MassindeAlbert KihunrwaSamson Simbila Source Type: research

Sigmoid volvulus and ileo-sigmoid knotting: a five-year experience at a tertiary care hospital in Tanzania
This study describes in our region, the clinical presentation, management and outcome of sigmoid volvulus. Methods: This was a descriptive prospective study of patients operated for sigmoid volvulus at Bugando Medical Centre from March 2009 to February 2014. Results: A total of 146 patients (M: F = 5.1: 1) representing 14.2% of all cases of bowel obstruction were studied. The median age at presentation was 48 years. The disease significantly affected the older males compared with females (P = 0.012). The majority of the patients 102, (93.2%) presented acutely and had to undergo emergency surgica...
Source: World Journal of Emergency Surgery - March 8, 2015 Category: Emergency Medicine Authors: Phillipo ChalyaJoseph Mabula Source Type: research

Non-invasive hemodynamic monitoring in trauma patients
Conclusion: The accuracy of non-invasive cardiac output monitoring devices in trauma patients is broadly satisfactory. As the devices can be applied very early in the shock room or even preclinically, hemodynamic shock may be recognized much earlier and therapeutic interventions could be applied more rapidly and more adequately. The devices can be used in the daily routine of a busy ED, as they are non-invasive and easy to master. (Source: World Journal of Emergency Surgery)
Source: World Journal of Emergency Surgery - March 8, 2015 Category: Emergency Medicine Authors: Matthias KusterAristomenis ExadaktylosBeat Schnüriger Source Type: research

Poor prognostic factors in patients who underwent surgery for acute non-occlusive ischemic colitis
Conclusions: Because surgical delay is an avoidable determinant of early mortality, a high index of suspicion and early surgical intervention can increase survival. A routine postoperative evaluation for IC may be helpful in patients with a previous history of cardiovascular surgery. (Source: World Journal of Emergency Surgery)
Source: World Journal of Emergency Surgery - March 8, 2015 Category: Emergency Medicine Authors: Minsu NohSong YangSeok JungJae ParkYeong ImKyu Kim Source Type: research

Hepato-pancreato-biliary emergencies for the acute care surgeon: etiology, diagnosis and treatment
Hepatopancreatobiliary (HPB) emergencies include an ample range of conditions with overlapping clinical presentations and diverse therapeutic options. The most common etiologies are related to cholelithiasis (acute cholecystitis, pancreatitis, and cholangitis) and non-traumatic injuries (common bile duct or duodenal). Although the true incidence of HPB emergencies is difficult to determine due to selection and reporting biases, a population-based report showed a decline in the global incidence of all severe complications of cholelithiasis, primarily based on a reduction in acute cholecystitis. Even though patients may pres...
Source: World Journal of Emergency Surgery - March 8, 2015 Category: Emergency Medicine Authors: Jean ButteMorad HameedChad Ball Source Type: research

Grading operative findings at laparoscopic cholecystectomy- a new scoring system
This study outlines a new surgical scoring system incorporating key operative findings. Methods: English language studies (from January 1965 to July 2014) pertaining to severity scoring and predictors of difficult laparoscopic cholecystectomy were searched for in PubMed, Embase and Cochrane databases using the search terms ‘Laparoscopic cholecystectomy or Lap chole’ AND/OR ‘Scoring Index or Grading system or Prediction of difficulty or Conversion to open’ in various combinations. Cross-referencing from papers retrieved in the original search identified additional articles. Results: Sixteen published...
Source: World Journal of Emergency Surgery - March 8, 2015 Category: Emergency Medicine Authors: Michael SugrueShaheel SaheballyLuca AnsaloniMartin Zielinski Source Type: research

Prevention of lung-to-lung aspiration during emergency thoracic surgery: an experimental study
Conclusions: Endobronchial cuff of DLT cannot prevent fluid leakage beyond the endobronchial cuff, but lubricant gel coating on the endobronchial cuff can effectively reduce the lung-to-lung aspiration. (Source: World Journal of Emergency Surgery)
Source: World Journal of Emergency Surgery - March 4, 2015 Category: Emergency Medicine Authors: Jin-Young HwangJiseok BaikSahngun NahmDongjin KimYoung-Tae JeonJinhee KimSeongjoo ParkSunghee Han Source Type: research

Analysis of the correlation between blood glucose level and prognosis in patients younger than 18 years of age who had head trauma
This study included a total of 100 patients younger than 18 years of age who had isolated head trauma. The admission blood glucose levels of these patients were measured. Age at the time of the incident, sex, mode of occurrence of the trauma, computed tomography findings, and GCSs were recorded. Kruskall Wallis test was used compare of groups. A p value less than 0.05 was considered statistically significant. Results: The median age of the study population was 7 years and the median GCS was 11. There was a significant negative correlation between blood glucose level and GCS (p  (Source: World Journal of Emergency Surgery)
Source: World Journal of Emergency Surgery - February 24, 2015 Category: Emergency Medicine Authors: Bahadir DanismanMuhittin YilmazBahattin IsikCemil KavalciCihat YelAlper SolakogluBurak DemirciSelim InanM Karakilic Source Type: research

A practical scoring system to predict mortality in patients with perforated peptic ulcer
Conclusion: Because the new system consists only age and routinely measured two simple laboratory tests (albumin and BUN), its application is easy and prediction power is satisfactory. Verification of this new scoring system is required by large scale multicenter studies. (Source: World Journal of Emergency Surgery)
Source: World Journal of Emergency Surgery - February 21, 2015 Category: Emergency Medicine Authors: Ebru MenekseBelma KocerRamazan TopcuAydemir OlmezMesut TezCuneyt Kayaalp Source Type: research

Can we respect the principles of oncologic resection in an emergency surgery to treat colon cancer?
Patients with colorectal cancer admitted to the emergency room are generally at more advanced stage of the disease and are usually submitted to a resection with curative intent in a smaller scale. In such scenario, one of the aspects to be considered is whether the principles of oncologic resection are observed when those patients diagnosed with colon cancer are treated with surgery. We selected 87 patients with adenocarcinoma of colon and/or upper rectum submitted to an emergency surgical resection. The major variables reviewed retrospectively were: the extent of resection performed, the number of dissected regional lymph...
Source: World Journal of Emergency Surgery - February 14, 2015 Category: Emergency Medicine Authors: Frederico TeixeiraEduardo AkaishiAdriano UshinohamaTiago DutraSérgio NettoEdivaldo UtyiamaCelso BerniniSamir Rasslan Source Type: research

Hospital tests and patient related factors influencing time-to-theatre in 1000 cases of suspected appendicitis: a cohort study
Background: Acute appendicitis is increasingly being managed in the setting of a dedicated emergency theatre. However understanding of hospital factors that influence time-to-theatre (TTT) is poor. Thus, the aim of this study is to identify factors that influence TTT and to observe the effect of prolonged TTT on patient outcome. Methods: A retrospective review of an electronic prospectively maintained database was performed over a 2 year period. Factors thought to influence TTT were highlighted. A delay was defined as TTT>8 hours. Data analysis was performed using SPSS 20. Results: 1,000 cases of suspected acute appendi...
Source: World Journal of Emergency Surgery - January 29, 2015 Category: Emergency Medicine Authors: Suzanne BeecherDonal O¿LearyRay McLaughlin Source Type: research

Alcohol-related hospitalizations of adult motorcycle riders
Conclusions: Motorcycle riders who consumed alcohol presented different characteristics and bodily injury patterns relative to sober patients, suggesting the importance of helmet use to decrease head injuries in alcohol-intoxicated riders. (Source: World Journal of Emergency Surgery)
Source: World Journal of Emergency Surgery - January 7, 2015 Category: Emergency Medicine Authors: Hang-Tsung LiuChi-Cheng LiangCheng-Shyuan RauShiun-Yuan HsuChing-Hua Hsieh Source Type: research

Retrospective study of the effectiveness of Intra-Aortic Balloon Occlusion (IABO) for traumatic haemorrhagic shock
Conclusions: IABO was used for relatively severe trauma patients. SBP was significantly higher after IABO, but was not related to survival. However, blood transfusion volume and total occlusion time were related to survival; therefore, it is important to reduce or shorten these parameters, i.e., immediate definitive haemostasis. IABO is effective for traumatic haemorrhagic shock; however, it is also important to consider these points and potential complications. (Source: World Journal of Emergency Surgery)
Source: World Journal of Emergency Surgery - January 6, 2015 Category: Emergency Medicine Authors: Takayuki IraharaNorio SatoYuuta MoroeReo FukudaYusuke IwaiKyoko Unemoto Source Type: research

Toothpick ingestion complicated by cecal perforation: case report and literature review
Conclusions: Foreign body ingestion should be taken into account in the evaluation of acute abdominal pain. A detailed patient's history may be crucial for a correct diagnosis and treatment. (Source: World Journal of Emergency Surgery)
Source: World Journal of Emergency Surgery - December 19, 2014 Category: Emergency Medicine Authors: Andrea LoveceEmanuele AstiAndrea SironiLuigi Bonavina Source Type: research

Increased of serum high-mobility group box chromosomal protein 1 correlated with intestinal mucosal barrier injury in patients with severe acute pancreatitis
Background: Secondary infections are the leading cause of death in patients with severe acute pancreatitis (SAP). The gut represents the main source of pancreatic contamination and related septic complications. High-mobility group box chromosomal protein 1 (HMGB1) was recently identified to play an important role in the SAP intestinal mucosal barrier dysfunction.ObjectiveTo investigate the correlation of high-mobility group box 1 (HMGB1) with intestinal barrier injury and infections in patients with severe acute pancreatitis (SAP). Methods: The serum levels of HMGB1, amylase, lipase, and biochemical indicators were measure...
Source: World Journal of Emergency Surgery - December 17, 2014 Category: Emergency Medicine Authors: Gui-fang XuMing GuoZhi-qiang TianGuo-zhong WuXiao-ping ZouWei-jie Zhang Source Type: research

Cholecystectomy for acute cholecystitis. How time-critical are the so called ¿golden 72 hours¿? Or better ¿golden 24 hours¿ and ¿silver 25¿72 hour¿? A case control study
Conclusion: Immediate laparoscopic cholecystectomy for acute cholecystitis within 24 hour of symptom onset is not superior to surgery 25–72 hour after symptoms begin. Laparoscopic cholecystectomy for acute cholecystitis therefore can be safely performed anytime within the golden 72 h. (Source: World Journal of Emergency Surgery)
Source: World Journal of Emergency Surgery - December 16, 2014 Category: Emergency Medicine Authors: Peter AmbeSebastian WeberHildegard ChristDirk Wassenberg Source Type: research

Cholecystectomy for acute cholecystitis. How time-critical are the so called "golden 72 hours"? Or better "golden 24 hours" and "silver 25-72 hour"? A case control study
Conclusion: Immediate laparoscopic cholecystectomy for acute cholecystitis within 24 hour of symptom onset is not superior to surgery 25-72 hour after symptoms begin. Laparoscopic cholecystectomy for acute cholecystitis therefore can be safely performed anytime within the golden 72 h. (Source: World Journal of Emergency Surgery)
Source: World Journal of Emergency Surgery - December 16, 2014 Category: Emergency Medicine Authors: Peter AmbeSebastian WeberHildegard ChristDirk Wassenberg Source Type: research

Geriatric trauma hip fractures: is there a difference in outcomes based on fracture patterns?
Background: Annually in the US, there are over 300,000 hospital admissions due to hip fractures in geriatric patients. Consequently, there have been several large observational studies, which continue to provide new insights into differences in outcomes among hip fracture patients. However, few hip fracture studies have specifically examined the relationship between hip fracture patterns, sex, and short-term outcomes including hospital length of stay and discharge disposition in geriatric trauma patients. Methods: We performed a retrospective study of hip fractures in geriatric trauma patients. Hip fracture patterns were b...
Source: World Journal of Emergency Surgery - December 13, 2014 Category: Emergency Medicine Authors: Alicia MangramPhillip MoeserMichael CorneilleLaura ProkuskiNicolas ZhouJacqueline SohnShalini ChalikiOlakunle OguntoduJames Dzandu Source Type: research

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 management of NSTIs involves prompt recognition, timely surgical debridement or drainage, resuscitation and appropriate antibiotic therapy. A worldwide international panel of experts developed evidence-based guidelines for management of soft tissue infe...
Source: World Journal of Emergency Surgery - November 18, 2014 Category: Emergency Medicine Authors: Massimo SartelliMark MalangoniAddison MayPierluigi VialeLillian KaoFausto CatenaLuca AnsaloniErnest MooreFred MooreAndrew PeitzmanRaul CoimbraAri LeppaniemiYoram KlugerWalter BifflKaoru KoikeMassimo GirardisCarlos OrdonezMario TavolaMiguel CainzosSalomone Source Type: research

Acute cholecystitis: WSES position statement
Background: The management of acute calculous cholecystitis still offers room for debate in terms of diagnosis, severity scores, treatment options and timing for surgery.Material and methodsA systematic review about the treatment of acute cholecystitis has been completed. The recommendations of recent guidelines have also been examined taking into account the results of the review. Results: The evidence available in the literature supports the recommendation about laparoscopic cholecystectomy as treatment of choice for acute cholecystitis. Surgery should be performed as soon as possible after the diagnosis because early tr...
Source: World Journal of Emergency Surgery - November 18, 2014 Category: Emergency Medicine Authors: Fabio CampanileMichele PisanoFederico CoccoliniFausto CatenaFerdinando AgrestaLuca Ansaloni Source Type: research

Patient delay is the main cause of treatment delay in acute limb ischemia: an investigation of pre- and in-hospital time delay
Conclusions: We found that the largest time delay was between onset of symptoms and first contact to a medical doctor. A greater public awareness is needed, so as to facilitate urgent revascularisation and improve outcomes. (Source: World Journal of Emergency Surgery)
Source: World Journal of Emergency Surgery - November 5, 2014 Category: Emergency Medicine Authors: Louise LonderoBirgitte NørgaardKim Houlind Source Type: research

Impact of high prevalence of pseudomonas and polymicrobial gram-negative infections in major sub-/total traumatic amputations on empiric antimicrobial therapy: a retrospective study
Conclusions: This epidemiologic study reveals a pathogen shift from Gram-positive to Gram-negative strains with high incidence of Pseudomonas and polymicrobial infections in sub-/total major traumatic amputations. Therefore, empiric antimicrobial treatment historically focussing on Gram-positive strains must be adjusted. We recommend the use of Piperacillin/Tazobactam for these injuries. As soon as possible antimicrobial treatment should be changed from empiric to goal directed therapy according to the microbiological tests and resistogram results. (Source: World Journal of Emergency Surgery)
Source: World Journal of Emergency Surgery - October 25, 2014 Category: Emergency Medicine Authors: Moritz GieseckePhilipp SchwabeFlorian WichlasAndrej TrampuzChristian Kleber Source Type: research

The HAC trial (harmonic for acute cholecystitis): a randomized, double-blind, controlled trial comparing the use of harmonic scalpel to monopolar diathermy for laparoscopic cholecystectomy in cases of acute cholecystitis
This study was a prospective, single-center, randomized trial (Trial Registration Number: NCT00746850) designed to investigate whether the use of H can reduce the incidence of intra-operative conversion during LC in cases of AC, compared to the use of MD. Patients were divided into two groups: both groups underwent early LC, within 72 hours of diagnosis, using H and MD respectively (H = experimental/study group, MD = control group). The study was designed and conducted in accordance with the regulations of Good Clinical Practice. Results: 42 patients were randomly assigned the use of H (21 patients) or MD (21 patients) dur...
Source: World Journal of Emergency Surgery - October 20, 2014 Category: Emergency Medicine Authors: Fausto CatenaSalomone Di SaverioLuca AnsaloniFederico CoccoliniMassimo SartelliCarlo VallicelliMichele CucchiAntonio TarasconiRodolfo CatenaGianLuigi De¿ AngelisHariscine AbongwaDaniel LazzareschiAntonio Pinna Source Type: research

Resuscitative thoracotomies and open chest cardiac compressions in non-traumatic cardiac arrest
Since the popularisation of closed chest cardiac compressions in the 1960s, open chest compressions in non-traumatic cardiac arrest have become a largely forgotten art. Today, open chest compressions are only rarely performed outside operating theatres. Early defibrillation and high quality closed chest compressions is the dominating gold standard for the layman on the street as well as for the resuscitation specialist. In this paper we argue that the concept of open chest direct cardiac compressions in non-traumatic cardiac arrest should be revisited and that it might be due for a revival. Numerous studies demonstrate how...
Source: World Journal of Emergency Surgery - October 20, 2014 Category: Emergency Medicine Authors: Daniel KornhallThomas Dolven Source Type: research

Hartmann¿s procedure vs loop colostomy in the treatment of obstructive rectosigmoid cancer
Conclusions: There is no difference in surgical treatment of large bowel obstruction caused by rectosigmoid carcinoma. Neither of those two methods showed significant advantage in treatment of large bowel obstruction caused by rectosigmoid cancer. (Source: World Journal of Emergency Surgery)
Source: World Journal of Emergency Surgery - October 4, 2014 Category: Emergency Medicine Authors: Slobodan KrsticVladimir ResanovicTamara AlempijevicAleksandar ResanovicAna SijackiVladimir DjukicZlatibor LoncarAleksandar Karamarkovic Source Type: research

Hartmann's procedure vs loop colostomy in the treatment of obstructive rectosigmoid cancer
Conclusions: There is no difference in surgical treatment of large bowel obstruction caused by rectosigmoid carcinoma. Neither of those two methods showed significant advantage in treatment of large bowel obstruction caused by rectosigmoid cancer. (Source: World Journal of Emergency Surgery)
Source: World Journal of Emergency Surgery - October 4, 2014 Category: Emergency Medicine Authors: Slobodan KrsticVladimir ResanovicTamara AlempijevicAleksandar ResanovicAna SijackiVladimir DjukicZlatibor LoncarAleksandar Karamarkovic Source Type: research

Non-operative management attempted for selective high grade blunt hepatosplenic trauma is a feasible strategy
Conclusions: NOM of high-grade BHSI in selected patients is a feasible strategy. Notwithstanding, patients with initial low hemoglobin level and a high number of blood transfusions in the ICU are associated with a high risk for NOM failure. (Source: World Journal of Emergency Surgery)
Source: World Journal of Emergency Surgery - September 25, 2014 Category: Emergency Medicine Authors: Ting-Min HsiehTsung Cheng TsaiJiun-Lung LiangChih Che Lin Source Type: research

A systematic review and meta-analysis of randomised controlled trials of delayed primary wound closure in contaminated abdominal wounds
A systematic review and meta-analysis was conducted to compare surgical site infection (SSI) between delayed primary (DPC) and primary wound closure (PC) in complicated appendicitis and other contaminated abdominal wounds. Medline and Scopus were searched from their beginning to November 2013 to identify randomised controlled trials (RCTs) comparing SSI and length of stay between DPC and PC. Studies' selection, data extraction, and risk of bias assessment were done by two independent authors. The risk ratio and unstandardised mean difference were pooled for SSI and length of stay, respectively. Among 8 eligible studies, 5 ...
Source: World Journal of Emergency Surgery - September 6, 2014 Category: Emergency Medicine Authors: Boonying SiribumrungwongPinit NooritChumpon WilasrusmeeAmmarin Thakkinstian Source Type: research

Successful open abdomen treatment for multiple ischemic duodenal perforated ulcers in dermatomyositis
Conclusions: In patients with dermatomyositis, when clinical findings and symptoms suggest abdominal vasculitis, it is very important to be aware of the risk of bowel and particularly duodenal perforations. Open abdomen treatment favors control of contamination by gastrointestinal contents, offers temporary abdominal closure, helps ICU care and delays definitive surgery. (Source: World Journal of Emergency Surgery)
Source: World Journal of Emergency Surgery - August 30, 2014 Category: Emergency Medicine Authors: Roberta VillaStefano CostaSibilla FocchiCarlo CorbelliniMassimo VigorelliEttore Contessini Avesani Source Type: research

Isolated dissection of the superior mesenteric artery treated using open emergency surgery
Conclusion: Open surgical repair remains important in cases of anatomic variants of visceral arteries and suspected bowel infarction. Therefore, it is important that knowledge about open surgical techniques still be taught and trained. (Source: World Journal of Emergency Surgery)
Source: World Journal of Emergency Surgery - August 14, 2014 Category: Emergency Medicine Authors: Markus WagenhäuserTolga SagbanMareike WitteMansur DuranHubert SchelzigAlexander Oberhuber Source Type: research

Triage using a self-assessment questionnaire to detect potentially life-threatening emergencies in gynecology
ObjectiveAcute pelvic pain is a common reason for emergency room visits that can indicate a potentially life-threatening emergency (PLTE). Our objective here was to develop a triage process for PLTE based on a self-assessment questionnaire for gynecologic emergencies (SAQ-GE) in patients experiencing acute pelvic pain. Methods: In this multicenter prospective observational study, all gynecological emergency room patients seen for acute pelvic pain between September 2006 and April 2008 completed the SAQ-GE after receiving appropriate analgesics. Diagnostic procedures were ordered without knowledge of questionnaire replies. ...
Source: World Journal of Emergency Surgery - August 13, 2014 Category: Emergency Medicine Authors: Cyrille HuchonAlexandre DumontAnne ChantryBruno FalissardArnaud Fauconnier Source Type: research

Strangulated or incarcerated spontaneous lumbar hernia as exceptional cause of intestinal obstruction: case report and review of the literature
We present a 62 -year-old-man who had strangulated left lumbar hernia and consequent mechanical small-bowel obstruction, alongside with a non strangulated right lumbar hernia. Through a median laparotomy, an intestinal necrosis was found. A bowel resection with end to end anastomosis was performed and the lumbar hernias were repaired on both sides. The recovery was uneventfull. To the best of our knowlwdge thanks to the litterature review presented here, this is the 19th case of incarcerated or strangulated spontaneous lumbar hernia described in the surgical litterature since 1889 . (Source: World Journal of Emergency Surgery)
Source: World Journal of Emergency Surgery - July 16, 2014 Category: Emergency Medicine Authors: Marcus FokouPatrick FotsoMarcelin Ngowe NgoweArthur EssombaMaurice Sosso Source Type: research

Predictors of in-hospital mortality and complications in very elderly patients undergoing emergency surgery
Conclusions: Mortality, complication rates and post-discharge care requirements were high in very elderly patients undergoing emergency general surgery. Advanced age and medical comorbidities alone should not be the limiting factors for surgical referral or treatment. This study illustrates the importance of preventing an in-hospital complication in this very vulnerable population. ASA class is a robust tool which is predictive of mortality in the very elderly population and can be used to guide patient and family counseling in the emergency setting. (Source: World Journal of Emergency Surgery)
Source: World Journal of Emergency Surgery - July 7, 2014 Category: Emergency Medicine Authors: Shaheed MeraniJudd PayneRaj PadwalDarren HudsonSandy WidderRachel Khadaroo Source Type: research

Analysis and injury paterns of walnut tree falls in central anatolia of turkey
This study aimed to analysis the injuries caused by falls from walnut tree and assess their mortality and morbidity risk. Methods: This is a retrospective hospital-based study of patients presenting to emergency department (ED) of Ahi Evran Univercity between September and October 2012. For each casualty, we computed the ISS (defined as the sum of the squares of the highest Abbreviated Injury Scale (AIS) score in each of the three most severely injured body regions). Severe injury was defined as ISS>= 16. The duration of hospital stay and final outcome were recorded. Statistical comparisons were carried out with Chi-Squ...
Source: World Journal of Emergency Surgery - July 1, 2014 Category: Emergency Medicine Authors: Suleyman ErsoyBedriye SonmezFevzi YilmazCemil KavalciDerya OzturkErtugrul AltinbilekFatih AlagözFatma CesurAli YildirimOzhan UckunTezcan Akin Source Type: research

Cost of care and antibiotic prescribing attitudes for community-acquired complicated intra-abdominal infections in Italy: a retrospective study
This study aimed to assess the costs associated with the treatment of community-acquired cIAIs, from the Italian National Health Service perspective. Methods: This retrospective study analyzed the charts of patients who were discharged from four Italian university hospitals between January 1 and December 31, 2009 with a primary diagnosis of community-acquired cIAIs. Patient characteristics, diagnosis, surgical procedure, antibiotic therapy, and length of hospital stay were all recorded and the cost of total hospital care was estimated. Costs were calculated in Euros at 2009 values. Results: The records of 260 patients (mea...
Source: World Journal of Emergency Surgery - June 20, 2014 Category: Emergency Medicine Authors: Lidia DalfinoFrancesco BrunoSergio ColizzaErcole ConciaAndrea NovelliFabrizio RebecchiFederico SpandonaroCristina Alato Source Type: research

Lemierre¿s disease: a case with bilateral iliopsoas abscesses and a literature review
Lemierre’s disease is characterized by sepsis, often with an oropharyngeal source, secondary septic emboli and internal jugular vein thrombosis (Lancet 1:701–3, 1936. Clin Microbiol Rev 20(4):622–59, 2007). Septic emboli affecting many bodily sites have been reported, including the lungs, joints, bones, and brain. The case report describes an unusual case of Lemierre’s disease in a 64 year old gentleman causing profound sepsis, acute kidney injury, bilateral iliopsoas abscesses and a right hand abscess. To our knowledge, this is the first reported case of Lemierre’s disease in the context...
Source: World Journal of Emergency Surgery - May 15, 2014 Category: Emergency Medicine Authors: Nicholas BirdDerek CockerPaul CullisRichard SchofieldBen ChallonerAlastair HayesMartin Brett Source Type: research

Lemierre's disease: a case with bilateral iliopsoas abscesses and a literature review
Lemierre's disease is characterized by sepsis, often with an oropharyngeal source, secondary septic emboli and internal jugular vein thrombosis (Lancet 1:701-3, 1936. Clin Microbiol Rev 20(4):622-59, 2007). Septic emboli affecting many bodily sites have been reported, including the lungs, joints, bones, and brain. The case report describes an unusual case of Lemierre's disease in a 64 year old gentleman causing profound sepsis, acute kidney injury, bilateral iliopsoas abscesses and a right hand abscess. To our knowledge, this is the first reported case of Lemierre's disease in the context of bilateral psoas abscesses, and ...
Source: World Journal of Emergency Surgery - May 15, 2014 Category: Emergency Medicine Authors: Nicholas BirdDerek CockerPaul CullisRichard SchofieldBen ChallonerAlastair HayesMartin Brett Source Type: research

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 (IAIs).1898 patients with a mean age of 51.6 years (range 18-99) were enrolled in the study. 777 patients (41%) were women and 1,121 (59%) were men. Among these patients, 1,645 (86.7%) were affected by community-acquired IAIs while the remaining 253 (13.3%...
Source: World Journal of Emergency Surgery - May 14, 2014 Category: Emergency Medicine Authors: Massimo SartelliFausto CatenaLuca AnsaloniFederico CoccoliniDavide CorbellaErnest MooreMark MalangoniGeorge VelmahosRaul CoimbraKaoru KoikeAri LeppaniemiWalter BifflZsolt BaloghCino BendinelliSanjay GuptaYoram KlugerFerdinando AgrestaSalomone Di SaverioGr Source Type: research

Blunt cerebrovascular injury in rugby and other contact sports: case report and review of the literature
We present a case of an international level scrum-half playing Rugby Union at club level for a local non-professional team, in which a player sustained a fatal BCVI followed by a discussion of the literature surrounding sport related BCVI. (Source: World Journal of Emergency Surgery)
Source: World Journal of Emergency Surgery - May 4, 2014 Category: Emergency Medicine Authors: Trajan CuellarLawrence LottenbergFrederick Moore Source Type: research

Repair of diaphragmatic hernia following spinal surgery by laparoscopic mesh application: a case report and review of the literature
We describe the laparoscopic management of diaphragmatic hernia (DH) caused by vertebral pedicle screw displacement.A 58-year-old woman underwent surgery for scoliosis and underwent posterior pedicle screw fixation. In the first postoperative (PO)day, she developed mild dyspnea. An anteroposterior chest radiograph revealed bilateral pleural effusion, which was more pronounced on the left side.A thoracoabdominal computed tomography (CT) scan, performed in the second PO day, revealed a solid mass in the pleural cavity that was associated with screw displacement, which had also entered into the peritoneal cavity without appar...
Source: World Journal of Emergency Surgery - April 29, 2014 Category: Emergency Medicine Authors: Roberto BiniDiego FontanaAlessandro LongoPaolo ManconiRenzo Leli Source Type: research

Giant extra-hepatic thrombosed portal vein aneurysm: a case report and review of the literature
Conclusions: Although rare, surgeons should be made aware of this entity. Complications are various. Conservative therapy should be chosen in first intent in most cases. We reported the case of the second largest thrombosed extra-hepatic PVA described in the literature, treated by anticoagulation therapy with a good clinical and radiological response. (Source: World Journal of Emergency Surgery)
Source: World Journal of Emergency Surgery - April 29, 2014 Category: Emergency Medicine Authors: Ismaïl LabgaaYann LachenalPierre AllemannNicolas DemartinesMarkus Schäfer Source Type: research

Right diaphragmatic injury and lacerated liver during a penetrating abdominal trauma: case report and brief literature review
Conclusion: In countries with a low incidence of inter-personal violence, stab wound diaphragmatic injury is particularly rare, in particular involving the right hemidiaphragm. Diaphragmatic injury may be underestimated due to the presence of concomitant lesions of other organs, to a state of shock and respiratory failure, and to the difficulty of identifying diaphragmatic injuries in the absence of high sensitivity and specific diagnostic instruments. Diagnostic delay causes high mortality with these traumas with insidious symptoms. A diaphragmatic injury should be suspected in the presence of a clinical picture which inc...
Source: World Journal of Emergency Surgery - April 28, 2014 Category: Emergency Medicine Authors: Antonino AgrusaGiorgio RomanoDaniela ChianettaGiovanni De VitaGiuseppe FrazzettaGiuseppe Di BuonoVincenzo SorceGaspare Gulotta Source Type: research

Comparison of the Canadian CT head rule and the new orleans criteria in patients with minor head injury
Aim: The aim of the study was to compare the New Orleans Criteria and the New Orleans Criteria according to their diagnostic performance in patients with mild head injury. Methods: The study was designed and conducted prospectively after obtaining ethics committee approval. Data was collected prospectively for patients presenting to the ED with Minor Head Injury. After clinical assessment, a standard CT scan of the head was performed in patients having at least one of the risk factors stated in one of the two clinical decision rulesPatients with positive traumatic head injury according to BT results defined as Group 1 and ...
Source: World Journal of Emergency Surgery - April 17, 2014 Category: Emergency Medicine Authors: Cemil KavalciGokhan AkselOmer SaltM YilmazAli DemirGulsüm KavalciBetul AkbugaErtugrul AltinbilekTamer DurduCihat YelPolat DurukanBahattin Isik Source Type: research

Mean platelet volume: a novel predictive marker for mortality in patients with acute mesenteric ischemia?
Acute mesenteric ischemia (AMI) is a rare syndrome in which inadequate blood flow through the mesenteric vessels causes ischemia and eventual gangrene of the bowel wall. Immediate diagnosis of this disease is vital, since it can lead to life-threatening conditions and even death. We read with great interest the article entitled "Mean Platelet Volume as a potential prognostic marker in patients with acute mesenteric ischemia (AMI)-retrospective study" by Altintoprak et al and wanted to discuss the place of MPV in determining the inflammatory status of the patient with acute mesenteric ischemia. (Source: World Jour...
Source: World Journal of Emergency Surgery - April 15, 2014 Category: Emergency Medicine Authors: Ergenekon KaragözAlexis OkohAlpaslan Tanoglu Source Type: research