Goal-directed transfusion protocol via thrombelastography in patients with abdominal trauma: a retrospective study
Conclusions: Goal-directed transfusion protocol via standard TEG was achievable in patients with abdominal trauma. The novel protocol, compared to conventional transfusion management, has the potential to decrease blood product utilization and prevent exacerbation of coagulation function. (Source: World Journal of Emergency Surgery)
Source: World Journal of Emergency Surgery - April 15, 2014 Category: Emergency Medicine Authors: Jian-Yi YinZhenguo ZhaoYousheng LiJian WangDanhua YaoShaoyi ZhangWenkui YuNing LiJieshou Li Source Type: research

Extended negative pressure wound therapy-assisted dermatotraction for the closure of large open fasciotomy wounds in necrotizing fasciitis patients
Conclusions: Extended NPWT-assisted dermatotraction advances scarred, stiff fasciotomy wound margins synergistically in NF and allows direct closure of the wound without complications. This method can be another good treatment option for the NF patient with large open wounds whose general condition is unsuitable for extensive reconstructive surgery. (Source: World Journal of Emergency Surgery)
Source: World Journal of Emergency Surgery - April 15, 2014 Category: Emergency Medicine Authors: Jun Yong LeeHyunwook JungHo KwonSung-No Jung Source Type: research

Acute appendicitis: position paper, WSES, 2013
Appendectomy is one of the most frequently performed operative procedures in general surgery departments of every size and category. Laparoscopic Appendectomy - LA - as compared to Open Appendectomy - OA - was very controversial at first but has found increasing acceptance all over the World, although the percentage of its acceptance is different in the various single National setting. Various meta-analyses and Cochrane reviews have compared LA with OA and different technical details. Furthermore, new surgical methods have recently emerged, namely, the single-port/incision laparoscopic appendectomy and NOTES technique. The...
Source: World Journal of Emergency Surgery - April 7, 2014 Category: Emergency Medicine Authors: Ferdinando AgrestaLuca AnsaloniFausto CatenaLuca VerzaDaniela Prando Source Type: research

Correction: emergency surgeon: ¿last of the mohicans¿ 2014¿2016 editorial policy WSES-WJES: position papers, guidelines, courses, books and original research; from WJES impact factor to WSES congress impact factor
Correction (Source: World Journal of Emergency Surgery)
Source: World Journal of Emergency Surgery - April 3, 2014 Category: Emergency Medicine Authors: Fausto CatenaFrederick MooreLuca AnsaloniAri LeppäniemiMassimo SartelliAndrew PeitzmannWalt BifflFrederico CoccoliniSalomone Di SaverioBelinda De SimoneMichele PisanoErnest Moore Source Type: research

Correction: emergency surgeon: "last of the mohicans" 2014-2016 editorial policy WSES- WJES: position papers, guidelines, courses, books and original research; from WJES impact factor to WSES congress impact factor
Correction (Source: World Journal of Emergency Surgery)
Source: World Journal of Emergency Surgery - April 3, 2014 Category: Emergency Medicine Authors: Fausto CatenaFrederick MooreLuca AnsaloniAri LeppäniemiMassimo SartelliAndrew PeitzmannWalt BifflFrederico CoccoliniSalomone Di SaverioBelinda De SimoneMichele PisanoErnest MooreStefanie Alaimo Source Type: research

Reviewer acknowledgement 2013
Contributing reviewersThe World Journal of Emergency Surgery—which received its first Impact Factor in 2013—is extremely grateful for the time, hard work and support of its highly-qualified peer reviewers. The editors of World Journal of Emergency Surgery and BioMed Central would like to show our appreciation by thanking the following people for their assistance reviewing manuscripts for the journal in 2013. (Source: World Journal of Emergency Surgery)
Source: World Journal of Emergency Surgery - March 31, 2014 Category: Emergency Medicine Authors: Fausto CatenaFrederick Moore Source Type: research

Gastrostomy tube dislodgment acute pancreatitis
We described a patient who suffered a pancreatitis related to Foley catheter gastrostomy dislodgment. Reviewing all reported cases of gastrostomy related pancreatitis revealed higher incidence in patient with Foley catheter used as gastrostomy and revealed questionable trends in conducting tube replacement. We suggest a proper manner for tube replacement and concluded that should a Foley catheter used as a temporary solution a replacement should be schedule in a timely manner to avoid life threatening complications. (Source: World Journal of Emergency Surgery)
Source: World Journal of Emergency Surgery - March 28, 2014 Category: Emergency Medicine Authors: Eran BraunerYoram Kluger Source Type: research

Allocating operating room resources to an acute care surgery service does not affect wait-times for elective cancer surgeries: a retrospective cohort study
IntroductionAcute care surgical services provide timely comprehensive emergency general surgical care while optimizing the use of limited resources. At our institution, 50% of the daily dedicated operating room (OR) time allocated to the Acute Care Emergency Surgery Service (ACCESS) came from previous elective general surgery OR time. We assessed the impact of this change in resource allocation on wait-times for elective general surgery cancer cases. Methods: We retrospectively reviewed adult patients who underwent elective cancer surgeries in the pre-ACCESS (September 2009 to June 2010) and post-ACCESS (September 2010 to ...
Source: World Journal of Emergency Surgery - March 27, 2014 Category: Emergency Medicine Authors: Ram AnanthaDave PaskarKelly VogtSilvie CrawfordNeil ParryKen Leslie Source Type: research

Current concept of abdominal sepsis: WSES position paper
Although sepsis is a systemic process, the pathophysiological cascade of events may vary from region to region.Abdominal sepsis represents the host's systemic inflammatory response to bacterial peritonitis.It is associated with significant morbidity and mortality rates, and is the second most common cause of sepsis-related mortality in the intensive care unit.The review focuses on sepsis in the specific setting of severe peritonitis. (Source: World Journal of Emergency Surgery)
Source: World Journal of Emergency Surgery - March 27, 2014 Category: Emergency Medicine Authors: Massimo SartelliFausto CatenaSalomone Di SaverioLuca AnsaloniMark MalangoniErnest MooreFrederick MooreRao IvaturyRaul CoimbraAri LeppaniemiWalter BifflYoram KlugerGustavo FragaCarlos OrdonezSanjay MarwahIgor GerychJae Gil LeeCristian TranàFederico Coccol Source Type: research

Successful interventional management of abdominal compartment syndrome caused by blunt liver injury with hemorrhagic diathesis
We report that a case of primary abdominal compartment syndrome (ACS), caused by blunt liver injury under the oral anticoagulation therapy, was successfully treated. Transcatheter arterial embolization (TAE) was initially selected, and the bleeding point of hepatic artery was embolized with N-Butyl Cyanoacylate (NBCA). Secondary, percutaneous catheter drainage (PCD) was performed for massive hemoperitoneum. There are some reports of ACS treated with TAE. However, combination treatment of TAE with NBCA and PCD for ACS has not been reported. Even low invasive interventional procedures may improve primary ACS if the patient h...
Source: World Journal of Emergency Surgery - March 22, 2014 Category: Emergency Medicine Authors: Hiroyuki TokueAzusa TokueYoshito Tsushima Source Type: research

An acute care surgery service expedites the treatment of emergency colorectal cancer: a retrospective case-control study
Conclusions: Patients admitted to ACCESS underwent more inpatient colonoscopies and were more likely to have definitive surgery on that admission. ACS services can facilitate the workup and management of complex surgical diseases such as emergency CRC without delaying treatment. (Source: World Journal of Emergency Surgery)
Source: World Journal of Emergency Surgery - March 21, 2014 Category: Emergency Medicine Authors: Ram AnanthaMuriel BrackstoneNeil ParryKen Leslie Source Type: research

Management of hemodynamically unstable pelvic trauma: results of the first Italian consensus conference (cooperative guidelines of the Italian Society of Surgery, the Italian Association of Hospital Surgeons, the Multi-specialist Italian Society of Young Surgeons, the Italian Society of Emergency Surgery and Trauma, the Italian Society of Anesthesia, Analgesia, Resuscitation and Intensive Care, the Italian Society of Orthopaedics and Traumatology, the Italian Society of Emergency Medicine, the Italian Society of Medical Radiology -Section of Vascular and Interventional Radiology- and the World Society of Emergency Surgery)
We present the results of the First Italian Consensus Conference on Pelvic Trauma which took place in Bergamo on April 13 2013. An extensive review of the literature has been undertaken by the Organizing Committee (OC) and forwarded to the Scientific Committee (SC) and the Panel (JP). Members of them were appointed by surgery, critical care, radiology, emergency medicine and orthopedics Italian and International societies: the Italian Society of Surgery, the Italian Association of Hospital Surgeons, the Multi-specialist Italian Society of Young Surgeons, the Italian Society of Emergency Surgery and Trauma, the Italian Soci...
Source: World Journal of Emergency Surgery - March 7, 2014 Category: Emergency Medicine Authors: Stefano MagnoneFederico CoccoliniRoberto ManfrediDario PiazzalungaRoberto AgazziClaudio AriciMarco BarozziGiovanni BellanovaAlberto BelluatiGiorgio BerlotWalter BifflStefania CamagniLuca CampanatiClaudio CastelliFausto CatenaOsvaldo ChiaraNicola Colaianni Source Type: research

Methylene Blue injection via superior mesenteric artery microcatheter for focused enterectomy in the treatment of a bleeding small intestinal arteriovenous malformation
Conclusions: A step-wise, rational diagnostic approach should be utilized in the evaluation of obscure gastrointestinal bleeding. In the non-actively bleeding patient, computed tomography angiogram may facilitate the diagnosis of a small intestinal arteriovenous malformation. Methylene blue injection via a super-selective angiographic microcatheter may then allow for focused enterectomy. (Source: World Journal of Emergency Surgery)
Source: World Journal of Emergency Surgery - February 19, 2014 Category: Emergency Medicine Authors: James FrydmanHany BahouthMaxim LeidermanAmos OferYoram Kluger Source Type: research

The value of Serum BNP for diagnosis of intracranial injury in minor head trauma
Conclusion: This study suggested that serum BNP level wasn’t used in defined of intracranial injury. (Source: World Journal of Emergency Surgery)
Source: World Journal of Emergency Surgery - February 10, 2014 Category: Emergency Medicine Authors: Ali DemirCemil KavalciMuhittin Serkan YilmazFevzi YilmazTamer DurduMehmet Ali CeyhanFatih AlagozCihat Yel Source Type: research

Emergency surgeon: ¿ last of the mohicans¿ 2014-2016 editorial policy WSES- WJES: position papers, guidelines, courses, books and original research; from WJES impact factor to WSES congress impact factor
. (Source: World Journal of Emergency Surgery)
Source: World Journal of Emergency Surgery - February 3, 2014 Category: Emergency Medicine Authors: Fausto CatenaFrederick MooreLuca AnsaloniAri LeppäniemiMassimo SartelliAndrew PeitzmannWalt BifflFederico CoccoliniSalomone Di SaverioBelinda De SimoneMichele PisanoErnest Moore Source Type: research

Emergency surgeon: " last of the mohicans" 2014-2016 editorial policy WSES- WJES: position papers, guidelines, courses, books and original research; from WJES impact factor to WSES congress impact factor
. (Source: World Journal of Emergency Surgery)
Source: World Journal of Emergency Surgery - February 3, 2014 Category: Emergency Medicine Authors: Fausto CatenaFrederick MooreLuca AnsaloniAri LeppäniemiMassimo SartelliAndrew PeitzmannWalt BifflFederico CoccoliniSalomone Di SaverioBelinda De SimoneMichele PisanoErnest Moore Source Type: research

Assessment of maxillofacial trauma in emergency department
In this study we analyze etiology and pattern of MF trauma and coexisting injuries if any, in patients whose maxillofacial CT scans was obtained in a three year period, retrospectively. Results: 754 patients included in the study consisting of 73.7% male and 26.3% female, and the male-to-female ratio was 2.8:1. Mean age was 40.3 +/- 17.2 years with a range of 18 to 97. 57.4% of the patients were between the ages of 18-39 years and predominantly male. Above 60 years of age, referrals were mostly woman. The most common cause of injuries were violence, accounting for 39.7% of the sample, followed by falls 27.9% and road traff...
Source: World Journal of Emergency Surgery - January 31, 2014 Category: Emergency Medicine Authors: Engin ArslanAlper SolakogluErdal KomutCemil KavalciFevzi YilmazEvvah KarakilicTamer DurduMuge Sonmez Source Type: research

The role of emergency surgery in hydatid liver disease
Hepatic hydatid disease is very common in Libya. In Zliten hospital, we operated 400 patients with hepatic hydatid cysts over period of 20 years. All patients were symptomatic. Their ages varied from 3 to 85 years including 215 female and 185male patients. Their symptoms varied from abdominal pain to abdominal mass 67 patients were admitted through Accident and Emergency Department with acute presentations including fever, skin rash, jaundice and shock with acute abdominal pain. Those 67 patients had necessary investigations, resuscitation and underwent emergency surgery. The hepatic cysts in all patients were excised, and...
Source: World Journal of Emergency Surgery - January 30, 2014 Category: Emergency Medicine Authors: Ali YahyaHussen ShwereifMustafa EkheilAhmed ThobootKalid AlgaderFatma GyaedAbdsalem Aldarat Source Type: research

Endoscopic duodenal perforation: surgical strategies in a regional centre
Conclusions: Iatrogenic duodenal perforation with retroperitoneal necrosis is an uncommon complication of endoscopy, but when it does occur it is potentially life-threatening. Early recognition may lead to a better outcome through earlier intervention, although a protracted course with multiple procedures should be anticipated. A number of surgical techniques may need to be employed according to the individual circumstances of the case. (Source: World Journal of Emergency Surgery)
Source: World Journal of Emergency Surgery - January 24, 2014 Category: Emergency Medicine Authors: Richard TurnerChristina SteffenPeter Boyd Source Type: research

Looking beyond discharge: clinical variables at trauma admission predict long term survival in the older severely injured patient
Background: Long term follow up is difficult to obtain in most trauma settings, these data are essential for assessing outcomes in the older (>=60) patient. We hypothesized that clinical data obtained during initial hospital stay could accurately predict long term survival.Study design: Using our trauma registry and hospital database, we reviewed all trauma admissions (age>=60, ISS> 15) to our Level 1 center over the most recent 7 years. Mechanism of injury, co-morbidities, ICU admission, and ultimate disposition were assessed for 2-7 years post-discharge. Primary outcome was defined as long term survival to the e...
Source: World Journal of Emergency Surgery - January 23, 2014 Category: Emergency Medicine Authors: Miklosh BalaJeffry KashukDafna WillnerDima KaluzhniTali Bdolah-AbramGidon Almogy Source Type: research

Delayed appendectomy versus early appendectomy in the treatment of acute appendicitis: a retrospective study
Conclusions: This study revealed that delayed appendectomy was safe and feasible for adult patient although the clinical outcomes of delayed appendectomy were not superior to those of early appendectomy. We suggest that surgeons would decide the appropriate timing of appendectomy with consideration other situations such as available hospital resources. (Source: World Journal of Emergency Surgery)
Source: World Journal of Emergency Surgery - January 21, 2014 Category: Emergency Medicine Authors: Chang Sik ShinYoung Nam RohJae Il Kim Source Type: research

Ooesophageal injuries position paper, WSES, 2013
The oesophagus is a difficult challenge for the surgeon because of its lack of serosal covering, the tenuous, segmental blood supply and the common delay in the diagnosis of injury. Early diagnosis is the key to successful management. Recent introduction of newer, minimally invasive techniques have provided management alternatives for both the normal and the diseased organ that is injured with both early and delayed diagnosis. (Source: World Journal of Emergency Surgery)
Source: World Journal of Emergency Surgery - January 21, 2014 Category: Emergency Medicine Authors: Rao IvaturyFrederick MooreWalter BifflAri LeppeniemiLuca AnsaloniFausto CatenaAndrew PeitzmanErnest Moore Source Type: research

Acute appendicitis in the elderly: risk factors for perforation
Conclusion: Acute appendicitis in elderly patients is a serious disease that requires early diagnosis and treatment. Appendiceal Perforation increases both mortality and morbidity.All elderly patients presented to the hospital with abdominal pain should be admitted and investigated. The early use of CT scan can cut short the way to the appropriate treatment. (Source: World Journal of Emergency Surgery)
Source: World Journal of Emergency Surgery - January 15, 2014 Category: Emergency Medicine Authors: Abdelkarim OmariMuhammad KhammashGhazi QasaimehAhmad ShammariMohammad YaseenSahel Hammori Source Type: research

Thoracoscopic removal of dental prosthesis impacted in the upper thoracic esophagus
Dental appliances are the most common cause of accidental foreign body esophageal impaction, especially in the elderly population with decreased oral sensory perception. A 47-year-old man with history of oligophrenia and recurrent epileptic seizures was referred to our hospital following dislocation and ingestion of his upper dental prosthesis. Endoscopic removal and clipping of an esophageal tear had been unsuccessfully attempted. A chest CT scan confirmed entrapment of the dental prosthesis in the upper thoracic esophagus, the presence of pneumomediastinum, and the close proximity of one of the metal clasps of the prosth...
Source: World Journal of Emergency Surgery - January 14, 2014 Category: Emergency Medicine Authors: Luigi BonavinaAlberto AiolfiStefano SiboniEmanuele Rausa Source Type: research

Impact of an acute care surgery service on timeliness of care and surgeon satisfaction at a Canadian academic hospital: a retrospective study
We examined whether the ACS model improved wait time to surgery, decreased the proportion of surgeries performed after hours, and shortened post-surgical length of stay. We also assessed whether the surgeons working in an ACS system had higher on-call satisfaction than surgeons working in a non- ACS system. Methods: A retrospective pre-post analysis was performed using data from the Discharge Abstract Database and the Organizing Medical Networked Information database. Surgeon satisfaction was evaluated using a questionnaire that was mailed to all general surgeons in Saskatoon. Results: An ACS service significantly reduced ...
Source: World Journal of Emergency Surgery - January 10, 2014 Category: Emergency Medicine Authors: Kerollos WanisAllison HunterMichael HaringtonGary Groot Source Type: research

A randomized comparison of gasless laparoscopic appendectomy and conventional laparoscopic appendectomy
IntroductionThe purpose of this study was to compare the clinical outcomes and cost effectiveness of the gasless laparoscopic appendectomy (GLA) and conventional laparoscopic appendectomy (LA). Methods: From Aug 2010 to Feb 2012, 100 patients with a clinical diagnosis of acute appendicitis in Shanghai Tongji hospital were included in the study and randomly divided into the LA and GLA groups, fifty in the GLA group and 50 in the LA group. The two groups were comparable in age, gender, body mass index, symptom duration, ASA score, and white blood cell count. Results: The mean surgical duration was 70.6 +/- 30.8 min in the GL...
Source: World Journal of Emergency Surgery - January 8, 2014 Category: Emergency Medicine Authors: Bujun GeHaibo ZhaoQuanning ChenWei JinLiming LiuQi Huang Source Type: research

A prospective study of the role of sleep related disordered breathing as a risk factor for motor vehicle crashes and the development of systemic complications in non-commercial drivers
Conclusions: The high incidence of positive responses to the sleep questionnaires is consistent with the hypothesis that SRDB is potentially a significant risk factor for MVCs. Furthermore the observation that systemic complications were seen more commonly in those with SRDB, while not unexpected, is a novel observation. Further studies are needed to validate these findings in a larger cohort of patients as well as determining if these patients are truly at a greater risk for systemic complications. If replicated these observations would suggest that effective therapy for disordered sleep could play a significant role in a...
Source: World Journal of Emergency Surgery - January 7, 2014 Category: Emergency Medicine Authors: Eric IrwinPatricia ReicksAlan BealMatthew ByrnesCraig MatticksGreg Beilman Source Type: research

Risk factors for late death of patients with abdominal trauma after damage control laparotomy for hemostasis
Conclusions: According to our study, the risk factors for late death in patients undergoing DCL may include both the initial trauma-related status and clinical conditions after DCL. In our series, the cause of death for patients with late mortality included the initial brain insult and later infectious complications. (Source: World Journal of Emergency Surgery)
Source: World Journal of Emergency Surgery - January 4, 2014 Category: Emergency Medicine Authors: Li-Min LiaoChih-Yuan FuShang-Yu WangChien-Hung LiaoShih-Ching KangChun-Hsiang OuyangI-Ming KuoShang-Ju YangYu-Pao HsuChun-Nan YehShao-Wei Chen Source Type: research

Morel-lavallee lesion in children
We present a case of a 28-month-old child who developed delayed MLL arising from pelvic fracture after a motor vehicle accident. In addition, we provide a review of MLL and describe rare cases of it in children. (Source: World Journal of Emergency Surgery)
Source: World Journal of Emergency Surgery - December 30, 2013 Category: Emergency Medicine Authors: Eun RhaDae KimHo KwonSung-No Jung Source Type: research

Bariatric emergencies: current evidence and strategies of management
Conclusions: Most mortality and catastrophic outcomes following bariatric surgery are preventable. The awareness of bariatric emergencies and its effective management are the gold standards for best outcomes. An algorithm is suggested and needs further evaluation. (Source: World Journal of Emergency Surgery)
Source: World Journal of Emergency Surgery - December 29, 2013 Category: Emergency Medicine Authors: Abdulzahra HussainShamsi EL-Hasani Source Type: research

GCS as a predictor of mortality in patients with traumatic inferior vena cava injuries: a retrospective review of 16 cases
Conclusions: GCS, the need to undergo thoracotomy, and caval ligation as operative management are significant predictors of mortality in patients with traumatic IVC injuries. (Source: World Journal of Emergency Surgery)
Source: World Journal of Emergency Surgery - December 29, 2013 Category: Emergency Medicine Authors: Michael CudworthAngelo FulleJuan RamosIvette Arriagada Source Type: research

Occupational Injury Patterns of Turkey
Introduction and aim: Each year, a significant number of people die or become handicapped due to preventable occupational accidents or occupational diseases. The aim of this study was to investigate socio-demographic features, mechanism, causes, injury area, and sectoral features of occupational accidents in patients presented to our department.Materials and methods: The study was carried out retrospectively after local ethics committee approval. Age and sex of the patients, mechanism of injury, type and exact location of injuries were all evaluated. The groups were compared using Chi-Square test, Student's T test and Krus...
Source: World Journal of Emergency Surgery - December 28, 2013 Category: Emergency Medicine Authors: Kaan CelikFevzi YilmazCemil KavalciMiray OzlemAli DemirTamer DurduBedriye Müge SonmezMuhittin Serkan YilmazMuhammed Evvah KarakilicEngin Deniz AeslanCihat Yel Source Type: research

Pyogenic vertebral osteomyelitis complicating abdominal penetrating injury: case report and review of the literature
Pyogenic vertebral osteomyelitis is a rare condition usually associated with endocarditis or spinal surgery. However, it may also occur following abdominal penetrating trauma with associated gastrointestinal perforation. Diagnosis might be challenging and appropriate treatment is essential to ensure a positive outcome. In trans-abdominal trauma, 48 hours of broad-spectrum antibiotics is generally recommended for prophylaxis of secondary infections. A case report of vertebral osteomyelitis complicating trans-colonic injury to the retroperitoneum is presented and clinical management is discussed in the light of literature re...
Source: World Journal of Emergency Surgery - December 27, 2013 Category: Emergency Medicine Authors: Arianna ZefelippoPaola BertazzoniAldo MariniPaolo De RaiEttore Contessini-Avesani Source Type: research

Position paper: management of perforated sigmoid diverticulitis
Over the last three decades, emergency surgery for perforated sigmoid diverticulitis has evolved dramatically but remains controversial. Diverticulitis is categorized as uncomplicated (amenable to outpatient treatment) versus complicated (requiring hospitalization).Patients with complicated diverticulitis undergo computerized tomography (CT) scanning and the CT findings are used categorize the severity of disease. Treatment of stage I (phlegmon with or without small abscess) and stage II (phlegmon with large abscess) diverticulitis (which includes bowel rest, intravenous antibiotics and percutaneous drainage (PCD) of the l...
Source: World Journal of Emergency Surgery - December 26, 2013 Category: Emergency Medicine Authors: Frederick MooreFausto CatenaErnest MooreAri LeppaniemiAndrew Peitzmann Source Type: research

Red Blood cell distribution width: an emerging diagnostic factor of acute appendicitis?
Acute appendicitis is the most common surgical abdominal emergency. Immidiate diagnosis of this disease is crucial, because this condition can lead to appendiceal perforation, potential peritonitis, and even death. We read with great interest the article 'The role of red cell distribution width (RDW) in the diagnosis of acute appendicitis: a retrospective case-controlled study' by Narci et al and wanted to discuss whether RDW alone provide certain information about the inflammatory status of the patient with acute appendicitis. (Source: World Journal of Emergency Surgery)
Source: World Journal of Emergency Surgery - December 26, 2013 Category: Emergency Medicine Authors: Ergenekon KaragözAlpaslan Tanoglu Source Type: research

Abdominal damage control surgery and reconstruction: World society of emergency surgery position paper
Damage control laparotomy was first described by Dr. Harlan Stone in 1983 when he suggested that patients with severe trauma should have their primary procedures abbreviated when coagulopathy was encountered. He recommended temporizing patients with abdominal packing and temporary closure to allow restoration of normal physiology prior to returning to the operating room for definitive repair. The term damage control in the trauma setting was coined by Rotondo et al., in 1993. Studies in subsequent years have validated this technique by demonstrating decreased mortality and immediate post-operative complications. The indica...
Source: World Journal of Emergency Surgery - December 17, 2013 Category: Emergency Medicine Authors: Laura GodatLeslie KobayashiTodd CostantiniRaul Coimbra Source Type: research

Children and adolescents deaths from trauma-related causes in a Brazilian City
IntroductionInjury is the first cause of death worldwide in the population aged 1 to 44. In developed countries, the most common trauma-related injuries resulting in death during childhood are traffic accidents, followed by drowning. Methods: This retrospective study based on autopsy examinations describes the epidemiology profile of deaths by trauma-related causes in individuals younger than 18 years from 2001 to 2008 in the city of Campinas. The aim is to identify epidemiology changes throughout the years in order to develop strategies of prevention. Results: There were 2,170 deaths from all causes in children
Source: World Journal of Emergency Surgery - December 5, 2013 Category: Emergency Medicine Authors: Andrea FragaJoaquim Bustorff-SilvaThais FernandezGustavo FragaMarcelo ReisEmilio BaracatRaul Coimbra Source Type: research

Penetrating arterial trauma to the limbs: outcome of a modified protocol
Conclusion: Penetrating arterial trauma to the axillary, brachial and femoral artery is followed by excellent results when operated by trauma surgeons. In the case of popliteal artery injury operated by the vascular surgeons, the results of this study do not show any statistically significant difference related to amputation rate from our previous reported studies when operated by trauma surgeons. Taking into consideration the diminished re-exploration rate and a tendency to a lower amputation rate, we feel that there is possible tendency of better outcome if operated by vascular surgeons. Multicenter studies with large nu...
Source: World Journal of Emergency Surgery - December 4, 2013 Category: Emergency Medicine Authors: Antonio KrügerCarla FloridoAmelie BraunischEric WaltherTugba YilmazDietrich Doll Source Type: research

WSES guidelines for emergency repair of complicated abdominal wall hernias
Emergency repair of complicated abdominal hernias is associated with poor prognosis and a high rate of post-operative complications.A World Society of Emergency Surgery (WSES) Consensus Conference was held in Bergamo in July 2013, during the 2nd Congress of the World Society of Emergency Surgery with the goal of defining recommendations for emergency repair of abdominal wall hernias in adults. This document represents the executive summary of the consensus conference approved by a WSES expert panel. (Source: World Journal of Emergency Surgery)
Source: World Journal of Emergency Surgery - December 1, 2013 Category: Emergency Medicine Authors: Massimo SartelliFederico CoccoliniGabrielle van RamshorstGiampiero CampanelliVincenzo MandalàLuca AnsaloniErnest MooreAndrew PeitzmanGeorge VelmahosFredrick MooreAri LeppaniemiClay BurlewWalter BifflKaoru KoikeYoram KlugerGustavo FragaCarlos OrdonezSalom Source Type: research

Mean platelet volume as a potential prognostic marker in patients with acute mesenteric ischemia¿retrospective study
IntroductionWe investigated prognostic parameters of patients who underwent surgical intervention for acute mesenteric ischemia by evaluating demographic characteristics and laboratory data on admission. Methods: The hospital records of 30 patients who underwent surgical interventions due to acute mesenteric ischemia between January 2008 and December 2012, were reviewed retrospectively. The records were investigated with regard to demographic data, the presence of co-morbid diseases, presenting complaints, time elapsed between symptom onset and hospital admission, laboratory findings at admission, findings at surgical expl...
Source: World Journal of Emergency Surgery - November 25, 2013 Category: Emergency Medicine Authors: Fatih AltintoprakYusuf ArslanOmer YalkinYener UzunogluOrhan Ozkan Source Type: research

Mean platelet volume as a potential prognostic marker in patients with acute mesenteric ischemia--retrospective study
IntroductionWe investigated prognostic parameters of patients who underwent surgical intervention for acute mesenteric ischemia by evaluating demographic characteristics and laboratory data on admission. Methods: The hospital records of 30 patients who underwent surgical interventions due to acute mesenteric ischemia between January 2008 and December 2012, were reviewed retrospectively. The records were investigated with regard to demographic data, the presence of co-morbid diseases, presenting complaints, time elapsed between symptom onset and hospital admission, laboratory findings at admission, findings at surgical expl...
Source: World Journal of Emergency Surgery - November 25, 2013 Category: Emergency Medicine Authors: Fatih AltintoprakYusuf ArslanOmer YalkinYener UzunogluOrhan Ozkan Source Type: research

Does trauma team activation associate with the time to CT scan for those suspected of serious head injuries?
Background: Traumatic brain injury (TBI) constitutes the leading cause of posttraumatic mortality. Practically, the major interventions required to treat TBI predicate expedited transfer to CT after excluding other immediately life-threatening conditions. At our center, trauma responses variably consist of either full trauma activation (FTA) including an attending trauma surgeon or a non-trauma team response (NTTR). We sought to explore whether FTAs expedited the time to CT head (TTCTH). Methods: Retrospective review augmented demographics of 88 serious head injuries identified from a Regional Trauma Registry within one ye...
Source: World Journal of Emergency Surgery - November 18, 2013 Category: Emergency Medicine Authors: Alma RadosCorina TirutaZhengwen XiaoJohn KortbeekPaul TourignyChad BallAndrew Kirkpatrick Source Type: research

Early recognition of acute thoracic aortic dissection and aneurysm
Conclusions: Increasing heart rate, chest pain, diabetes, head & neck pain, dizziness, and history of myocardial infarction can be used to differentiate acute coronary syndromes from thoracic aortic dissections/aneurysms. (Source: World Journal of Emergency Surgery)
Source: World Journal of Emergency Surgery - November 13, 2013 Category: Emergency Medicine Authors: I LeitmanKei SuzukiAaron WengrofskyEyal MenasheMichal PoplawskiKar-Mun WooCharles GellerDavid LucidoThomas BernikBarbara ZeiferByron Patton Source Type: research

The role of red cell distribution width in the diagnosis of acute appendicitis: a retrospective case-controlled study
This study was conducted via retrospective assessment of the hospital records of the adult patients who were operated for acute appendicitis between January 2010 and February 2013 and had a pathology report that confirmed the diagnosis of acute appendicitis. The patients in the control group were selected from healthy adults of similar age who applied to check-up clinic. Age, gender, leukocyte count, CRP, and RDW values were recorded. This study is a case controlled retrospective clinical study. Results: A total of 590 patients in the acute appendicitis group and 121 patients in the control group were included, making up a...
Source: World Journal of Emergency Surgery - November 11, 2013 Category: Emergency Medicine Authors: Huseyin NarciEmin TurkErdal KaragulleTurhan ToganKeziban Karabulut Source Type: research

Laparoscopic appendectomy: quality care and cost-effectiveness for today¿s economy
Conclusions: LA is nowadays the technique of choice for the treatment of AA. (Source: World Journal of Emergency Surgery)
Source: World Journal of Emergency Surgery - November 1, 2013 Category: Emergency Medicine Authors: David Costa-NavarroMontiel Jiménez-FuertesAzahara Illán-Riquelme Source Type: research

Laparoscopic appendectomy: quality care and cost-effectiveness for today's economy
Conclusions: LA is nowadays the technique of choice for the treatment of AA. (Source: World Journal of Emergency Surgery)
Source: World Journal of Emergency Surgery - November 1, 2013 Category: Emergency Medicine Authors: David NavarroMontiel FuertesAzahara Riquelme Source Type: research

Challenges of the management of mass casualty: lessons learned from the Jos crisis of 2001
Conclusion: Mass casualties from disasters that disrupt organized societal mechanisms for days can pose significant challenges to the best of institutional disaster response plans. In the situation that we experienced, our disaster plan was impractical initially because it failed to factor in such a prolongation of both crisis and response. We recommend that institutional disaster response plans should incorporate provisions for the challenges we have enumerated and factor in peculiarities that would emanate from the need for a prolonged response. (Source: World Journal of Emergency Surgery)
Source: World Journal of Emergency Surgery - October 28, 2013 Category: Emergency Medicine Authors: Kenneth OzoiloIshaya PamSimon YiltokAlice RamyilHyacinth Nwadiaro Source Type: research

Benign cystic mesothelioma of the peritoneum: a case report and literature review
Benign cystic mesothelioma of the peritoneum (BCM) is an uncommon lesion with some 130 cases reported since the first case described by Smith and Mennenmeyer in 1979. It is a rare intra abdominal tumor occurring predominantly in women of reproductive age. Due to the rarity of this tumor, similarity of patient presentation, and comparable features on imaging, the diagnosis of this pathology is difficult, and is based on histological findings. This tumor is known for local recurrence. It's agreed that surgery is the only effective treatment, but there are no evidence-based treatment strategies for BCM. (Source: World Journal...
Source: World Journal of Emergency Surgery - October 13, 2013 Category: Emergency Medicine Authors: Hicham ElbouhaddoutiAbdesslam BouassriaOuadii MouaqitEl BenjellounAbdelmalek OusaddenKhalid MazazKhalid Taleb Source Type: research

Bologna guidelines for diagnosis and management of adhesive small bowel obstruction (ASBO): 2013 update of the evidence-based guidelines from the world society of emergency surgery ASBO working group
These updated Guidelines, authored by members of the World Society of Emergency Surgery's Working Group on Peritoneal Adhesions and ASBO Management, focus on new issues of diagnostic and treatment modalities of ASBO from the last three years' literature, including the increasing use of laparoscopy and minimally invasive strategies for ASBO with the evidence of its efficacy and its advantages. The Guidelines provide readers with hands-on practical and specifically-designed algorithms for diagnosis and treatment, and propose a new scoring method for adhesions quantification. (Source: World Journal of Emergency Surgery)
Source: World Journal of Emergency Surgery - October 10, 2013 Category: Emergency Medicine Authors: Salomone Di SaverioFederico CoccoliniMarica GalatiNazareno SmerieriWalter BifflLuca AnsaloniGregorio TugnoliGeorge VelmahosMassimo SartelliCino BendinelliGustavo FragaMichael KellyFrederick MooreVincenzo MandalàStefano MandalàMichele MasettiElio JovineA Source Type: research

Small bowel obstruction and perforation attributed to tubo-ovarian abscess following 'D¿ and 'C¿
We report the case of a young woman who was admitted because of small bowel obstruction and localized peritonitis following a dilatation and curettage ('D’ and 'C’) of uterus in abortion. As infection, like tubo-ovarian abscess may complicate any abortion, it seems wise to ensure that it does not exist prior to performing a 'D’ and 'C’. (Source: World Journal of Emergency Surgery)
Source: World Journal of Emergency Surgery - October 9, 2013 Category: Emergency Medicine Authors: Elroy WeledjiFelix Elong Source Type: research