Review
Emergency Medicine
Nicola de'Angelis, Jim Khan, Francesco Marchegiani, Giorgio Bianchi, Filippo Aisoni, Daniele Alberti, Luca Ansaloni, Walter Biffl, Osvaldo Chiara, Graziano Ceccarelli, Federico Coccolini, Enrico Cicuttin, Mathieu D'Hondt, Salomone Di Saverio, Michele Diana, Belinda De Simone, Eloy Espin-Basany, Stefan Fichtner-Feigl, Jeffry Kashuk, Ewout Kouwenhoven, Ari Leppaniemi, Nassiba Beghdadi, Riccardo Memeo, Marco Milone, Ernest Moore, Andrew Peitzmann, Patrick Pessaux, Manos Pikoulis, Michele Pisano, Frederic Ris, Massimo Sartelli, Giuseppe Spinoglio, Michael Sugrue, Edward Tan, Paschalis Gavriilidis, Dieter Weber, Yoram Kluger, Fausto Catena
Summary: Robotics in emergency general surgery is a growing field with potential benefits, but requires careful patient selection and consideration of challenges such as availability, longer operative times, and increased costs. Further research is needed to explore telementoring and telesurgery in emergency settings, and hospitals should efficiently implement robotic surgical platforms while continuously reevaluating evidence.
WORLD JOURNAL OF EMERGENCY SURGERY
(2022)
Article
Emergency Medicine
Marco Ceresoli, Michele Pisano, Fikri Abu-Zidan, Niccolo Allievi, Kurinchi Gurusamy, Walt L. Biffl, Giovanni D. Tebala, Fausto Catena, Luca Ansaloni, Massimo Sartelli, Yoram Kluger, Gianluca Baiocchi, Federico Coccolini
Summary: The survey reveals that minimally invasive techniques in emergency surgery are underutilized. Greater emphasis should be placed on the development of laparoscopy training among emergency surgeons.
WORLD JOURNAL OF EMERGENCY SURGERY
(2022)
Review
Emergency Medicine
Nicola De'Angelis, Francesco Marchegiani, Carlo Alberto Schena, Jim Khan, Vanni Agnoletti, Luca Ansaloni, Ana Gabriela Barria Rodriguez, Paolo Pietro Bianchi, Walter Biffl, Francesca Bravi, Graziano Ceccarelli, Marco Ceresoli, Osvaldo Chiara, Mircea Chirica, Lorenzo Cobianchi, Federico Coccolini, Raul Coimbra, Christian Cotsoglou, Mathieu D'Hondt, Dimitris Damaskos, Belinda De Simone, Salomone Di Saverio, Michele Diana, Eloy Espin-Basany, Stefan Fichtner-Feigl, Paola Fugazzola, Paschalis Gavriilidis, Caroline Gronnier, Jeffry Kashuk, Andrew W. Kirkpatrick, Michele Ammendola, Ewout A. Kouwenhoven, Alexis Laurent, Ari Leppaniemi, Mickael Lesurtel, Riccardo Memeo, Marco Milone, Ernest Moore, Nikolaos Pararas, Andrew Peitzmann, Patrick Pessaux, Edoardo Picetti, Manos Pikoulis, Michele Pisano, Frederic Ris, Tyler Robison, Massimo Sartelli, Vishal G. Shelat, Giuseppe Spinoglio, Michael Sugrue, Edward Tan, Ellen Van Eetvelde, Yoram Kluger, Dieter Weber, Fausto Catena
Summary: This paper summarizes the learning curve in emergency minimally invasive surgery (MIS) and provides expert opinion statements for standardized curricula and training programs. Limited evidence exists on the learning process, suggesting a need for further research. The training should include simulation, supervised clinical practice, and surgical fellowships to ensure quality standards.
WORLD JOURNAL OF EMERGENCY SURGERY
(2023)
Article
Emergency Medicine
Martin Reichert, Massimo Sartelli, Ingolf Askevold, Jaqueline Braun, Markus Weigand, Matthias Hecker, Vanni C. Agnoletti, Federico Coccolini, Fausto Catena, Winfried Padberg, Jens Riedel, Andreas Hecker, WSES Pediat Emergency Surg Collaboration Grp
Summary: This study investigated the structural management of pediatric trauma in centers of different trauma levels and found that there is a lack of knowledge on pediatric trauma management.
WORLD JOURNAL OF EMERGENCY SURGERY
(2023)
Review
Emergency Medicine
Brian W. C. A. Tian, Philip F. Stahel, Edoardo Picetti, Giampiero Campanelli, Salomone Di Saverio, Ernest Moore, Denis Bensard, Boris Sakakushev, Joseph Galante, Gustavo P. Fraga, Kaoru Koike, Isidoro Di Carlo, Giovanni D. Tebala, Ari Leppaniemi, Edward Tan, Dimitris Damaskos, Nicola De'Angelis, Andreas Hecker, Michele Pisano, Yunfeng V. Cui, Ron Maier, Belinda De Simone, Francesco Amico, Marco Ceresoli, Manos G. Pikoulis, Dieter Weber, Walt Biffl, Solomon Gurmu M. Beka, Fikri Abu-Zidan, Massimo Valentino, Federico Coccolini, Yoram Kluger, Massimo Sartelli, Vanni Agnoletti, Mircea Chirica, Francesca Bravi, Ibrahima Sall, Fausto Catena
Summary: Many countries are dealing with aging populations, leading to an increase in older patients requiring surgery. Traditional thinking suggests that older age increases mortality and morbidity risk, making surgery prohibitive. However, recent literature indicates that frailty, rather than chronological age alone, is a better predictor of negative outcomes. Despite this recognition, many surgeons still do not use objective tools to assess frailty. This position paper aims to review existing literature and provide recommendations for emergency laparotomy in frail patients, based on a consensus reached by an international expert panel.
WORLD JOURNAL OF EMERGENCY SURGERY
(2023)
Review
Emergency Medicine
Belinda De Simone, Justin Davies, Elie Chouillard, Salomone Di Saverio, Frank Hoentjen, Antonio Tarasconi, Massimo Sartelli, Walter L. Biffl, Luca Ansaloni, Federico Coccolini, Massimo Chiarugi, Nicola De'Angelis, Ernest E. Moore, Yoram Kluger, Fikri Abu-Zidan, Boris Sakakushev, Raul Coimbra, Valerio Celentano, Imtiaz Wani, Tadeja Pintar, Gabriele Sganga, Isidoro Di Carlo, Dario Tartaglia, Manos Pikoulis, Maurizio Cardi, Marc A. De Moya, Ari Leppaniemi, Andrew Kirkpatrick, Vanni Agnoletti, Gilberto Poggioli, Paolo Carcoforo, Gian Luca Baiocchi, Fausto Catena
Summary: Complex inflammatory bowel disease requires a multidisciplinary approach to ensure safe surgery and good functional outcomes in emergency settings, with efforts to reduce stoma rates when appropriate.
WORLD JOURNAL OF EMERGENCY SURGERY
(2021)
Review
Emergency Medicine
Federico Coccolini, Francesco Corradi, Massimo Sartelli, Raul Coimbra, Igor A. Kryvoruchko, Ari Leppaniemi, Krstina Doklestic, Elena Bignami, Giandomenico Biancofiore, Miklosh Bala, Ceresoli Marco, Dimitris Damaskos, Walt L. Biffl, Paola Fugazzola, Domenico Santonastaso, Vanni Agnoletti, Catia Sbarbaro, Mirco Nacoti, Timothy C. Hardcastle, Diego Mariani, Belinda De Simone, Matti Tolonen, Chad Ball, Mauro Podda, Isidoro Di Carlo, Salomone Di Saverio, Pradeep Navsaria, Luigi Bonavina, Fikri Abu-Zidan, Kjetil Soreide, Gustavo P. Fraga, Vanessa Henriques Carvalho, Sergio Faria Batista, Andreas Hecker, Alessandro Cucchetti, Giorgio Ercolani, Dario Tartaglia, Joseph M. Galante, Imtiaz Wani, Hayato Kurihara, Edward Tan, Andrey Litvin, Rita Maria Melotti, Gabriele Sganga, Tamara Zoro, Alessandro Isirdi, Nicola De'Angelis, Dieter G. Weber, Adrien M. Hodonou, Richard TenBroek, Dario Parini, Jim Khan, Giovanni Sbrana, Carlo Coniglio, Antonino Giarratano, Angelo Gratarola, Claudia Zaghi, Oreste Romeo, Michael Kelly, Francesco Forfori, Massimo Chiarugi, Ernest E. Moore, Fausto Catena, Manu L. N. G. Malbrain
Summary: Dealing with acute postoperative pain in emergency abdominal surgery requires complex, multidisciplinary attention. Personalized analgesic approaches based on patient conditions, procedure, pathology, age, response, and expertise are crucial for improving prophylactic and treatment strategies.
WORLD JOURNAL OF EMERGENCY SURGERY
(2022)
Review
Emergency Medicine
Federico Coccolini, Massimo Sartelli, Robert Sawyer, Kemal Rasa, Bruno Viaggi, Fikri Abu-Zidan, Kjetil Soreide, Timothy Hardcastle, Deepak Gupta, Cino Bendinelli, Marco Ceresoli, Vishal G. G. Shelat, Richard ten Broek, Gian Luca Baiocchi, Ernest E. E. Moore, Ibrahima Sall, Mauro Podda, Luigi Bonavina, Igor A. A. Kryvoruchko, Philip Stahel, Kenji Inaba, Philippe Montravers, Boris Sakakushev, Gabriele Sganga, Paolo Ballestracci, Manu L. N. G. Malbrain, Jean-Louis Vincent, Manos Pikoulis, Solomon Gurmu Beka, Krstina Doklestic, Massimo Chiarugi, Marco Falcone, Elena Bignami, Viktor Reva, Zaza Demetrashvili, Salomone Di Saverio, Matti Tolonen, Pradeep Navsaria, Miklosh Bala, Zsolt Balogh, Andrey Litvin, Andreas Hecker, Imtiaz Wani, Andreas Fette, Belinda De Simone, Rao Ivatury, Edoardo Picetti, Vladimir Khokha, Edward Tan, Chad Ball, Carlo Tascini, Yunfeng Cui, Raul Coimbra, Michael Kelly, Costanza Martino, Vanni Agnoletti, Marja A. A. Boermeester, Nicola De'Angelis, Mircea Chirica, Walt L. L. Biffl, Luca Ansaloni, Yoram Kluger, Fausto Catena, Andrew W. W. Kirkpatrick
Summary: Intra-abdominal infections are a common global healthcare challenge caused by disruption to the gastrointestinal tract. It requires intensive resource utilization and physical source control is often needed. Advances have been made in non-surgical interventional procedures and open abdomen techniques to aid source control. The concept and adequacy of source control in intra-abdominal infections need a multidisciplinary approach.
WORLD JOURNAL OF EMERGENCY SURGERY
(2023)
Article
Emergency Medicine
Belinda De Simone, Elie Chouillard, Massimo Sartelli, Walter L. Biffl, Salomone Di Saverio, Ernest E. Moore, Yoram Kluger, Fikri M. Abu-Zidan, Luca Ansaloni, Federico Coccolini, Ari Leppanemi, Andrew B. Peitzmann, Leonardo Pagani, Gustavo P. Fraga, Ciro Paolillo, Edoardo Picetti, Massimo Valentino, Emmanouil Pikoulis, Gian Luca Baiocchi, Fausto Catena
Summary: This position paper aims to provide comprehensive guidelines for emergency surgery patients during the COVID-19 pandemic to ensure safe and protected surgical procedures for patients and healthcare workers, as well as offer optimal management for COVID-19 patients requiring emergency surgical treatment.
WORLD JOURNAL OF EMERGENCY SURGERY
(2021)
Review
Emergency Medicine
Andrey Litvin, Sergey Korenev, Sophiya Rumovskaya, Massimo Sartelli, Gianluca Baiocchi, Walter L. Biffl, Federico Coccolini, Salomone Di Saverio, Michael Denis Kelly, Yoram Kluger, Ari Leppaniemi, Michael Sugrue, Fausto Catena
Summary: The article reviews the use of decision support systems based on artificial neural networks in emergency surgery, highlighting their effectiveness in predicting, diagnosing, and treating abdominal emergency conditions. The authors also discuss the main limitations for implementing these systems in surgery and medicine in general.
WORLD JOURNAL OF EMERGENCY SURGERY
(2021)
Article
Medicine, General & Internal
Saara Jantti, Ville Ponkilainen, Heikki Mantymaki, Mikko Uimonen, Ilari Kuitunen, Ville M. Mattila
Summary: This study in Finland aimed to investigate the occurrences of emergency department visits, hospitalizations, and urgent spine surgeries for back pain during the first and second waves of COVID-19. The results showed a decrease in emergency visits for back pain, specifically among patients with non-specific back pain during the lockdown and regional restrictions, while other diagnoses and hospitalization and surgery rates remained stable.
Article
Emergency Medicine
Giovanni D. Tebala, Marika S. Milani, Mark Bignell, Giles Bond-Smith, Christopher Lewis, Roberto Cirocchi, Salomone Di Saverio, Fausto Catena, Marco Scatizzi, Pierluigi Marini
Summary: The COVID-19 pandemic has led to a significant decrease in emergency surgical admissions worldwide. Despite this, the presentation symptoms, discharge diagnoses, and therapeutic strategies did not change drastically during the pandemic period, indicating a need for new ways of managing surgical emergencies without overwhelming hospitals.
WORLD JOURNAL OF EMERGENCY SURGERY
(2022)
Article
Emergency Medicine
Martin Reichert, Massimo Sartelli, Markus A. Weigand, Matthias Hecker, Philip U. Oppelt, Julia Noll, Ingolf H. Askevold, Juliane Liese, Winfried Padberg, Federico Coccolini, Fausto Catena, Andreas Hecker
Summary: This study investigated the impact of the SARS-CoV-2 pandemic on emergency surgery. The results showed that the pandemic continues to have a negative impact on the treatment and outcome of emergency surgery patients. The problems with in-hospital logistics have not been adequately resolved, and there has been a dramatic worsening of medical staff shortages and reduced capacities over the past two years.
WORLD JOURNAL OF EMERGENCY SURGERY
(2022)
Article
Surgery
Jennifer Rickard, Linda Pohl, Egide Abahuje, Nazmie Kariem, Surita Englbrecht, Christo Kloppers, Sekoaere Malatji, Isaie Sibomana, Alexandria J. Robbins, Kathryn Chu
Summary: A study on non-trauma exploratory laparotomy revealed variations in surgical indications between countries, with a relatively high perioperative mortality rate. Risk factors such as specific diagnoses, age, and ICU admission were associated with increased mortality risk. Understanding these factors can aid in patient selection and resource allocation.
WORLD JOURNAL OF SURGERY
(2021)
Article
Emergency Medicine
Edoardo Picetti, Fausto Catena, Fikri Abu-Zidan, Luca Ansaloni, Rocco A. A. Armonda, Miklosh Bala, Zsolt J. J. Balogh, Alessandro Bertuccio, Walt L. L. Biffl, Pierre Bouzat, Andras Buki, Davide Cerasti, Randall M. M. Chesnut, Giuseppe Citerio, Federico Coccolini, Raul Coimbra, Carlo Coniglio, Enrico Fainardi, Deepak Gupta, Jennifer M. M. Gurney, Gregory W. J. Hawrylux, Raimund Helbok, Peter J. A. Hutchinson, Corrado Iaccarino, Angelos Kolias, Ronald W. W. Maier, Matthew J. J. Martin, Geert Meyfroidt, David O. O. Okonkwo, Frank Rasulo, Sandro Rizoli, Andres Rubiano, Juan Sahuquillo, Valerie G. G. Sams, Franco Servadei, Deepak Sharma, Lori Shutter, Philip F. F. Stahel, Fabio S. S. Taccone, Andrew Udy, Tommaso Zoerle, Vanni Agnoletti, Francesca Bravi, Belinda De Simone, Yoram Kluger, Costanza Martino, Ernest E. E. Moore, Massimo Sartelli, Dieter Weber, Chiara Robba
Summary: Patients with severe traumatic brain injuries should be primarily admitted to a hub trauma center with neurosurgical capabilities for immediate and specialized care. However, in cases where patients are admitted to a spoke hospital without neurosurgical capabilities, there is limited data on optimal management. This consensus provides practical recommendations for the management of severe isolated TBI patients in centers without neurosurgical capabilities and during transfer to a hub center.
WORLD JOURNAL OF EMERGENCY SURGERY
(2023)
