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  1. Article ; Online: Women surgeons: How can we shape the future of new leaders? A celebration of the past with a glimpse of the future.

    Verdi, Daunia / Ferrari, Linda / Capelli, Giulia / Mari, Valentina / Parini, Sara / Tacconi, Giovanna / Chessa, Antonella / De Santi, Gabriella / Frigerio, Isabella / Kurian, Marina / Spolverato, Gaya

    Surgery

    2022  Volume 172, Issue 2, Page(s) 633–638

    Abstract: Background: Sporadic women involvement in surgery has been recorded since ancient times. Nevertheless, the presence of women in surgical disciplines has been marginal until the last 2 decades, with several barriers still existing worldwide. The aim of ... ...

    Abstract Background: Sporadic women involvement in surgery has been recorded since ancient times. Nevertheless, the presence of women in surgical disciplines has been marginal until the last 2 decades, with several barriers still existing worldwide. The aim of the study was to explore the history of women in surgery, with a main focus in North America from until the foundation women surgical societies.
    Methods: Database search of studies about the history of women in surgery.
    Results: The 19th century registered an increased presence of women in medicine; during the 20th century, pioneer women surgeons opened the way to a more consistent involvement of women in surgical specialties. In the last 20 years, increased awareness of barriers limiting women progression in surgical career led to the development of women's surgical societies, with the aim to share common experiences and find solutions to common issues.
    Conclusion: The history of women in surgery has been paved with challenges: during the last centuries, several barriers limited the inclusion of women in surgical fields, from training to leadership positions. Nevertheless, some pioneers actually broke the rules imposed by a male-dominated field and opened the way to a more diverse and equal future for women surgeons. Nowadays, the existence of women's surgical societies in different countries and their interconnection represents a way to support women surgeons at different stages of their career.
    MeSH term(s) Female ; Forecasting ; Humans ; Leadership ; Male ; Physicians, Women ; Specialties, Surgical ; Surgeons
    Language English
    Publishing date 2022-04-09
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 202467-6
    ISSN 1532-7361 ; 0039-6060
    ISSN (online) 1532-7361
    ISSN 0039-6060
    DOI 10.1016/j.surg.2022.03.010
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Early Barriers to Career Progression of Women in Surgery and Solutions to Improve Them: A Systematic Scoping Review.

    Ferrari, Linda / Mari, Valentina / De Santi, Gabriella / Parini, Sara / Capelli, Giulia / Tacconi, Giovanna / Chessa, Antonella / Verdi, Daunia / Frigerio, Isabella / Spolverato, Gaya / Gumbs, Andrew

    Annals of surgery

    2022  Volume 276, Issue 2, Page(s) 246–255

    Abstract: Objective: This study aims to summarize the evidence concerning the barriers that exist to the career progression of women in surgery and to provide potential solutions to overcome these obstacles.: Background: Visible and invisible impediments can ... ...

    Abstract Objective: This study aims to summarize the evidence concerning the barriers that exist to the career progression of women in surgery and to provide potential solutions to overcome these obstacles.
    Background: Visible and invisible impediments can hinder female doctors' pursuit of a surgical career, from choosing a surgical specialty to training opportunities and all the way through career progression.
    Methods: Database search of original studies about barriers for female surgeons during choice of surgical career, residency, and career progression. A query including possible solutions such as mentorship and network was included.
    Results: Of 4618 total articles; 4497 were excluded as duplicates, having incorrect study focus, or not being original studies; leaving 120 studies meeting the inclusion criteria. Of the articles included, 22 (18%) focused on factors affecting the pursuit of a surgical career, such as surgical work hours and limited time for outside interests, 55 (46%) analyzed the main barriers that exist during surgical residency and fellowship training, such as discrimination and sexual harassment, 27 (23%) focused on barriers to career advancement, heavy workloads, ineffective mentorship, unclear expectations for advancement, inequality in pay or work-home conflicts. Among studies reporting on possible solutions, 8 (6.5%) articles reported on the role of effective mentorship to support career advancement and to provide moral support and 8 (6.5%) on the emerging role of social media for networking. Our analysis showed how different impediments hinder surgical career progression for women, with notable consequences on burnout and attrition.
    Conclusions: Identification and recognition of obstacles to career progression is the first step to addressing the gender gap in surgery. Active strategies should be improved to promote a culture of diversity and to create equal opportunity for women in surgery, while implementing structured mentoring programs and investing on an adequate communication on social media to engage the future generations.
    MeSH term(s) Career Choice ; Female ; Humans ; Internship and Residency ; Mentors ; Specialties, Surgical ; Surgeons
    Language English
    Publishing date 2022-07-04
    Publishing country United States
    Document type Journal Article ; Systematic Review
    ZDB-ID 340-2
    ISSN 1528-1140 ; 0003-4932
    ISSN (online) 1528-1140
    ISSN 0003-4932
    DOI 10.1097/SLA.0000000000005510
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Discrimination Toward Women in Surgery: A Systematic Scoping Review.

    Ferrari, Linda / Mari, Valentina / Parini, Sara / Capelli, Giulia / Tacconi, Giovanna / Chessa, Antonella / De Santi, Gabriella / Verdi, Daunia / Frigerio, Isabella / Scarpa, Marco / Gumbs, Andrew / Spolverato, Gaya

    Annals of surgery

    2022  Volume 276, Issue 1, Page(s) 1–8

    Abstract: Background: Over the past twenty years explicit gender bias toward women in surgery has been replaced by more subtle barriers, which represent indirect forms of discrimination and prevents equality.: Objective: The aim of our scoping review is to ... ...

    Abstract Background: Over the past twenty years explicit gender bias toward women in surgery has been replaced by more subtle barriers, which represent indirect forms of discrimination and prevents equality.
    Objective: The aim of our scoping review is to summarize the different forms of discrimination toward women in surgery.
    Methods: The database search consisted of original studies regarding discrimination toward female surgeons.
    Results: Of 3615 studies meeting research criteria, 63 were included. Of these articles, 11 (18%) were focused on gender-based discrimination, 14 (22%) on discrimination in authorship, research productivity, and research funding, 21 (33%) on discrimination in academic surgery, 7 (11%) on discrimination in surgical leadership positions and 10 (16%) on discrimination during conferences and in surgical societies. The majority (n = 53, 84%) of the included studies were conducted in the U.S.A. According to our analysis, female surgeons experience discrimination from male colleagues, healthcare workers, but also from patients and trainees. Possible solutions may include acknowledgment of the problem, increased education of diversity and integration for the younger generations, mentorship, coaching, and more active engagement by male and female partners to support women in the surgical field.
    Conclusions: Gender-based discrimination toward women in the field of surgery has evolved over the past twenty years, from an explicit to a more subtle attitude. A work-environment where diversity and flexibility are valued would allow female surgeons to better realize their full potential.
    MeSH term(s) Authorship ; Female ; Humans ; Leadership ; Male ; Mentors ; Physicians, Women ; Sexism ; Surgeons
    Language English
    Publishing date 2022-03-10
    Publishing country United States
    Document type Journal Article ; Systematic Review
    ZDB-ID 340-2
    ISSN 1528-1140 ; 0003-4932
    ISSN (online) 1528-1140
    ISSN 0003-4932
    DOI 10.1097/SLA.0000000000005435
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Global attitudes in the management of acute appendicitis during COVID-19 pandemic

    B, Ielpo / M, Podda / G, Pellino / F, Pata / R, Caruso / G, Gravante / Saverio, Di / Orengia, Adam / Chowdary, Aditya / Kulkarni, Aditya / Kuvvetli, Adnan / Navarro, Adolfo / Pisanu, Adolfo / Smith, Adrian / Cavero Ibiricu, Adriana / Nacion, Aeris Jane D. / Alsaleh, Ahmad / Alhazmi, Ahmad / Elmabri, Ahmad /
    Wani, Ajaz / Rencuzogullari, Ahmet / Sarriugarte Lasarte, Aingeru / Valle Rubio, Ainhoa / Bavikatte, Akshay / Kumar, Akshay / Jamiri, Al-radjid / Michel Alvarado Padilla, Alain / Cacurri, Alban / de San Ildefonso, Alberto / Porcu, Alberto / Sartori, Alberto / Rocca, Aldo / Paz Yáñez, Alejandro / Becaria, Alejandro / Solís-Peña, Alejandro / Sretenović, Aleksandar / Urbistondo, Alex / Bandin, Alfonso / Najar, Alfonso / De Luca, Alessandro / Boddy, Alex / Charalabopoulos, Alexandros / Tzivanakis, Alexios / Amendola, Alfonso / Ramirez-Gutierrez de Velasco, Alfredo / Cihat Yildirim, Ali / Frontali, Alice / Oumar Toure, Alpha / García-Granero, Alvaro / Martínez Roldan, Amaia / Sanz Larrainzar, Amaia / Sanjiva Ratnayake, Amila / María Gonzalez-Ganso, Ana / Minaya-Bravo, Ana M. / Das, Andre / Bondurri, Andrea / Costanzi, Andrea / Lucchi, Andrea / Mazzari, Andrea / Musig, Andrea / Peloso, Andrea / Piano, Andrea / Police, Andrea / Mihailescu, Andrei / Pouy, Andrés / Romano, Angela / Iossa, Angelo / Carmen Leonetti, Anna / Guariniello, Anna / Isaac, Anna / Pia Delli Bovi, Anna / Chessa, Antonella / Tromba, Antonella / Álvarez Martínez, Antonio / Brillantino, Antonio / Caira, Antonio / Castaldi, Antonio / Ferronetti, Antonio / Giuliani, Antonio / Prestera, Antonio / Ramos-De la Medina, Antonio / Tarasconi, Antonio / Tornambè, Antonino / Picciariello, Arcangelo / Ioannidis, Argyrios / Leppäniemi, Ari / Khan, Arshad / Rashid, Arshad / Luis Eduardo Pérez-Sánchez, Arteaga / Mittal, Ashok / Rahman Mitul, Ashrarur / Mehraj, Asif / Laharwal, Asim / Dorismé, Asnel / Marinis, Athanasios / Iqbal, Atif / Moncada, Augusto / Braccio, Bartolomeo / Alkhafaji, Basim / de Andrés Asenjo, Beatriz / Martin-Perez, Beatriz / De Simone, Belinda / Sánchez Pérez, Belinda / Creavin, Ben / Calì, Benedetto / Cali, Benedetto / Pascotto, Beniamino / Stubbs, Benjamin / Zavala Retes, Benjamin / Jovanovic, Branislav / KP Goh, Brian / Sensi, Bruno / Biddau, Carlo / Gazia, Carlo / Vallicelli, Carlo / Alberto Fagundes, Carlos / Cerdán Santacruz, Carlos / Chirico, Carlos / Javier Gómez Díaz, Carlos / Petrola, Carlos / Sánchez Rodriguez, Carlos / Yánez Benítez, Carlos / Dammaro, Carmelisa / Lo Faro, Carmelo / Reinke, Caroline / Dominguez Paez, Casandra / Oliva, Catalina / Paranjape, Charudutt / Thomas, Charlotte / Fung Chia, Chi / Kwan Kong, Chi / De Lucia, Chiara / Ovalle Chao, Christian / Arcudi, Claudio / Guerci, Claudio / Chia, Clement / Parise, Cristiano / Folliero, Cristina / Varela, Cristopher / Ferguson, Dalya M. / Camacho, Daniel / Popowich, Daniel / Souza Lima, Daniel / Rega, Daniela / Delogu, Daniele / Zigiotto, Daniele / Vinci, Danilo / D’Antonio, Dario / Parini, Dario / Alessio Merlini, David / DE Zimmerman, David / Moro-Valdezate, David / Pertile, Davide / Maria Giusti, Deborah / Keller, Deborah S. / Tarik, Delko / Kalivaçi, Denis / Mazingi, Dennis / Gabriela Maldonado-Pintado, Diana / Sasia, Diego / Linardoutsos, Dimitrios / Osilli, Dixon / Murrone, Domenico / Russello, Domenico / Rodas, Edgar / Alberto Acuña Roa, Edisson / Ricciardi, Edoardo / Rosso, Edoardo / Saladino, Edoardo / Flores-Villalba, Eduardo / Ruiz Ajs, Eduardo / Smith-Singares, Eduardo / Baili, Efstratia / Kouroumpas, Efstratios / Bourmpouteli, Eirini / Douka, Eleftheria / Martin-Perez, Elena / Guaitoli, Eleonora / Samadov, Elgun / Francone, Elisa / Vaterlini, Elisa / Morales, Emilio / Peña, Emilio / Zhao, Enhao / Del Pozo Andres, Eneko / Benzoni, Enrico / Erdas, Enrico / Pinotti, Enrico / Colás-Ruiz, Enrique / Aytac, Erman / Laterza, Ernesto / Agastra, Ervis / Foianini, Esteban / Moscoso, Esteban / Laviano, Estefania / Marra, Ester / Cardamone, Eugenia / Licardie, Eugenio / Mpaili, Eustratia / Pinna, Eva / Varo, Evaristo / Martín Navarro, Fabian / Marino, Fabio / Medas, Fabio / Romano, Fabio / Maraska, Fatlum / Saliu, Fatmir / Madrid, Fausto / Rosa, Fausto / Mastella, Federica / Gheza, Federico / Luvisetto, Federico / Alconchel, Felipe / Monge Vieira, Felipe / Pareja, Felipe / Agresta, Ferdinando / Luna, Fernanda / Bonilla, Fernando / Cordera, Fernando / Burdió, Fernando / Mendoza-Moreno, Fernando / Muñoz Flores, Fernando / Pardo Aranda, Fernando / Taylor, Fiona / Ramos, Flavia L. / Fernandes, Flavio / Paola Tropeano, Francesca / Balestra, Francesco / Bianco, Francesco / Ceci, Francesco / Colombo, Francesco / Di Marzo, Francesco / Ferrara, Francesco / Lancellotti, Francesco / Lazzarin, Francesco / Litta, Francesco / Martini, Francesco / Pizza, Francesco / Roscio, Francesco / Virdis, Francesco / Blanco Antona, Francisco / Cervantes Ramírez, Francisco / Miguel Fernandez, Francisco / Oliver Llinares, Francisco / Quezada, Francisco / Schlottmann, Francisco / Quezada, Fransisco / Herrera-Almario, Gabriel / Massaferro, Gabriel / Bislenghi, Gabriele / van Ramshorst, Gabrielle / Gallo, Gaetano / Luglio, Gaetano / Bointas, Georgios / Kampouroglou, Georgios / Papadopoulos, Georgios / Arredondo Manrique, Gerardo / Calini, Giacomo / Nastri, Giacomo / Formisano, Giampaolo / Galiffa, Giampaolo / Marco Palini, Gian / Colucci, Gianluca / Pagano, Gianluca / Pellino, Gianluca / Vanni, Gianluca / Casoni Pattacini, Gianmaria / Gravante, Gianpiero / De Paola, Gilda / Lisi, Giorgio / Partida, Giovanna / Bellanova, Giovanni / De Nobili, Giovanni / Sammy Necchi, Giovanni / Sinibaldi, Giovanni / Tebala, Giovanni / Bagaglini, Giulia / Izzo, Giuliano / Argenio, Giulio / Brisinda, Giuseppe / Candilio, Giuseppe / Di Grezia, Giuseppe / Esposito, Giuseppe / Faillace, Giuseppe / Frazzetta, Giuseppe / La Gumina, Giuseppe / Nigri, Giuseppe / Romeo, Giuseppe / Chocarro Amatriaín, Gloria / Ortega, Gloria / Martin-Martin, Gonzalo / Stavrou, Gregor A. / Gunadi, / Armand Ugon, Gustavo / Machain, Gustavo / Marcucci, Gustavo / Martínez-Mier, Gustavo / Miguel Machain, Gustavo / Nari, Gustavo / Calvo, Haydée / Fathy, Hamada / Hamilto, / Ahmed, Hazem / Faraj, Hazem / Nava, Hector / Ordas Macias, Hector / Nikaj, Herald / Solano, Heriberto / Ahmed Khan, Huma / Sánchez Alarcón, Humberto / Ebied, Husam / Giani, Iacopo / Villalabeitia Ateca, Ibabe / Neri, Ignacio / Alberdi San Roman, Igor / Fidoshev, Iliya / Martinez Rodriguez, Iñaki / Negoi, Ionut / Ortega, Irene / Bernescu, Irina / Shari Russo, Iris / Vincente Rodríguez, Irune / Palomares, Irving / Baltazar, Isaac / Jaén Torrejimeno, Isabel / María Cornejo Jurado, Isabel / Reccia, Isabella / Hussain, Ishtiyaq / Brito Toledo, Ismael / Mora-Guzmán, Ismael / al-Najami, Issam / Dogaru, Iulia / Romic, Ivan / Balciscueta, Izaskun / Cleo Kenington, J / Sagolsem, Jackison / Y Jang, Jae / Olivier, James / Lammel-Lindemann, Jan / Dziakova, Jana / Ismael Roldán Villavicencio, Javier / Salinas, Javier / Pejanovic Jose Gustavo Parreira, Jelena / Jovanovic, / Rincón Pérez, Jeny / AS Reyes, Jeryl / Antonio Medina Luque, Jesus / Mak, Joanna / Salas Rodriguez, Joanne / Henry Herrera Kok, Johnn / Krook, Jon / Antonio Diaz-Elizondo, Jose / Castell, Jose / Eduardo García-Flores, José / María Jover Navalón, José / Mauro Silva Rodrigues, Jose / Pereira Pinto, José / Tomas Castell Gómez, José / Bellido Luque, Juan / Carlos Martín del Olmo, Juan / Carlos Salamea, Juan / Francisco Coronel Olivier, Juan / Luis Blas Laina, Juan / Maria Ordoñez, Juliana / Gutierrez, Julieta / Abba, Julio / Ahmad Sofi, Junaid / Sherafgan, Kashaf / Sahnan, Kapil / Yanaga, Katsuhiko / Beatson, Kevin / Asim, Laharwal / Alvarez, Laura / Siragusa, Leandro / Farber, Lee / Ong, Lester / Athanasios, Liarakos / García-Bruña, Lorena / De Martino, Luca / Ferrario, Luca / Giordano, Luca / Gordini, Luca / Pio, Luca / Ponchietti, Luca / Moletta, Lucia / Curella, Luciano / Poggi, Luciano / Taglietti, Lucio / Bonavina, Luigi / Conti, Luigi / Goffredi, Luigi / Angel Garcia Ruiz, Luis / Barrionuevo, Luis / Enrique Fregoso, Luis / Cabrera, Luis F. / G Rodriguez, Luis / Grande, Luis / Gregorio Osoria, Luis / Javier Kantun Gonzalez, Luis / Sánchez-Guillén, Luis / Tallon-Aguilar, Luis / Tresierra, Luis / Giavarini, Luisa / Hasabelnabi, Mahmoud / Odovic, Maja / Uemura, Mamoru / Khan, Mansoor / Artiles-Armas, Manuel / David, Mara / Di Martino, Marcello / Giuseppe Spampinato, Marcello / Ribeiro Jr, Marcelo A. F. / Viola, Marcelo / Angrisani, Marco / Calussi, Marco / Cannistrà, Marco / Catarci, Marco / Cereda, Marco / Conte, Marco / Giordano, Marco / Pellicciaro, Marco / Vito Marino, Marco / E Vaterlini, Maria / Jiménez, María F. / Giulia Lolli, María / Irene Bellini, Maria / Lemma, Maria / Michela Chiarello, Maria / Nicola, Maria / Arrigo, Mario / Caneda Mejia, Mario / Montes Manrique, Mario / Rodriguez-Lopez, Mario / Serradilla-Martín, Mario / Zambrano Lara, Mario / Martínez, Marisa / Bagnall, Mark / Peter, Mark / Cañón Lara, Marta / Jimenez Gomez, Marta / Paniagua-Garcia-Señorans, Marta / Perez Gonzalez, Marta / Rutegård, Martin / Salö, Martin / Franceschilli, Marzia / Silveri, Massimiliano / Veroux, Massimiliano / Pezzulo, Massimo / Nardi, Matteo / Rottoli, Matteo / Tolonen, Matti / Pedraza Ciro, Mauricio / Zuluagua, Mauricio / Cannavò, Maurizio / Cervellera, Maurizio / Iacobone, Maurizio / Montuori, Mauro / Podda, Mauro / García Domínguez, Melody / Bingol-Kologlu, Meltem / Tahir, Mian / Lim, Michael / Sj Wilson, Michael / Wilson, Michael / Campanelli, Michela / Bisaccia, Michele / De Rosa, Michele / Maruccia, Michele / Paterno, Michele / Pisano, Michele / Torre, Michele / Treviño, Michelle / Zuolo, Michele / Hernandez Bartolome, Miguel A. / Farina, Miguel / Pera, Miguel / Prieto Calvo, Mikel / Sotelo, Milagros / Myat Thway, Min / Hassan, Mohamed / Salah Eldin Hassan, Mohamed / Azfar, Mohammad / Bouhuwaish, Mohammad / Taha, Mohammad / Zaieem, Mohammad / Korkoman, Mohammed / Guraieb, Montserrat / Shalaby, Mostafa / Asif Raza, Muhammad / Umar Younis, Muhammad / Elhadi, Muhammed / Zulfiqar Ali, Mujahid / Quazi, Nadeem / Dudi-Venkata, Nagendra N. / Alselaim, Nahar / Loria, Natasha / Villan Ramírez, Nathalie / Win Than, Nay / Smart, Neil / Trelles, Nelson / Pinto, Nicanor / Allievi, Niccolò / Petrucciani, Niccolo / Antonacci, Nicola / Cillara, Nicola / de'Angelis, Nicola / Gica, Nicolae / Diana Cristiana, Nicolaescu / Krystek, Nicolás / Falco, Nicolò / Pecorelli, Nicolò / Tamini, Nicolò / Andreas Dallas, Nikolaos / Machairas, Nikolaos / Brito, Noelia / Ahmed Fieturi, Nura / Ortega, Nuria / Avila Mercado, Octavio / Irkorucu, Oktay / Alsherif, Omar / Valles, Orestes / Ioannidis, Orestis / Hernández Palmas, Oscar / Isaac Hernandez Palmas, Oscar / Sanz Guadarrama, Oscar / Bozbiyik, Osman / Omelanczuk, Pablo / Ottolino, Pablo / Rodrigues, Pablo / Ruiz, Pablo / Campenni, Paola / Chiarade, Paola / Prieto Olivares, Paola / Baroffio, Paolo / Panaccio, Paolo / Wintringer, Pascal / Di Fronzo, Pasquale / Talento, Pasquale / Favoriti, Pasqualino / Sendino, Patricia / Marsanic, Patrizia / Mifsut, Patricia / Andrade, Paúl / Ajawin, Pawel / Abadía-Barnó, Pedro / Alfonso Najar Castañeda, Pedro / Omar Sillas Arevalos, Pedro / Palazón Bellver, Pedro / Soon Koh, Peng / Souza, Petry / Major, Piotr / Singh Bali, Rajandeep / Mohan Khattar, Rakesh / Bessa Melo, Renato / Ebrahiminia, Reza / Azar, Ricardo / López Murga, Ricardo / Caruso, Riccardo / Pirolo, Riccardo / Brady, Richard / Justin Davies, Richard / Dholakia, Rishi / Rattan, Rishi / Singhal, Rishi / Lim, Robert / Angelico, Roberta / Maria Isernia, Roberta / Tutino, Roberta / Faccincani, Roberto / Peltrini, Roberto / Carrera-Ceron, Rocio / Tejos, Rodrigo / Kashyap, Rohit / Fajardo, Roosevelt / Lozito, Rosa / Madariaga Pareja, Royer / Garbarino, Sabrina / Di Saverio, Salomone / Morales-Conde, Salvador / Benli, Sami / Mansour, Sami / Flores, Samir / Limon Suarez, Samuel / Lopez Ben, Santiago / Fuentes, Sara / Gortazar de las Casas, Sara / Napetti, Sara / Ortiz de Guzmán, Sara / Awad, Selmy / Weckmann Luján, Sergio A. / Gentilli, Sergio / Grimaldi, Sergio / Olivares Pizarro, Sergio / Tayar, Serkan / Nabi, Shakeeb / M Chan, Shannon / Junaid, Sheikh / Rojas, Sidney / Monetti, Silvana / García, Silvia / Salvans, Silvia / Tenconi, Silvia / Shaw, Simon / Santoni, Simone / Andrea Parra, Sofia / Cárdenas, Sofía / Pérez-Bertólez, Sonia / Chiappetta, Sonja / Dessureault, Sophie / Delis, Spiros / Amore Bonapasta, Stefano / Rausei, Stefano / Scaringi, Stefano / Keswani, Sundeep / Muhammad Ali, Syed / Cetinkunar, Süleyman / Lit Derek Fung, Tak / Rawashdeh, Tariq / Nicolás López, Tatiana / De Campos, Tercio / Calderon Duque, Teresa / Perra, Teresa / Liakakos, Theodore / Daskalakis, Theodoros / Liakakos, Theodoros / Barnes, Thomas / Koëter, Tijmen / Zalla, Tiku / González, Tomás E. / Elosua, Tomás / Campagnaro, Tommaso / Brown, Tommy / Luoto, Topi / Alpha Oumar, Touré / Giustizieri, Ugo / Grossi, Ugo / Bracale, Umberto / Rivas, Uriel / Sosa, Valentina / Testa, Valentina / Andriola, Valeria / Tonini, Valeria / Balassone, Valerio / Celentano, Valerio / Progno, Valerio / Raju, Varun / Carroni, Vanessa / Cavallaro, Venera / Rao Katta, Venkateswara / De Simone, Veronica / Primo Romaguera, Vicent / Hugo García Orozco, Victor / Luraschi, Victor / Rachkov, Victor / Turrado-L, Victor / Visag-Castillo, Victor / Dowling, Victoria / Graham, Victoria / Papagni, Vincenzo / Vigorita, Vincenzo / Cordeiro Fonseca, Vinicius / Jimenez Carneros, Virginia / Bellato, Vittoria / Gonçalves, Walyson / Powers, William F. / Grigg, William / Bechstein, Wolf O. / Bing Lim, Yu / Altinel, Yuksel / Golubović, Zoran / Balciscueta, Zutoia

    ACIE Appy Study

    2020  

    Abstract: Background: Surgical strategies are being adapted to face the COVID-19 pandemic. Recommendations on the management of acute appendicitis have been based on expert opinion, but very little evidence is available. This study addressed that dearth with a ... ...

    Abstract Background: Surgical strategies are being adapted to face the COVID-19 pandemic. Recommendations on the management of acute appendicitis have been based on expert opinion, but very little evidence is available. This study addressed that dearth with a snapshot of worldwide approaches to appendicitis. Methods: The Association of Italian Surgeons in Europe designed an online survey to assess the current attitude of surgeons globally regarding the management of patients with acute appendicitis during the pandemic. Questions were divided into baseline information, hospital organization and screening, personal protective equipment, management and surgical approach, and patient presentation before versus during the pandemic. Results: Of 744 answers, 709 (from 66 countries) were complete and were included in the analysis. Most hospitals were treating both patients with and those without COVID. There was variation in screening indications and modality used, with chest X-ray plus molecular testing (PCR) being the commonest (19·8 per cent). Conservative management of complicated and uncomplicated appendicitis was used by 6·6 and 2·4 per cent respectively before, but 23·7 and 5·3 per cent, during the pandemic (both P < 0·001). One-third changed their approach from laparoscopic to open surgery owing to the popular (but evidence-lacking) advice from expert groups during the initial phase of the pandemic. No agreement on how to filter surgical smoke plume during laparoscopy was identified. There was an overall reduction in the number of patients admitted with appendicitis and one-third felt that patients who did present had more severe appendicitis than they usually observe. Conclusion: Conservative management of mild appendicitis has been possible during the pandemic. The fact that some surgeons switched to open appendicectomy may reflect the poor guidelines that emanated in the early phase of SARS-CoV-2.
    Keywords covid19
    Subject code 610
    Language English
    Publishing country it
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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