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Article ; Online: Pneumoscrotum after tracheal intubation.

Lostoridis, Eftychios / Tourountzi, Paraskevi / Pouggouras, Konstantinos / Koutsouki, Sotiria / Lampiri, Klairi / Nagy, Eva-Otilia

Acta anaesthesiologica Taiwanica : official journal of the Taiwan Society of Anesthesiologists

2015 Volume 53, Issue 1, Page(s) 44–46

Abstract: Air in the scrotum is an unusual clinical finding and a thorough search should be done in order to locate the air leak or source of gas production. We report an 81-year-old patient who developed severe acute respiratory failure after fiberoptic ... ...

Abstract	Air in the scrotum is an unusual clinical finding and a thorough search should be done in order to locate the air leak or source of gas production. We report an 81-year-old patient who developed severe acute respiratory failure after fiberoptic bronchoscopy and was intubated immediately. After tracheal intubation, excessive subcutaneous emphysema from the head to the scrotum was obvious. Chest tube thoracostomies were placed to treat pneumothorax. The emphysema was absorbed after 13 days without any sequela. Air or gas inside the scrotum may originate from intraperitoneal, extraperitoneal, or local sources. The majority of the cases can be managed conservatively, but emergent intervention is needed in life-threatening situations.
MeSH term(s)	Aged ; Aged, 80 and over ; Humans ; Intubation, Intratracheal/adverse effects ; Male ; Scrotum/pathology ; Subcutaneous Emphysema/etiology
Language	English
Publishing date	2015-03
Publishing country	China (Republic : 1949- )
Document type	Case Reports ; Journal Article
ZDB-ID	2197642-9
ISSN	1875-452X ; 1875-4597 ; 0254-1319
ISSN (online)	1875-452X
ISSN	1875-4597 ; 0254-1319
DOI	10.1016/j.aat.2014.09.005
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article: Myxoma of the small intestine complicated by ileo-ileal intussusception: Report of an extremely rare case.

Varsamis, Nikolaos / Tavlaridis, Theodoros / Lostoridis, Eftychios / Tziastoudi, Eirini / Salveridis, Nikolaos / Chatzipourgani, Chrysanthi / Pouggouras, Constantinos / Pakataridis, Athanasios / Christodoulidis, Constantinos

International journal of surgery case reports

2013 Volume 4, Issue 7, Page(s) 609–612

Abstract: Introduction: Myxomas of the small intestine are extremely rare types of primary bowel neoplasms. Their presence can trigger intestinal intussusception in the adults. We present the eighth case of intestinal myxoma reported in the English literature.: ...

Abstract	Introduction: Myxomas of the small intestine are extremely rare types of primary bowel neoplasms. Their presence can trigger intestinal intussusception in the adults. We present the eighth case of intestinal myxoma reported in the English literature. Presentation of case: Our patient is a 44-year-old Caucasian female who presented with clinical and imaging findings of intestinal intussusception. Laparotomy revealed ileo-ileal intussusception caused by an intramural mass of the middle-ileum which was resected. Histological and immunohistochemical studies pointed to the diagnosis of benign intestinal myxoma, while imaging studies of the heart excluded a synchronous cardiac myxoma. Twenty months after surgery she remains disease-free. Discussion: The myxoma is a benign, true neoplasm which resembles primitive mesenchyme. It occurs predominantly in the heart and is also found in several soft tissues and bones. Myxomas seem to grow at different rates of speed, they infiltrate adjacent structures and they do not metastasize, apart from cardiac variants. Intestinal myxomas share some clinical characteristics which are emphasized. Conclusion: Myxomas of the small intestine should be included in the differential diagnosis of ileal tumors in middle-aged women manifesting as intestinal intussusception. Treatment should include wide resection of the affected intestinal segment with primary anastomosis. A close follow-up control of the patients along with cardiac imaging evaluation is recommended postoperatively, in order to detect and treat any possible recurrence of the tumor or a synchronous cardiac myxoma.
Language	English
Publishing date	2013-04-17
Publishing country	Netherlands
Document type	Journal Article
ISSN	2210-2612
ISSN	2210-2612
DOI	10.1016/j.ijscr.2013.03.035
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article: Pneumoscrotum as complication of blunt thoracic trauma: a case report.

Lostoridis, Eftychios / Gkagkalidis, Konstantinos / Varsamis, Nikolaos / Salveridis, Nikolaos / Karageorgiou, Georgios / Kampantais, Spyridon / Tourountzi, Paraskevi / Pouggouras, Konstantinos

Case reports in surgery

2013 Volume 2013, Page(s) 392869

Abstract: Introduction. Pneumoscrotum is a rare clinical entity. It presents with swollen scrotal sac and sometimes with palpable crepitus. It has many etiologies. One of them is due to blunt trauma of the thoracic cage, causing pneumothorax and/or ... ...

Abstract	Introduction. Pneumoscrotum is a rare clinical entity. It presents with swollen scrotal sac and sometimes with palpable crepitus. It has many etiologies. One of them is due to blunt trauma of the thoracic cage, causing pneumothorax and/or pneumomediastinum. Case Presentation. We report the case of an 82-year-old male who was transferred to the Emergency Department with signs of respiratory distress after a blunt chest trauma. A CT scan was obtained, and bilateral pneumothoraces with four broken ribs were disclosed. Subcutaneous emphysema expanding from the eyelids to the scrotum was observed, and a chest tube was inserted on the right side with immediate improvement of the vital signs of the patient. Discussion. Pneumoscrotum has three major etiologies: (a) local introduction of air or infection from gas-producing bacteria, (b) pneumoperitoneum, and (c) air accumulation from lungs, mediastinum, or retroperitoneum. These sources account for most of the cases described in the literature. Treatment should be individualized, and surgical consultation should be obtained in all cases. Conclusion. Although pneumoscrotum itself is a benign entity, the process by which air accumulates in the scrotum must be clarified, and treatment must target the primary cause.
Language	English
Publishing date	2013-01-14
Publishing country	United States
Document type	Journal Article
ZDB-ID	2657697-1
ISSN	2090-6919 ; 2090-6900
ISSN (online)	2090-6919
ISSN	2090-6900
DOI	10.1155/2013/392869
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: Management of acute mesenteric ischaemia: Results of a worldwide survey

Hess, Benjamin / Cahenzli, Martin / Forbes, Alastair / Rosa Burgos / Coccolini, Federico / Corcos, Olivier / Holst, Mette / Irtun, Øivind / Klek, Stanislaw / Pironi, Loris / Rasmussen, Henrik Højgaard / Serlie, Mireille J. / Thibault, Ronan / Gabe, Simon / Reintam Blaser, Annika / Akin, Emrah / Ali, Syed Muhammad / Argenio, Giulio / Atici, Semra Demirli /

Augustin, Goran / Baili, Efstratia / Bains, Lovenish / Bala, Miklosh / Baldini, Edoardo / Baraket, Oussama / Barone, Mirko / Biloslavo, Alan / Roberto Bini / Bombardini, Cristina / Brisinda, Giuseppe / Buonomo, Luis / Catena, F. / Ceresoli, Marco / Chiarello, Maria Michela / Chouliaras, Christos / D'Acapito, Fabrizio / Damaskos, Dimitrios / De Simone, Belinda / Delogu, Daniele / Demetrashvili, Zaza / Di Carlo, Isidoro / D'Oria, Mario / Durán-Muñoz-Cruzado, Virginia María / Forget, Patrice / Fortuna, Laura / Fransvea, Pietro / Frey, Christian / Gapejeva, Olga / Garcon, Pierre / Gass, Jörn-Markus / Teixeira Gonsaga, Ricardo Alessandro / Griffiths, Ewen / Gundogan, Kursat / Gurjar, Mohan / Hamid, Hytham K.S. / Silesky Jiménez, Juan Ignacio / Kase, Karri / Hussain Kazmi, Syed Sajid / Kechagias, Aristotelis / Khokha, Vladimir / Kobe, Yoshiro / Korkolis, Dimitrios P. / Litvin, Andrey / Lostoridis, Eftychios / Mahendran, Hans Alexander / Marino, Fabio / Martinuzzi, Andres / Mesina, Cristian / Neri, Vincenzo / Panisic, Marina / Paolillo, Ciro / Pararas, Nikolaos / Perrone, Gennaro / Pesce, Antonio / Picardi, Biagio / Pither, Charlotte / Podda, Mauro / Poskus, Tomas / Poullenot, Florian / Przemyslaw, Matras / Sartelli, Massimo / Sasia, Diego / Scheiterle, Maximilian / Seretis, Fotios / Søreide, Kjetil / Sydorchuk, Ruslan / Szczepanek, Kinga / Bodnar, Zsolt / Tamion, Fabienne / Tarasconi, Antonio / Teraa, Martin / Tolonen, Matti / Vanuytsel, Tim / Veroux, Massimiliano / Vinter-Jensen, Lars / Visconti, Diego / Widmer, Lukas / Zakaria, Andee Dzulkarnaen / Zubareva, Nadezhda / Endorsing International Societies / ESICM (European Society of Intensive Care Medicine) / WSES (World Society of Emergency Surgery) / WSACS (The Abdominal Compartment Society) / In-principle support / WFICC (World Federation of Intensive and Critical Care)

Clinical Nutrition ESPEN. 2023 Apr., v. 54 p.194-205

2023

Abstract: Acute mesenteric ischaemia (AMI) is a condition with high mortality. This survey assesses current attitudes and practices to manage AMI worldwide. A questionnaire survey about the practices of diagnosing and managing AMI, endorsed by several specialist ... ...

Institution	ESPEN Special Interest Group on Acute Intestinal Failure ESPEN (European Society for Clinical Nutrition and Metabolism)
Abstract	Acute mesenteric ischaemia (AMI) is a condition with high mortality. This survey assesses current attitudes and practices to manage AMI worldwide. A questionnaire survey about the practices of diagnosing and managing AMI, endorsed by several specialist societies, was sent to different medical specialists and hospitals worldwide. Data from individual health care professionals and from medical teams were collected. We collected 493 individual forms from 71 countries and 94 team forms from 34 countries. Almost half of respondents were surgeons, and most of the responding teams (70%) were led by surgeons. Most of the respondents indicated that diagnosis of AMI is often delayed but rarely missed. Emergency revascularisation is often considered for patients with AMI but rarely in cases of transmural ischaemia (intestinal infarction). Responses from team hospitals with a dedicated special unit (14 team forms) indicated more aggressive revascularisation. Abdominopelvic CT-scan with intravenous contrast was suggested as the most useful diagnostic test, indicated by approximately 90% of respondents. Medical history and risk factors were thought to be more important in diagnosis of AMI without transmural ischaemia, whereas for intestinal infarction, plasma lactate concentrations and surgical exploration were considered more useful. In elderly patients, a palliative approach is often chosen over extensive bowel resection. There was a large variability in anticoagulant treatment, as well as in timing of surgery to restore bowel continuity. Delayed diagnosis of AMI is common despite wide availability of an adequate imaging modality, i.e. CT-scan. Large variability in treatment approaches exists, indicating the need for updated guidelines. Increased awareness and knowledge of AMI may improve current practice until more robust evidence becomes available. Adherence to the existing guidelines may help in improving differences in treatment and outcomes.
Keywords	anticoagulants ; clinical nutrition ; elderly ; health services ; infarction ; intestines ; intravenous injection ; ischemia ; lactic acid ; medical history ; mortality ; questionnaires ; resection ; risk ; surveys ; Acute mesenteric ischaemia ; Acute mesenteric infarction ; NOMI (Non-occlusive mesenteric ischaemia) ; Occlusive intestinal ischaemia ; Intestinal failure ; Survey ; Treatment
Language	English
Dates of publication	2023-04
Size	p. 194-205.
Publishing place	Elsevier Ltd
Document type	Article ; Online
Note	Pre-press version ; Use and reproduction
ISSN	2405-4577
DOI	10.1016/j.clnesp.2022.12.022
Database	NAL-Catalogue (AGRICOLA)

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Article ; Online: A pandemic recap

Federico Coccolini / Enrico Cicuttin / Camilla Cremonini / Dario Tartaglia / Bruno Viaggi / Akira Kuriyama / Edoardo Picetti / Chad Ball / Fikri Abu-Zidan / Marco Ceresoli / Bruno Turri / Sumita Jain / Carlo Palombo / Xavier Guirao / Gabriel Rodrigues / Mahir Gachabayov / Fernando Machado / Lostoridis Eftychios / Souha S. Kanj /

Isidoro Di Carlo / Salomone Di Saverio / Vladimir Khokha / Andrew Kirkpatrick / Damien Massalou / Francesco Forfori / Francesco Corradi / Samir Delibegovic / Gustavo M. Machain Vega / Massimo Fantoni / Demetrios Demetriades / Garima Kapoor / Yoram Kluger / Shamshul Ansari / Ron Maier / Ari Leppaniemi / Timothy Hardcastle / Andras Vereczkei / Evika Karamagioli / Emmanouil Pikoulis / Mauro Pistello / Boris E. Sakakushev / Pradeep H. Navsaria / Rita Galeiras / Ali I. Yahya / Aleksei V. Osipov / Evgeni Dimitrov / Krstina Doklestić / Michele Pisano / Paolo Malacarne / Paolo Carcoforo / Maria Grazia Sibilla / Igor A. Kryvoruchko / Luigi Bonavina / Jae Il Kim / Vishal G. Shelat / Jacek Czepiel / Emilio Maseda / Sanjay Marwah / Mircea Chirica / Giandomenico Biancofiore / Mauro Podda / Lorenzo Cobianchi / Luca Ansaloni / Paola Fugazzola / Charalampos Seretis / Carlos Augusto Gomez / Fabio Tumietto / Manu Malbrain / Martin Reichert / Goran Augustin / Bruno Amato / Alessandro Puzziello / Andreas Hecker / Angelo Gemignani / Arda Isik / Alessandro Cucchetti / Mirco Nacoti / Doron Kopelman / Cristian Mesina / Wagih Ghannam / Offir Ben-Ishay / Sameer Dhingra / Raul Coimbra / Ernest E. Moore / Yunfeng Cui / Martha A. Quiodettis / Miklosh Bala / Mario Testini / Jose Diaz / Massimo Girardis / Walter L. Biffl / Matthias Hecker / Ibrahima Sall / Ugo Boggi / Gabriele Materazzi / Lorenzo Ghiadoni / Junichi Matsumoto / Wietse P. Zuidema / Rao Ivatury / Mushira A. Enani / Andrey Litvin / Majdi N. Al-Hasan / Zaza Demetrashvili / Oussama Baraket / Carlos A. Ordoñez / Ionut Negoi / Ronald Kiguba / Ziad A. Memish / Mutasim M. Elmangory / Matti Tolonen / Korey Das / Julival Ribeiro / Donal B. O’Connor / Boun Kim Tan / Harry Van Goor / Suman Baral / Belinda De Simone / Davide Corbella / Pietro Brambillasca / Michelangelo Scaglione / Fulvio Basolo / Nicola De’Angelis / Cino Bendinelli / Dieter Weber / Leonardo Pagani / Cinzia Monti / Gianluca Baiocchi / Massimo Chiarugi / Fausto Catena / Massimo Sartelli

World Journal of Emergency Surgery, Vol 16, Iss 1, Pp 1-

lessons we have learned

2021 Volume 8

Abstract: Abstract On January 2020, the WHO Director General declared that the outbreak constitutes a Public Health Emergency of International Concern. The world has faced a worldwide spread crisis and is still dealing with it. The present paper represents a white ...

Abstract	Abstract On January 2020, the WHO Director General declared that the outbreak constitutes a Public Health Emergency of International Concern. The world has faced a worldwide spread crisis and is still dealing with it. The present paper represents a white paper concerning the tough lessons we have learned from the COVID-19 pandemic. Thus, an international and heterogenous multidisciplinary panel of very differentiated people would like to share global experiences and lessons with all interested and especially those responsible for future healthcare decision making. With the present paper, international and heterogenous multidisciplinary panel of very differentiated people would like to share global experiences and lessons with all interested and especially those responsible for future healthcare decision making.
Keywords	Pandemia ; International ; Thoughts ; Reflection ; Ethics ; Biology ; Surgery ; RD1-811 ; Medical emergencies. Critical care. Intensive care. First aid ; RC86-88.9
Subject code	360
Language	English
Publishing date	2021-09-01T00:00:00Z
Publisher	BMC
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: Knowledge, awareness, and attitude towards infection prevention and management among surgeons: identifying the surgeon champion.

Sartelli, Massimo / Kluger, Yoram / Ansaloni, Luca / Coccolini, Federico / Baiocchi, Gian Luca / Hardcastle, Timothy C / Moore, Ernest E / May, Addison K / Itani, Kamal M F / Fry, Donald E / Boermeester, Marja A / Guirao, Xavier / Napolitano, Lena / Sawyer, Robert G / Rasa, Kemal / Abu-Zidan, Fikri M / Adesunkanmi, Abdulrashid K / Atanasov, Boyko / Augustin, Goran /

Bala, Miklosh / Cainzos, Miguel A / Chichom-Mefire, Alain / Cortese, Francesco / Damaskos, Dimitris / Delibegovic, Samir / Demetrashvili, Zaza / De Simone, Belinda / Duane, Therese M / Ghnnam, Wagih / Gkiokas, George / Gomes, Carlos A / Hecker, Andreas / Karamarkovic, Aleksandar / Kenig, Jakub / Khokha, Vladimir / Kong, Victor / Isik, Arda / Leppäniemi, Ari / Litvin, Andrey / Lostoridis, Eftychios / Machain, Gustavo M / Marwah, Sanjay / McFarlane, Michael / Mesina, Cristian / Negoi, Ionut / Olaoye, Iyiade / Pintar, Tadeja / Pupelis, Guntars / Rems, Miran / Rubio-Perez, Ines / Sakakushev, Boris / Segovia-Lohse, Helmut / Siribumrungwong, Boonying / Talving, Peep / Ulrych, Jan / Vereczkei, András G / Labricciosa, Francesco M / Catena, Fausto

World journal of emergency surgery : WJES

2018 Volume 13, Page(s) 37

Abstract: Despite evidence supporting the effectiveness of best practices of infection prevention and management, many surgeons worldwide fail to implement them. Evidence-based practices tend to be underused in routine practice. Surgeons with knowledge in surgical ...

Abstract	Despite evidence supporting the effectiveness of best practices of infection prevention and management, many surgeons worldwide fail to implement them. Evidence-based practices tend to be underused in routine practice. Surgeons with knowledge in surgical infections should provide feedback to prescribers and integrate best practices among surgeons and implement changes within their team. Identifying a local opinion leader to serve as a champion within the surgical department may be important. The "surgeon champion" can integrate best clinical practices of infection prevention and management, drive behavior change in their colleagues, and interact with both infection control teams in promoting antimicrobial stewardship.
MeSH term(s)	Adult ; Female ; Health Knowledge, Attitudes, Practice ; Humans ; Infection Control/methods ; Infection Control/standards ; Male ; Middle Aged ; Surgeons/psychology ; Surgeons/standards ; Surgical Wound Infection/prevention & control ; United States
Language	English
Publishing date	2018-08-17
Publishing country	England
Document type	Journal Article
ISSN	1749-7922
ISSN (online)	1749-7922
DOI	10.1186/s13017-018-0198-x
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: It is time to define an organizational model for the prevention and management of infections along the surgical pathway: a worldwide cross-sectional survey.

Sartelli, Massimo / Labricciosa, Francesco M / Coccolini, Federico / Coimbra, Raul / Abu-Zidan, Fikri M / Ansaloni, Luca / Al-Hasan, Majdi N / Ansari, Shamshul / Barie, Philip S / Caínzos, Miguel Angel / Ceresoli, Marco / Chiarugi, Massimo / Claridge, Jeffrey A / Cicuttin, Enrico / Dellinger, Evan Patchen / Fry, Donald E / Guirao, Xavier / Hardcastle, Timothy Craig / Hecker, Andreas /

Leppäniemi, Ari K / Litvin, Andrey / Marwah, Sanjay / Maseda, Emilio / Mazuski, John E / Memish, Ziad Ahmed / Kirkpatrick, Andrew W / Pagani, Leonardo / Podda, Mauro / Rasa, Huseyin Kemal / Sakakushev, Boris E / Sawyer, Robert G / Tumietto, Fabio / Xiao, Yonghong / Aboubreeg, Wedad Faraj / Adamou, Harissou / Akhmeteli, Lali / Akin, Emrah / Alberio, Maria Grazia / Alconchel, Felipe / Magagi, Ibrahim Amadou / Araúz, Ana Belén / Argenio, Giulio / Atanasov, Boyko C / Atici, Semra Demirli / Awad, Selmy Sabry / Baili, Efstratia / Bains, Lovenish / Bala, Miklosh / Baraket, Oussama / Baral, Suman / Belskii, Vladislav A / Benboubker, Moussa / Ben-Ishay, Offir / Bordoni, Pierpaolo / Boumédiène, Abdalia / Brisinda, Giuseppe / Cavazzuti, Laura / Chandy, Sujith J / Chiarello, Maria Michela / Cillara, Nicola / Clarizia, Guglielmo / Cocuz, Maria-Elena / Cocuz, Iuliu Gabriel / Conti, Luigi / Coppola, Raffaella / Cui, Yunfeng / Czepiel, Jacek / D'Acapito, Fabrizio / Damaskos, Dimitrios / Das, Koray / De Simone, Belinda / Delibegovic, Samir / Demetrashvili, Zaza / Detanac, Dzemail S / Dhingra, Sameer / Di Bella, Stefano / Dimitrov, Evgeni N / Dogjani, Agron / D'Oria, Mario / Dumitru, Irina Magdalena / Elmangory, Mutasim M / Enciu, Octavian / Fantoni, Massimo / Filipescu, Daniela / Fleres, Francesco / Foghetti, Domitilla / Fransvea, Pietro / Gachabayov, Mahir / Galeiras, Rita / Gattuso, Gianni / Ghannam, Wagih M / Ghisetti, Valeria / Giraudo, Giorgio / Gonfa, Kebebe Bekele / Gonullu, Emre / Hamad, Yousif Tag Elsir Y / Hecker, Matthias / Isik, Arda / Ismail, Nizar / Ismail, Azzain / Jain, Sumita Agarwal / Kanj, Souha S / Kapoor, Garima / Karaiskos, Ilias / Kavalakat, Alfie J / Kenig, Jakub / Khamis, Faryal / Khokha, Vladimir / Kiguba, Ronald / Kim, Jae Il / Kobe, Yoshiro / Kok, Kenneth Yuh Yen / Kovacevic, Bojan M / Kryvoruchko, Igor Andreevich / Kuriyama, Akira / Landaluce-Olavarria, Aitor / Lasithiotakis, Konstantinos / Lohsiriwat, Varut / Lostoridis, Eftychios / Luppi, Davide / Vega, Gustavo Miguel Machain / Maegele, Marc / Marinis, Athanasios / Martines, Gennaro / Martínez-Pérez, Aleix / Massalou, Damien / Mesina, Cristian / Metan, Gökhan / Miranda-Novales, María Guadalupe / Mishra, Shyam Kumar / Mohamed, Mohaned Ibrahim Hussein / Mohamedahmed, Ali Yasen Y / Mora-Guzmán, Ismael / Mulita, Francesk / Musina, Ana-Maria / Navsaria, Pradeep H / Negoi, Ionut / Nita, Gabriela Elisa / O'Connor, Donal B / Ordoñez, Carlos Alberto / Pantalone, Desiré / Panyko, Arpád / Papadopoulos, Aristeidis / Pararas, Nikolaos / Pata, Francesco / Patel, Tapan / Pellino, Gianluca / Perra, Teresa / Perrone, Gennaro / Pesce, Antonio / Pintar, Tadeja / Popivanov, Georgi Ivanov / Porcu, Alberto / Quiodettis, Martha Alexa / Rahim, Razrim / Mitul, Ashrarur Rahman / Reichert, Martin / Rems, Miran / Campbell, Glendee Yolande Reynolds / Rocha-Pereira, Nuno / Rodrigues, Gabriel / Villamil, Gustavo Eduardo Roncancio / Rossi, Stefano / Sall, Ibrahima / Kafil, Hossein Samadi / Sasia, Diego / Seni, Jeremiah / Seretis, Charalampos / Serradilla-Martín, Mario / Shelat, Vishal G / Siribumrungwong, Boonying / Slavchev, Mihail / Solaini, Leonardo / Tan, Boun Kim / Tarasconi, Antonio / Tartaglia, Dario / Toma, Elena Adelina / Tomadze, Gia / Toro, Adriana / Tovani-Palone, Marcos Roberto / van Goor, Harry / Vasilescu, Alin / Vereczkei, Andras / Veroux, Massimiliano / Weckmann, Sergio Alberto / Widmer, Lukas Werner / Yahya, AliIbrahim / Zachariah, Sanoop K / Zakaria, Andee Dzulkarnaen / Zubareva, Nadezhda / Zuidema, Wietse P / Di Carlo, Isidoro / Cortese, Francesco / Baiocchi, Gian Luca / Maier, Ronald V / Catena, Fausto

World journal of emergency surgery : WJES

2022 Volume 17, Issue 1, Page(s) 17

Abstract: Background: The objectives of the study were to investigate the organizational characteristics of acute care facilities worldwide in preventing and managing infections in surgery; assess participants' perception regarding infection prevention and ... ...

Abstract	Background: The objectives of the study were to investigate the organizational characteristics of acute care facilities worldwide in preventing and managing infections in surgery; assess participants' perception regarding infection prevention and control (IPC) measures, antibiotic prescribing practices, and source control; describe awareness about the global burden of antimicrobial resistance (AMR) and IPC measures; and determine the role of the Coronavirus Disease 2019 pandemic on said awareness. Methods: A cross-sectional web-based survey was conducted contacting 1432 health care workers (HCWs) belonging to a mailing list provided by the Global Alliance for Infections in Surgery. The self-administered questionnaire was developed by a multidisciplinary team. The survey was open from May 22, 2021, and June 22, 2021. Three reminders were sent, after 7, 14, and 21 days. Results: Three hundred four respondents from 72 countries returned a questionnaire, with an overall response rate of 21.2%. Respectively, 90.4% and 68.8% of participants stated their hospital had a multidisciplinary IPC team or a multidisciplinary antimicrobial stewardship team. Local protocols for antimicrobial therapy of surgical infections and protocols for surgical antibiotic prophylaxis were present in 76.6% and 90.8% of hospitals, respectively. In 23.4% and 24.0% of hospitals no surveillance systems for surgical site infections and no monitoring systems of used antimicrobials were implemented. Patient and family involvement in IPC management was considered to be slightly or not important in their hospital by the majority of respondents (65.1%). Awareness of the global burden of AMR among HCWs was considered very important or important by 54.6% of participants. The COVID-19 pandemic was considered by 80.3% of respondents as a very important or important factor in raising HCWs awareness of the IPC programs in their hospital. Based on the survey results, the authors developed 15 statements for several questions regarding the prevention and management of infections in surgery. The statements may be the starting point for designing future evidence-based recommendations. Conclusion: Adequacy of prevention and management of infections in acute care facilities depends on HCWs behaviours and on the organizational characteristics of acute health care facilities to support best practices and promote behavioural change. Patient involvement in the implementation of IPC is still little considered. A debate on how operationalising a fundamental change to IPC, from being solely the HCWs responsibility to one that involves a collaborative relationship between HCWs and patients, should be opened.
MeSH term(s)	Anti-Bacterial Agents/therapeutic use ; Anti-Infective Agents ; COVID-19 ; Cross-Sectional Studies ; Humans ; Models, Organizational ; Pandemics/prevention & control
Chemical Substances	Anti-Bacterial Agents ; Anti-Infective Agents
Language	English
Publishing date	2022-03-17
Publishing country	England
Document type	Journal Article
ZDB-ID	2233734-9
ISSN	1749-7922 ; 1749-7922
ISSN (online)	1749-7922
ISSN	1749-7922
DOI	10.1186/s13017-022-00420-4
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: Goodbye Hartmann trial: a prospective, international, multicenter, observational study on the current use of a surgical procedure developed a century ago.

Perrone, Gennaro / Giuffrida, Mario / Abu-Zidan, Fikri / Kruger, Vitor F / Livrini, Marco / Petracca, Gabriele Luciano / Rossi, Giorgio / Tarasconi, Antonio / Tian, Brian W C A / Bonati, Elena / Mentz, Ricardo / Mazzini, Federico N / Campana, Juan P / Gasser, Elisabeth / Kafka-Ritsch, Reinhold / Felsenreich, Daniel M / Dawoud, Christopher / Riss, Stefan / Gomes, Carlos Augusto /

Gomes, Felipe Couto / Gonzaga, Ricardo Alessandro Teixeira / Canton, Cassio Alfred Brattig / Pereira, Bruno Monteiro / Fraga, Gustavo P / Zem, Leticia Gonçalves / Cordeiro-Fonseca, Vinicius / de Mesquita Tauil, Renato / Atanasov, Boyko / Belev, Nikolay / Kovachev, Nikola / Meléndez, L Juan José / Dimova, Ana / Dimov, Stefan / Zelić, Zdravko / Augustin, Goran / Bogdanić, Branko / Morić, Trpimir / Chouillard, Elie / Bajul, Melinda / De Simone, Belinda / Panis, Yves / Esposito, Francesco / Notarnicola, Margherita / Lauka, Lelde / Fabbri, Anna / Hentati, Hassen / Fnaiech, Iskander / Aurélien, Venara / Bougard, Marie / Roulet, Maxime / Demetrashvili, Zaza / Pipia, Irakli / Merabishvili, Giorgi / Bouliaris, Konstantinos / Koukoulis, Georgios / Doudakmanis, Christos / Xenaki, Sofia / Chrysos, Emmanuel / Kokkinakis, Stamatios / Vassiliu, Panteleimon / Michalopoulos, Nikolaos / Margaris, Ioannis / Kechagias, Aristotelis / Avgerinos, Konstantinos / Katunin, Jevgeni / Lostoridis, Eftychios / Nagorni, Eleni-Aikaterini / Pujante, Antonio / Mulita, Francesk / Maroulis, Ioannis / Vailas, Michail / Marinis, Athanasios / Siannis, Ioannis / Bourbouteli, Eirini / Manatakis, Dimitrios K / Tasis, Nikolaos / Acheimastos, Vasileios / Maria, Sotiropoulou / Stylianos, Kapiris / Kuzeridis, Harilaos / Korkolis, Dimitrios / Fradelos, Evangelos / Kavalieratos, George / Petropoulou, Thalia / Polydorou, Andreas / Papacostantinou, Ioannis / Triantafyllou, Tania / Kimpizi, Despina / Theodorou, Dimitrios / Toutouzas, Konstantinos / Chamzin, Alexandros / Frountzas, Maximos / Schizas, Dimitrios / Karavokyros, Ioannis / Syllaios, Athanasios / Charalabopoulos, Alexandros / Boura, Maria / Baili, Efstratia / Ioannidis, Orestis / Loutzidou, Lydia / Anestiadou, Elissavet / Tsouknidas, Ioannis / Petrakis, Georgios / Polenta, Eleni / Bains, Lovenish / Gupta, Rahul / Singh, Sudhir K / Khanduri, Archana / Bala, Miklosh / Kedar, Asaf / Pisano, Marcello / Podda, Mauro / Pisanu, Adolfo / Martines, Gennaro / Trigiante, Giuseppe / Lantone, Giuliano / Agrusa, Antonino / Di Buono, Giuseppe / Buscemi, Salvatore / Veroux, Massimiliano / Gioco, Rossella / Veroux, Gastone / Oragano, Luigi / Zonta, Sandro / Lovisetto, Federico / Feo, Carlo V / Pesce, Antonio / Fabbri, Nicolò / Lantone, Giulio / Marino, Fabio / Perrone, Fabrizio / Vincenti, Leonardo / Papagni, Vincenzo / Picciariello, Arcangelo / Rossi, Stefano / Picardi, Biagio / Del Monte, Simone Rossi / Visconti, Diego / Osella, Giulia / Petruzzelli, Luca / Pignata, Giusto / Andreuccetti, Jacopo / D'Alessio, Rossella / Buonfantino, Massimo / Guaitoli, Eleonora / Spinelli, Stefano / Sampietro, Gianluca Matteo / Corbellini, Carlo / Lorusso, Leonardo / Frontali, Alice / Pezzoli, Isabella / Bonomi, Alessandro / Chierici, Andrea / Cotsoglou, Christian / Manca, Giuseppe / Delvecchio, Antonella / Musa, Nicola / Casati, Massimiliano / Letizia, Laface / Abate, Emmanuele / Ercolani, Giorgio / D'Acapito, Fabrizio / Solaini, Leonardo / Guercioni, Gianluca / Cicconi, Simone / Sasia, Diego / Borghi, Felice / Giraudo, Giorgio / Sena, Giuseppe / Castaldo, Pasquale / Cardamone, Eugenia / Portale, Giuseppe / Zuin, Matteo / Spolverato, Ylenia / Esposito, Marialusia / Isernia, Roberta Maria / Di Salvo, Maria / Manunza, Romina / Esposito, Giuseppe / Agus, Marcello / Asti, Emanuele Luigi Giuseppe / Bernardi, Daniele Tiziano / Tonucci, Tommaso Panici / Luppi, Davide / Casadei, Massimiliano / Bonilauri, Stefano / Pezzolla, Angela / Panebianco, Annunziata / Laforgia, Rita / De Luca, Maurizio / Zese, Monica / Parini, Dario / Jovine, Elio / De Sario, Giuseppina / Lombardi, Raffaele / Aprea, Giovanni / Palomba, Giuseppe / Capuano, Marianna / Argenio, Giulio / Orio, Gianluca / Armellino, Mariano Fortunato / Troian, Marina / Guerra, Martina / Nagliati, Carlo / Biloslavo, Alan / Germani, Paola / Aizza, Giada / Monsellato, Igor / Chahrour, Ali Chaouki / Anania, Gabriele / Bombardini, Cristina / Bagolini, Francesco / Sganga, Gabriele / Fransvea, Pietro / Bianchi, Valentina / Boati, Paolo / Ferrara, Francesco / Palmieri, Francesco / Cianci, Pasquale / Gattulli, Domenico / Restini, Enrico / Cillara, Nicola / Cannavera, Alessandro / Nita, Gabriela Elisa / Sarnari, Jlenia / Roscio, Francesco / Clerici, Federico / Scandroglio, Ildo / Berti, Stefano / Cadeo, Alessandro / Filippelli, Alice / Conti, Luigi / Grassi, Carmine / Cattaneo, Gaetano Maria / Pighin, Marina / Papis, Davide / Gambino, Giovanni / Bertino, Vanessa / Schifano, Domenico / Prando, Daniela / Fogato, Luisella / Cavallo, Fabio / Ansaloni, Luca / Picheo, Roberto / Pontarolo, Nicholas / Depalma, Norma / Spampinato, Marcello / D'Ugo, Stefano / Lepre, Luca / Capponi, Michela Giulii / Campa, Rossella Domenica / Sarro, Giuliano / Dinuzzi, Vincenza Paola / Olmi, Stefano / Uccelli, Matteo / Ferrari, Davide / Inama, Marco / Moretto, Gianluigi / Fontana, Michele / Favi, Francesco / Picariello, Erika / Rampini, Alessia / Barberis, Andrea / Azzinnaro, Antonio / Oliva, Alba / Totaro, Luigi / Benzoni, Ilaria / Ranieri, Valerio / Capolupo, Gabriella Teresa / Carannante, Filippo / Caricato, Marco / Ronconi, Maurizio / Casiraghi, Silvia / Casole, Giovanni / Pantalone, Desire / Alemanno, Giovanni / Scheiterle, Maximilian / Ceresoli, Marco / Cereda, Marco / Fumagalli, Chiara / Zanzi, Federico / Bolzon, Stefano / Guerra, Enrico / Lecchi, Francesca / Cellerino, Paola / Ardito, Antonella / Scaramuzzo, Rosa / Balla, Andrea / Lepiane, Pasquale / Tartaglia, Nicola / Ambrosi, Antonio / Pavone, Giovanna / Palini, Gian Marco / Veneroni, Simone / Garulli, Gianluca / Ricci, Claudio / Torre, Beatrice / Russo, Iris Shari / Rottoli, Matteo / Tanzanu, Marta / Belvedere, Angela / Milone, Marco / Manigrasso, Michele / De Palma, Giovanni Domenico / Piccoli, Micaela / Pattacini, Gianmaria Casoni / Magnone, Stefano / Bertoli, Paolo / Pisano, Michele / Massucco, Paolo / Palisi, Marco / Luzzi, Andrea-Pierre / Fleres, Francesco / Clarizia, Guglielmo / Spolini, Alessandro / Kobe, Yoshiro / Toma, Takayuki / Shimamura, Fumihiko / Parker, Robert / Ranketi, Sinkeet / Mitei, Mercy / Svagzdys, Saulius / Pauzas, Henrikas / Zilinskas, Justas / Poskus, Tomas / Kryzauskas, Marius / Jakubauskas, Matas / Zakaria, Andee Dzulkarnaen / Zakaria, Zaidi / Wong, Michael Pak-Kai / Jusoh, Asri Che / Zakaria, Muhammad Nazreen / Cruz, Daniel Rios / Elizalde, Aurea Barbara Rodriguez / Reynaud, Alejandro Bañon / Hernandez, Edgard Efren Lozada / Monroy, Jose Maria Victor Palomo / Hinojosa-Ugarte, Diego / Quiodettis, Martha / Du Bois, María Esther / Latorraca, José / Major, Piotr / Pędziwiatr, Michał / Pisarska-Adamczyk, Magdalena / Walędziak, Maciej / Kwiatkowski, Andrzej / Czyżykowski, Łukasz / da Costa, Silvia Dantas / Pereira, Bela / Ferreira, Ana Rita Oliveira / Almeida, Filipe / Rocha, Ricardo / Carneiro, Carla / Perez, Diego Pita / Carvas, João / Rocha, Catarina / Ferreira, Cátia / Marques, Rita / Fernandes, Urânia / Leao, Pedro / Goulart, André / Pereira, Rita Gonçalves / Patrocínio, Sara Daniela Direito / de Mendonça, Nuno Gonçalo Gonçalves / Manso, Maria Isabel Cerqueira / Morais, Henrique Manuel Cardoso / Cardoso, Paulo Sebastião / Calu, Valentin / Miron, Adrian / Toma, Elena Adelina / Gachabayov, Mahir / Abdullaev, Abakar / Litvin, Andrey / Nechay, Taras / Tyagunov, Alexander / Yuldashev, Anvar / Bradley, Alison / Wilson, Michael / Panyko, Arpád / Látečková, Zuzana / Lacko, Vladimír / Lesko, Dusan / Soltes, Marek / Radonak, Jozef / Turrado-Rodriguez, Victor / Termes-Serra, Roser / Morales-Sevillano, Xavier / Lapolla, Pierfrancesco / Mingoli, Andrea / Brachini, Gioia / Degiuli, Maurizio / Sofia, Silvia / Reddavid, Rossella / de Manzoni Garberini, Andrea / Buffone, Angelica / Del Pozo, Eduardo Perea / Aparicio-Sánchez, Daniel / Dos Barbeito, Sandra / Estaire-Gómez, Mercedes / Vitón-Herrero, Rebeca / de Los Ángeles Gil Olarte-Marquez, Mª / Gil-Martínez, José / Alconchel, Felipe / Nicolás-López, Tatiana / Rahy-Martin, Aida Cristina / Pelloni, María / Bañolas-Suarez, Raquel / Mendoza-Moreno, Fernando / Nisa, Francisca García-Moreno / Díez-Alonso, Manuel / Rodas, María Elisa Valle / Agundez, María Carmona / Andrés, María Inmaculada Pérez / Moreira, Claudia Cristina Lopes / Perez, Aintzane Lizarazu / Ponce, Iñigo Augusto / González-Castillo, Ana María / Membrilla-Fernández, Estela / Salvans, Silvia / Serradilla-Martín, Mario / Pardo, Pablo Sancho / Rivera-Alonso, Daniel / Dziakova, Jana / Huguet, Jose Mugüerza / Valle, Naila Pagès / Ruiz, Enrique Colás / Valcárcel, Cristina Rey / Moreno, Cristina Ruiz / Salazar, Yeniffer Tatiana Moreno / García, Juan Jesús Rubio / Micó, Silvia Sevila / López, Joaquín Ruiz / Farré, Silvia Pérez / Gomez, Maite Santamaria / Petit, Nuria Mestres / Titos-García, Alberto / Aranda-Narváez, Jose Manuel / Romacho-López, Laura / Sánchez-Guillén, Luis / Aranaz-Ostariz, Veronica / Bosch-Ramírez, Marina / Martínez-Pérez, Aleix / Martínez-López, Elías / Sebastián-Tomás, Juan Carlos / Jimenez-Riera, Granada / Jimenez-Vega, Javier / Cuellar, Jose Aurelio Navas / Campos-Serra, Andrea / Muñoz-Campaña, Anna / Gràcia-Roman, Raquel / Alegre, Javier Martínez / Pinto, Francisca Lima / O'Sullivan, Sara Nuñez / Antona, Francisco Blanco / Jiménez, Beatriz Muñoz / López-Sánchez, Jaime / Carmona, Zahira Gómez / Fernández, Rocio Torres / Sierra, Isabel Blesa / de León, Laura Román García / Moreno, Verónica Polaino / Iglesias, Eva / Cumplido, Paola Lora / Bravo, Altea Arango / Simó, Ignacio Rey / Domínguez, Carlota López / Caamaño, Aloia Guerreiro / Lozano, Rafael Calleja / Martínez, Manuel Durán / Torres, Álvaro Naranjo / de Quiros, Javier Tomas Morales Bernaldo / Pellino, Gianluca / Cloquell, Miriam Moratal / Moller, Elsa García / Jalal-Eldin, Sami / Abdoun, Ahmed K / Hamid, Hytham K S / Lohsiriwat, Varut / Mongkhonsupphawan, Aitsariya / Baraket, Oussama / Ayed, Karim / Abbassi, Imed / Ali, Ali Ben / Ammar, Houssem / Kchaou, Ali / Tlili, Ahmed / Zribi, Imen / Colak, Elif / Polat, Suleyman / Koylu, Zehra Alan / Guner, Ali / Usta, Mehmet Arif / Reis, Murat Emre / Mantoglu, Baris / Gonullu, Emre / Akin, Emrah / Altintoprak, Fatih / Bayhan, Zulfu / Firat, Necattin / Isik, Arda / Memis, Ufuk / Bayrak, Mehmet / Altıntaş, Yasemin / Kara, Yasin / Bozkurt, Mehmet Abdussamet / Kocataş, Ali / Das, Koray / Seker, Ahmet / Ozer, Nazmi / Atici, Semra Demirli / Tuncer, Korhan / Kaya, Tayfun / Ozkan, Zeynep / Ilhan, Onur / Agackiran, Ibrahim / Uzunoglu, Mustafa Yener / Demirbas, Eren / Altinel, Yuksel / Meric, Serhat / Hacım, Nadir Adnan / Uymaz, Derya Salim / Omarov, Nail / Balık, Emre / Tebala, Giovanni D / Khalil, Hany / Rana, Mridul / Khan, Mansoor / Florence, Charlotte / Swaminathan, Christie / Leo, Cosimo Alex / Liasis, Lampros / Watfah, Josef / Trostchansky, Ivan / Delgado, Edward / Pontillo, Marcelo / Latifi, Rifat / Coimbra, Raul / Edwards, Sara / Lopez, Ana / Velmahos, George / Dorken, Ander / Gebran, Anthony / Palmer, Amanda / Oury, Jeffrey / Bardes, James M / Seng, Sirivan Suon / Coffua, Lauren S / Ratnasekera, Asanthi / Egodage, Tanya / Echeverria-Rosario, Karla / Armento, Isabella / Napolitano, Lena M / Sangji, Naveen F / Hemmila, Mark / Quick, Jacob A / Austin, Tyler R / Hyman, Theodore S / Curtiss, William / McClure, Amanda / Cairl, Nicholas / Biffl, Walter L / Truong, Hung P / Schaffer, Kathryn / Reames, Summer / Banchini, Filippo / Capelli, Patrizio / Coccolini, Federico / Sartelli, Massimo / Bravi, Francesca / Vallicelli, Carlo / Agnoletti, Vanni / Baiocchi, Gian Luca / Catena, Fausto

World journal of emergency surgery : WJES

2024 Volume 19, Issue 1, Page(s) 14

Abstract: Background: Literature suggests colonic resection and primary anastomosis (RPA) instead of Hartmann's procedure (HP) for the treatment of left-sided colonic emergencies. We aim to evaluate the surgical options globally used to treat patients with acute ... ...

Abstract	Background: Literature suggests colonic resection and primary anastomosis (RPA) instead of Hartmann's procedure (HP) for the treatment of left-sided colonic emergencies. We aim to evaluate the surgical options globally used to treat patients with acute left-sided colonic emergencies and the factors that leading to the choice of treatment, comparing HP and RPA. Methods: This is a prospective, international, multicenter, observational study registered on ClinicalTrials.gov. A total 1215 patients with left-sided colonic emergencies who required surgery were included from 204 centers during the period of March 1, 2020, to May 31, 2020. with a 1-year follow-up. Results: 564 patients (43.1%) were females. The mean age was 65.9 ± 15.6 years. HP was performed in 697 (57.3%) patients and RPA in 384 (31.6%) cases. Complicated acute diverticulitis was the most common cause of left-sided colonic emergencies (40.2%), followed by colorectal malignancy (36.6%). Severe complications (Clavien-Dindo ≥ 3b) were higher in the HP group (P < 0.001). 30-day mortality was higher in HP patients (13.7%), especially in case of bowel perforation and diffused peritonitis. 1-year follow-up showed no differences on ostomy reversal rate between HP and RPA. (P = 0.127). A backward likelihood logistic regression model showed that RPA was preferred in younger patients, having low ASA score (≤ 3), in case of large bowel obstruction, absence of colonic ischemia, longer time from admission to surgery, operating early at the day working hours, by a surgeon who performed more than 50 colorectal resections. Conclusions: After 100 years since the first Hartmann's procedure, HP remains the most common treatment for left-sided colorectal emergencies. Treatment's choice depends on patient characteristics, the time of surgery and the experience of the surgeon. RPA should be considered as the gold standard for surgery, with HP being an exception.
MeSH term(s)	Female ; Humans ; Middle Aged ; Aged ; Aged, 80 and over ; Male ; Emergencies ; Prospective Studies ; Postoperative Complications/etiology ; Anastomosis, Surgical/methods ; Colorectal Neoplasms/surgery
Language	English
Publishing date	2024-04-16
Publishing country	England
Document type	Observational Study ; Multicenter Study ; Journal Article
ZDB-ID	2233734-9
ISSN	1749-7922 ; 1749-7922
ISSN (online)	1749-7922
ISSN	1749-7922
DOI	10.1186/s13017-024-00543-w
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Article ; Online: Prospective Observational Study on acute Appendicitis Worldwide (POSAW).

Sartelli, Massimo / Baiocchi, Gian L / Di Saverio, Salomone / Ferrara, Francesco / Labricciosa, Francesco M / Ansaloni, Luca / Coccolini, Federico / Vijayan, Deepak / Abbas, Ashraf / Abongwa, Hariscine K / Agboola, John / Ahmed, Adamu / Akhmeteli, Lali / Akkapulu, Nezih / Akkucuk, Seckin / Altintoprak, Fatih / Andreiev, Aurelia L / Anyfantakis, Dimitrios / Atanasov, Boiko /

Bala, Miklosh / Balalis, Dimitrios / Baraket, Oussama / Bellanova, Giovanni / Beltran, Marcelo / Melo, Renato Bessa / Bini, Roberto / Bouliaris, Konstantinos / Brunelli, Daniele / Castillo, Adrian / Catani, Marco / Che Jusoh, Asri / Chichom-Mefire, Alain / Cocorullo, Gianfranco / Coimbra, Raul / Colak, Elif / Costa, Silvia / Das, Koray / Delibegovic, Samir / Demetrashvili, Zaza / Di Carlo, Isidoro / Kiseleva, Nadezda / El Zalabany, Tamer / Faro, Mario / Ferreira, Margarida / Fraga, Gustavo P / Gachabayov, Mahir / Ghnnam, Wagih M / Giménez Maurel, Teresa / Gkiokas, Georgios / Gomes, Carlos A / Griffiths, Ewen / Guner, Ali / Gupta, Sanjay / Hecker, Andreas / Hirano, Elcio S / Hodonou, Adrien / Hutan, Martin / Ioannidis, Orestis / Isik, Arda / Ivakhov, Georgy / Jain, Sumita / Jokubauskas, Mantas / Karamarkovic, Aleksandar / Kauhanen, Saila / Kaushik, Robin / Kavalakat, Alfie / Kenig, Jakub / Khokha, Vladimir / Khor, Desmond / Kim, Dennis / Kim, Jae I / Kong, Victor / Lasithiotakis, Konstantinos / Leão, Pedro / Leon, Miguel / Litvin, Andrey / Lohsiriwat, Varut / López-Tomassetti Fernandez, Eudaldo / Lostoridis, Eftychios / Maciel, James / Major, Piotr / Dimova, Ana / Manatakis, Dimitrios / Marinis, Athanasio / Martinez-Perez, Aleix / Marwah, Sanjay / McFarlane, Michael / Mesina, Cristian / Pędziwiatr, Michał / Michalopoulos, Nickos / Misiakos, Evangelos / Mohamedahmed, Ali / Moldovanu, Radu / Montori, Giulia / Mysore Narayana, Raghuveer / Negoi, Ionut / Nikolopoulos, Ioannis / Novelli, Giuseppe / Novikovs, Viktors / Olaoye, Iyiade / Omari, Abdelkarim / Ordoñez, Carlos A / Ouadii, Mouaqit / Ozkan, Zeynep / Pal, Ajay / Palini, Gian M / Partecke, Lars I / Pata, Francesco / Pereira Júnior, Gerson A / Pintar, Tadeja / Pisarska, Magdalena / Ploneda-Valencia, Cesar F / Pouggouras, Konstantinos / Prabhu, Vinod / Ramakrishnapillai, Padmakumar / Regimbeau, Jean-Marc / Reitz, Marianne / Rios-Cruz, Daniel / Saar, Sten / Sakakushev, Boris / Seretis, Charalampos / Sazhin, Alexander / Shelat, Vishal / Skrovina, Matej / Smirnov, Dmitry / Spyropoulos, Charalampos / Strzałka, Marcin / Talving, Peep / Teixeira Gonsaga, Ricardo A / Theobald, George / Tomadze, Gia / Torba, Myftar / Tranà, Cristian / Ulrych, Jan / Uzunoğlu, Mustafa Y / Vasilescu, Alin / Occhionorelli, Savino / Venara, Aurélien / Vereczkei, Andras / Vettoretto, Nereo / Vlad, Nutu / Walędziak, Maciej / Yilmaz, Tonguç U / Yuan, Kuo-Ching / Yunfeng, Cui / Zilinskas, Justas / Grelpois, Gérard / Catena, Fausto

World journal of emergency surgery : WJES

2018 Volume 13, Page(s) 19

Abstract: Background: Acute appendicitis (AA) is the most common surgical disease, and appendectomy is the treatment of choice in the majority of cases. A correct diagnosis is key for decreasing the negative appendectomy rate. The management can become difficult ... ...

Abstract	Background: Acute appendicitis (AA) is the most common surgical disease, and appendectomy is the treatment of choice in the majority of cases. A correct diagnosis is key for decreasing the negative appendectomy rate. The management can become difficult in case of complicated appendicitis. The aim of this study is to describe the worldwide clinical and diagnostic work-up and management of AA in surgical departments. Methods: This prospective multicenter observational study was performed in 116 worldwide surgical departments from 44 countries over a 6-month period (April 1, 2016-September 30, 2016). All consecutive patients admitted to surgical departments with a clinical diagnosis of AA were included in the study. Results: A total of 4282 patients were enrolled in the POSAW study, 1928 (45%) women and 2354 (55%) men, with a median age of 29 years. Nine hundred and seven (21.2%) patients underwent an abdominal CT scan, 1856 (43.3%) patients an US, and 285 (6.7%) patients both CT scan and US. A total of 4097 (95.7%) patients underwent surgery; 1809 (42.2%) underwent open appendectomy and 2215 (51.7%) had laparoscopic appendectomy. One hundred eighty-five (4.3%) patients were managed conservatively. Major complications occurred in 199 patients (4.6%). The overall mortality rate was 0.28%. Conclusions: The results of the present study confirm the clinical value of imaging techniques and prognostic scores. Appendectomy remains the most effective treatment of acute appendicitis. Mortality rate is low.
MeSH term(s)	Acute Disease/therapy ; Adult ; Appendectomy/adverse effects ; Appendectomy/methods ; Appendectomy/standards ; Appendicitis/surgery ; Chi-Square Distribution ; Female ; Hospitalization/statistics & numerical data ; Humans ; Laparoscopy/methods ; Laparoscopy/statistics & numerical data ; Length of Stay/statistics & numerical data ; Logistic Models ; Male ; Prospective Studies ; Tomography, X-Ray Computed/methods ; Treatment Outcome
Language	English
Publishing date	2018-04-16
Publishing country	England
Document type	Journal Article ; Multicenter Study ; Observational Study
ISSN	1749-7922
ISSN (online)	1749-7922
DOI	10.1186/s13017-018-0179-0
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Article ; Online: The ChoCO-W prospective observational global study: Does COVID-19 increase gangrenous cholecystitis?

De Simone, Belinda / Abu-Zidan, Fikri M / Chouillard, Elie / Di Saverio, Salomone / Sartelli, Massimo / Podda, Mauro / Gomes, Carlos Augusto / Moore, Ernest E / Moug, Susan J / Ansaloni, Luca / Kluger, Yoram / Coccolini, Federico / Landaluce-Olavarria, Aitor / Estraviz-Mateos, Begoña / Uriguen-Etxeberria, Ana / Giordano, Alessio / Luna, Alfonso Palmieri / Amín, Luz Adriana Hernández / Hernández, Adriana María Palmieri /

Shabana, Amanda / Dzulkarnaen, Zakaria Andee / Othman, Muhammad Asyraf / Sani, Mohamad Ikhwan / Balla, Andrea / Scaramuzzo, Rosa / Lepiane, Pasquale / Bottari, Andrea / Staderini, Fabio / Cianchi, Fabio / Cavallaro, Andrea / Zanghì, Antonio / Cappellani, Alessandro / Campagnacci, Roberto / Maurizi, Angela / Martinotti, Mario / Ruggieri, Annamaria / Jusoh, Asri Che / Rahman, Karim Abdul / Zulkifli, Anis Suraya M / Petronio, Barbara / Matías-García, Belén / Quiroga-Valcárcel, Ana / Mendoza-Moreno, Fernando / Atanasov, Boyko / Campanile, Fabio Cesare / Vecchioni, Ilaria / Cardinali, Luca / Travaglini, Grazia / Sebastiani, Elisa / Chooklin, Serge / Chuklin, Serhii / Cianci, Pasquale / Restini, Enrico / Capuzzolo, Sabino / Currò, Giuseppe / Filippo, Rosalinda / Rispoli, Michele / Aparicio-Sánchez, Daniel / Muñóz-Cruzado, Virginia Durán / Barbeito, Sandra Dios / Delibegovic, Samir / Kesetovic, Amar / Sasia, Diego / Borghi, Felice / Giraudo, Giorgio / Visconti, Diego / Doria, Emanuele / Santarelli, Mauro / Luppi, Davide / Bonilauri, Stefano / Grossi, Ugo / Zanus, Giacomo / Sartori, Alberto / Piatto, Giacomo / De Luca, Maurizio / Vita, Domenico / Conti, Luigi / Capelli, Patrizio / Cattaneo, Gaetano Maria / Marinis, Athanasios / Vederaki, Styliani-Aikaterini / Bayrak, Mehmet / Altıntas, Yasemin / Uzunoglu, Mustafa Yener / Demirbas, Iskender Eren / Altinel, Yuksel / Meric, Serhat / Aktimur, Yunus Emre / Uymaz, Derya Salim / Omarov, Nail / Azamat, Ibrahim / Lostoridis, Eftychios / Nagorni, Eleni-Aikaterini / Pujante, Antonio / Anania, Gabriele / Bombardini, Cristina / Bagolini, Francesco / Gonullu, Emre / Mantoglu, Baris / Capoglu, Recayi / Cappato, Stefano / Muzio, Elena / Colak, Elif / Polat, Suleyman / Koylu, Zehra Alan / Altintoprak, Fatih / Bayhan, Zülfü / Akin, Emrah / Andolfi, Enrico / Rezart, Sulce / Kim, Jae Il / Jung, Sung Won / Shin, Yong Chan / Enciu, Octavian / Toma, Elena Adelina / Medas, Fabio / Canu, Gian Luigi / Cappellacci, Federico / D'Acapito, Fabrizio 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Tutino, Roberta / Massani, Marco / Bisetto, Giovanni / Occhionorelli, Savino / Andreotti, Dario / Lacavalla, Domenico / Biffl, Walter L / Catena, Fausto

World journal of emergency surgery : WJES

2022 Volume 17, Issue 1, Page(s) 61

Abstract: Background: The incidence of the highly morbid and potentially lethal gangrenous cholecystitis was reportedly increased during the COVID-19 pandemic. The aim of the ChoCO-W study was to compare the clinical findings and outcomes of acute cholecystitis ... ...

Abstract	Background: The incidence of the highly morbid and potentially lethal gangrenous cholecystitis was reportedly increased during the COVID-19 pandemic. The aim of the ChoCO-W study was to compare the clinical findings and outcomes of acute cholecystitis in patients who had COVID-19 disease with those who did not. Methods: Data were prospectively collected over 6 months (October 1, 2020, to April 30, 2021) with 1-month follow-up. In October 2020, Delta variant of SARS CoV-2 was isolated for the first time. Demographic and clinical data were analyzed and reported according to the STROBE guidelines. Baseline characteristics and clinical outcomes of patients who had COVID-19 were compared with those who did not. Results: A total of 2893 patients, from 42 countries, 218 centers, involved, with a median age of 61.3 (SD: 17.39) years were prospectively enrolled in this study; 1481 (51%) patients were males. One hundred and eighty (6.9%) patients were COVID-19 positive, while 2412 (93.1%) were negative. Concomitant preexisting diseases including cardiovascular diseases (p < 0.0001), diabetes (p < 0.0001), and severe chronic obstructive airway disease (p = 0.005) were significantly more frequent in the COVID-19 group. Markers of sepsis severity including ARDS (p < 0.0001), PIPAS score (p < 0.0001), WSES sepsis score (p < 0.0001), qSOFA (p < 0.0001), and Tokyo classification of severity of acute cholecystitis (p < 0.0001) were significantly higher in the COVID-19 group. The COVID-19 group had significantly higher postoperative complications (32.2% compared with 11.7%, p < 0.0001), longer mean hospital stay (13.21 compared with 6.51 days, p < 0.0001), and mortality rate (13.4% compared with 1.7%, p < 0.0001). The incidence of gangrenous cholecystitis was doubled in the COVID-19 group (40.7% compared with 22.3%). The mean wall thickness of the gallbladder was significantly higher in the COVID-19 group [6.32 (SD: 2.44) mm compared with 5.4 (SD: 3.45) mm; p < 0.0001]. Conclusions: The incidence of gangrenous cholecystitis is higher in COVID patients compared with non-COVID patients admitted to the emergency department with acute cholecystitis. Gangrenous cholecystitis in COVID patients is associated with high-grade Clavien-Dindo postoperative complications, longer hospital stay and higher mortality rate. The open cholecystectomy rate is higher in COVID compared with non -COVID patients. It is recommended to delay the surgical treatment in COVID patients, when it is possible, to decrease morbidity and mortality rates. COVID-19 infection and gangrenous cholecystistis are not absolute contraindications to perform laparoscopic cholecystectomy, in a case by case evaluation, in expert hands.
Language	English
Publishing date	2022-12-16
Publishing country	England
Document type	Journal Article
ZDB-ID	2233734-9
ISSN	1749-7922 ; 1749-7922
ISSN (online)	1749-7922
ISSN	1749-7922
DOI	10.1186/s13017-022-00466-4
Database	MEDical Literature Analysis and Retrieval System OnLINE

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