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  1. Article ; Online: Choleperitoneum secondary to isolated subserosal gallbladder injury due to blunt abdominal trauma - A case report.

    Reitz, Marianne Marchini / Araújo, Júlio Muniz / de Souza, Guilherme Henrique Novaes / Gagliardi, Danielle Pieretti / de Toledo, Flávius Vinícius Teixeira / Ribeiro Júnior, Marcelo Augusto Fontenelle

    Trauma case reports

    2022  Volume 41, Page(s) 100674

    Abstract: When dealing with rare traumatic injuries, surgeons might have difficulty diagnosing them and choosing the most appropriate management when no consensus exist on the best course of action. In such circumstances, drawing on the experience of colleagues ... ...

    Abstract When dealing with rare traumatic injuries, surgeons might have difficulty diagnosing them and choosing the most appropriate management when no consensus exist on the best course of action. In such circumstances, drawing on the experience of colleagues can be of great value. Traumatic injuries of the gallbladder are unusual and might not be readily identifiable neither in imaging studies nor during surgery. Retrograde cholangiography plays an important role in correctly diagnosing these injuries and guiding decision-making. We report a case of a subserosal perforation due to blunt trauma to the abdomen, which was identified intraoperatively after a transcystic retrograde cholangiogram was performed and managed successfully with formal cholecystectomy.
    Language English
    Publishing date 2022-07-08
    Publishing country Netherlands
    Document type Case Reports
    ZDB-ID 2835433-3
    ISSN 2352-6440 ; 2352-6440
    ISSN (online) 2352-6440
    ISSN 2352-6440
    DOI 10.1016/j.tcr.2022.100674
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Performance of Focused Assessment with Sonography for Trauma Following Resuscitative Thoracotomy for Traumatic Cardiac Arrest.

    Ghafil, Cameron / Matsushima, Kazuhide / Guzman, Ruben / Owattanapanich, Natthida / Reitz, Marianne Marchini / Garapati, Hemanth / Nwokedi, Josephine O / Inaba, Kenji

    World journal of surgery

    2021  Volume 46, Issue 1, Page(s) 91–97

    Abstract: Background: In patients undergoing resuscitative thoracotomy (RT) for traumatic cardiac arrest, focused assessment with sonography for trauma (FAST) is often used to look for intraperitoneal fluid. These findings can help determine whether abdominal ... ...

    Abstract Background: In patients undergoing resuscitative thoracotomy (RT) for traumatic cardiac arrest, focused assessment with sonography for trauma (FAST) is often used to look for intraperitoneal fluid. These findings can help determine whether abdominal exploration is warranted once return of spontaneous circulation is achieved; however, the diagnostic accuracy of FAST in this clinical scenario has yet to be evaluated. The purpose of this study was to assess the performance of FAST in identifying intra-abdominal hemorrhage following RT.
    Methods: We performed a 3-year retrospective study at a high-volume level 1 trauma center from 2014 to 2016. We included patients who underwent RT in the Emergency Department. All FAST examinations were performed by non-radiologists. Operative findings, computed tomography reports, diagnostic peritoneal aspirate (DPA) results, and autopsy findings were used as reference standards to calculate the sensitivity, specificity, positive predictive value (PPV), negative predictive value (NPV), and accuracy of the FAST.
    Results: A total of 158 patients met our inclusion criteria. The median age was 35 years (interquartile range [IQR]: 23-53), 86.1% were male, and 60.1% sustained blunt trauma. Most patients suffered severe injuries with a median injury severity score of 27 (IQR: 18-38). The sensitivity, specificity, PPV, NPV, and accuracy of FAST for identifying intra-abdominal hemorrhage were 66.0%, 84.8%, 68.6%, 83.2%, and 78.5%, respectively. Among the 107 patients with a negative FAST, 22 (20.6%) underwent DPA, which was positive in 5 patients.
    Conclusions: FAST can be utilized in the diagnostic workup of trauma patients after RT. In patients with a positive FAST, exploratory laparotomy is warranted, whereas other diagnostic adjuncts such as DPA or mandatory abdominal exploration may be considered in patients with a negative FAST.
    MeSH term(s) Abdominal Injuries/diagnostic imaging ; Abdominal Injuries/surgery ; Adult ; Focused Assessment with Sonography for Trauma ; Heart Arrest/etiology ; Humans ; Male ; Retrospective Studies ; Sensitivity and Specificity ; Thoracotomy ; Ultrasonography ; Wounds, Nonpenetrating/diagnostic imaging ; Wounds, Nonpenetrating/surgery
    Language English
    Publishing date 2021-09-22
    Publishing country United States
    Document type Journal Article
    ZDB-ID 224043-9
    ISSN 1432-2323 ; 0364-2313
    ISSN (online) 1432-2323
    ISSN 0364-2313
    DOI 10.1007/s00268-021-06317-8
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Physiological parameters for Prognosis in Abdominal Sepsis (PIPAS) Study: a WSES observational study.

    Sartelli, Massimo / Abu-Zidan, Fikri M / Labricciosa, Francesco M / Kluger, Yoram / Coccolini, Federico / Ansaloni, Luca / Leppäniemi, Ari / Kirkpatrick, Andrew W / Tolonen, Matti / Tranà, Cristian / Regimbeau, Jean-Marc / Hardcastle, Timothy / Koshy, Renol M / Abbas, Ashraf / Aday, Ulaş / Adesunkanmi, A R K / Ajibade, Adesina / Akhmeteli, Lali / Akın, Emrah /
    Akkapulu, Nezih / Alotaibi, Alhenouf / Altintoprak, Fatih / Anyfantakis, Dimitrios / Atanasov, Boyko / Augustin, Goran / Azevedo, Constança / Bala, Miklosh / Balalis, Dimitrios / Baraket, Oussama / Baral, Suman / Barkai, Or / Beltran, Marcelo / Bini, Roberto / Bouliaris, Konstantinos / Caballero, Ana B / Calu, Valentin / Catani, Marco / Ceresoli, Marco / Charalampakis, Vasileios / Jusoh, Asri Che / Chiarugi, Massimo / Cillara, Nicola / Cuesta, Raquel Cobos / Cobuccio, Luigi / Cocorullo, Gianfranco / Colak, Elif / Conti, Luigi / Cui, Yunfeng / De Simone, Belinda / Delibegovic, Samir / Demetrashvili, Zaza / Demetriades, Demetrios / Dimova, Ana / Dogjani, Agron / Enani, Mushira / Farina, Federica / Ferrara, Francesco / Foghetti, Domitilla / Fontana, Tommaso / Fraga, Gustavo P / Gachabayov, Mahir / Gérard, Grelpois / Ghnnam, Wagih / Maurel, Teresa Giménez / Gkiokas, Georgios / Gomes, Carlos A / Guner, Ali / Gupta, Sanjay / Hecker, Andreas / Hirano, Elcio S / Hodonou, Adrien / Hutan, Martin / Ilaschuk, Igor / Ioannidis, Orestis / Isik, Arda / Ivakhov, Georgy / Jain, Sumita / Jokubauskas, Mantas / Karamarkovic, Aleksandar / Kaushik, Robin / Kenig, Jakub / Khokha, Vladimir / Khokha, Denis / Kim, Jae Il / Kong, Victor / Korkolis, Dimitris / Kruger, Vitor F / Kshirsagar, Ashok / Simões, Romeo Lages / Lanaia, Andrea / Lasithiotakis, Konstantinos / Leão, Pedro / Arellano, Miguel León / Listle, Holger / Litvin, Andrey / Lizarazu Pérez, Aintzane / Lopez-Tomassetti Fernandez, Eudaldo / Lostoridis, Eftychios / Luppi, Davide / Machain V, Gustavo M / Major, Piotr / Manatakis, Dimitrios / Reitz, Marianne Marchini / Marinis, Athanasios / Marrelli, Daniele / Martínez-Pérez, Aleix / Marwah, Sanjay / McFarlane, Michael / Mesic, Mirza / Mesina, Cristian / Michalopoulos, Nickos / Misiakos, Evangelos / Moreira, Felipe Gonçalves / Mouaqit, Ouadii / Muhtaroglu, Ali / Naidoo, Noel / Negoi, Ionut / Nikitina, Zane / Nikolopoulos, Ioannis / Nita, Gabriela-Elisa / Occhionorelli, Savino / Olaoye, Iyiade / Ordoñez, Carlos A / Ozkan, Zeynep / Pal, Ajay / Palini, Gian M / Papageorgiou, Kyriaki / Papagoras, Dimitris / Pata, Francesco / Pędziwiatr, Michał / Pereira, Jorge / Pereira Junior, Gerson A / Perrone, Gennaro / Pintar, Tadeja / Pisarska, Magdalena / Plehutsa, Oleksandr / Podda, Mauro / Poillucci, Gaetano / Quiodettis, Martha / Rahim, Tuba / Rios-Cruz, Daniel / Rodrigues, Gabriel / Rozov, Dmytry / Sakakushev, Boris / Sall, Ibrahima / Sazhin, Alexander / Semião, Miguel / Sharda, Taanya / Shelat, Vishal / Sinibaldi, Giovanni / Skicko, Dmitrijs / Skrovina, Matej / Stamatiou, Dimitrios / Stella, Marco / Strzałka, Marcin / Sydorchuk, Ruslan / Teixeira Gonsaga, Ricardo A / Tochie, Joel Noutakdie / Tomadze, Gia / Ugoletti, Lara / Ulrych, Jan / Ümarik, Toomas / Uzunoglu, Mustafa Y / Vasilescu, Alin / Vaz, Osborne / Vereczkei, Andras / Vlad, Nutu / Walędziak, Maciej / Yahya, Ali I / Yalkin, Omer / Yilmaz, Tonguç U / Ünal, Ali Ekrem / Yuan, Kuo-Ching / Zachariah, Sanoop K / Žilinskas, Justas / Zizzo, Maurizio / Pattonieri, Vittoria / Baiocchi, Gian Luca / Catena, Fausto

    World journal of emergency surgery : WJES

    2019  Volume 14, Page(s) 34

    Abstract: Background: Timing and adequacy of peritoneal source control are the most important pillars in the management of patients with acute peritonitis. Therefore, early prognostic evaluation of acute peritonitis is paramount to assess the severity and ... ...

    Abstract Background: Timing and adequacy of peritoneal source control are the most important pillars in the management of patients with acute peritonitis. Therefore, early prognostic evaluation of acute peritonitis is paramount to assess the severity and establish a prompt and appropriate treatment. The objectives of this study were to identify clinical and laboratory predictors for in-hospital mortality in patients with acute peritonitis and to develop a warning score system, based on easily recognizable and assessable variables, globally accepted.
    Methods: This worldwide multicentre observational study included 153 surgical departments across 56 countries over a 4-month study period between February 1, 2018, and May 31, 2018.
    Results: A total of 3137 patients were included, with 1815 (57.9%) men and 1322 (42.1%) women, with a median age of 47 years (interquartile range [IQR] 28-66). The overall in-hospital mortality rate was 8.9%, with a median length of stay of 6 days (IQR 4-10). Using multivariable logistic regression, independent variables associated with in-hospital mortality were identified: age > 80 years, malignancy, severe cardiovascular disease, severe chronic kidney disease, respiratory rate ≥ 22 breaths/min, systolic blood pressure < 100 mmHg, AVPU responsiveness scale (voice and unresponsive), blood oxygen saturation level (SpO
    Conclusions: The simple PIPAS Severity Score can be used on a global level and can help clinicians to identify patients at high risk for treatment failure and mortality.
    MeSH term(s) Abdomen/abnormalities ; Abdomen/physiopathology ; Adult ; Aged ; Chi-Square Distribution ; Female ; Hospital Mortality ; Humans ; Injury Severity Score ; Logistic Models ; Male ; Middle Aged ; Prognosis ; Risk Factors ; Sepsis/diagnosis ; Sepsis/physiopathology
    Language English
    Publishing date 2019-07-15
    Publishing country England
    Document type Journal Article ; Multicenter Study ; Observational Study
    ISSN 1749-7922
    ISSN (online) 1749-7922
    DOI 10.1186/s13017-019-0253-2
    Database MEDical Literature Analysis and Retrieval System OnLINE

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