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1. Pediatric trauma and emergency surgery: an international cross-sectional survey among WSES members

Author

Martin Reichert, Massimo Sartelli, Ingolf H. Askevold, Jaqueline Braun, Markus A. Weigand, Matthias Hecker, Vanni Agnoletti, Federico Coccolini, Fausto Catena, Winfried Padberg, Jens G. Riedel, Andreas Hecker, and The WSES pediatric emergency surgery collaboration group

Subjects
Emergency surgery, Trauma surgery, Emergency, Appendicitis, WSES, Pediatric surgery, Surgery, RD1-811, Medical emergencies. Critical care. Intensive care. First aid, RC86-88.9
Abstract

Abstract Background In contrast to adults, the situation for pediatric trauma care from an international point of view and the global management of severely injured children remain rather unclear. The current study investigates structural management of pediatric trauma in centers of different trauma levels as well as experiences with pediatric trauma management around the world. Methods A web-survey had been distributed to the global mailing list of the World Society of Emergency Surgery from 10/2021–03/2022, investigating characteristics of respondents and affiliated hospitals, case-load of pediatric trauma patients, capacities and infrastructure for critical care in children, trauma team composition, clinical work-up and individual experiences with pediatric trauma management in response to patients´ age. The collaboration group was subdivided regarding sizes of affiliated hospitals to allow comparisons concerning hospital volumes. Comparable results were conducted to statistical analysis. Results A total of 133 participants from 34 countries, i.e. 5 continents responded to the survey. They were most commonly affiliated with larger hospitals (> 500 beds in 72.9%) and with level I or II trauma centers (82.0%), respectively. 74.4% of hospitals offer unrestricted pediatric medical care, but only 63.2% and 42.9% of the participants had sufficient experiences with trauma care in children ≤ 10 and ≤ 5 years of age (p = 0.0014). This situation is aggravated in participants from smaller hospitals (p 500 in-hospital beds), larger hospitals were more likely affiliated with advanced trauma centers, more elaborated pediatric intensive care infrastructure (p

Published
2023
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2. Pediatric trauma and emergency surgery: an international cross-sectional survey among WSES members.

Author

Reichert, Martin, Sartelli, Massimo, Askevold, Ingolf H., Braun, Jaqueline, Weigand, Markus A., Hecker, Matthias, Agnoletti, Vanni, Coccolini, Federico, Catena, Fausto, Padberg, Winfried, Riedel, Jens G., Hecker, Andreas, The WSES pediatric emergency surgery collaboration group, Dogjani, Agron, Kuriyama, Akira, Porcu, Alberto, Martínez-Pérez, Aleix, Coppola, Alessandro, Spolini, Alessandro, and Giordano, Alessio

Subjects
*TRAUMA surgery, *WORK experience (Employment), *PROFESSIONS, *HOSPITAL utilization, *WORKFLOW, *QUESTIONNAIRES, *CRITICAL care medicine, *ORGANIZATIONAL effectiveness, *HEALTH care teams, *RESEARCH funding, *PHYSICIAN practice patterns, *PEDIATRIC surgery, *HEALTH care rationing
Abstract

Background: In contrast to adults, the situation for pediatric trauma care from an international point of view and the global management of severely injured children remain rather unclear. The current study investigates structural management of pediatric trauma in centers of different trauma levels as well as experiences with pediatric trauma management around the world. Methods: A web-survey had been distributed to the global mailing list of the World Society of Emergency Surgery from 10/2021–03/2022, investigating characteristics of respondents and affiliated hospitals, case-load of pediatric trauma patients, capacities and infrastructure for critical care in children, trauma team composition, clinical work-up and individual experiences with pediatric trauma management in response to patients´ age. The collaboration group was subdivided regarding sizes of affiliated hospitals to allow comparisons concerning hospital volumes. Comparable results were conducted to statistical analysis. Results: A total of 133 participants from 34 countries, i.e. 5 continents responded to the survey. They were most commonly affiliated with larger hospitals (> 500 beds in 72.9%) and with level I or II trauma centers (82.0%), respectively. 74.4% of hospitals offer unrestricted pediatric medical care, but only 63.2% and 42.9% of the participants had sufficient experiences with trauma care in children ≤ 10 and ≤ 5 years of age (p = 0.0014). This situation is aggravated in participants from smaller hospitals (p < 0.01). With regard to hospital size (≤ 500 versus > 500 in-hospital beds), larger hospitals were more likely affiliated with advanced trauma centers, more elaborated pediatric intensive care infrastructure (p < 0.0001), treated children at all ages more frequently (p = 0.0938) and have higher case-loads of severely injured children < 12 years of age (p = 0.0009). Therefore, the majority of larger hospitals reserve either pediatric surgery departments or board-certified pediatric surgeons (p < 0.0001) and in-hospital trauma management is conducted more multi-disciplinarily. However, the majority of respondents does not feel prepared for treatment of severe pediatric trauma and call for special educational and practical training courses (overall: 80.2% and 64.3%, respectively). Conclusions: Multi-professional management of pediatric trauma and individual experiences with severely injured children depend on volumes, level of trauma centers and infrastructure of the hospital. However, respondents from hospitals at all levels of trauma care complain about an alarming lack of knowledge on pediatric trauma management. [ABSTRACT FROM AUTHOR]

Published
2023
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3. The application of the WSES classification system for open pelvic fractures—validation and supplement from a nationwide data bank

Author

Pei-Hua Li, Ting-An Hsu, Yu-Chi Kuo, Chih-Yuan Fu, Francesco Bajani, Marissa Bokhari, Justin Mis, Stathis Poulakidas, and Faran Bokhari

Subjects
WSES, Open pelvic fracture, Blunt abdomen trauma, Surgery, RD1-811, Medical emergencies. Critical care. Intensive care. First aid, RC86-88.9
Abstract

Abstract Background Open pelvic fractures are rare but complex injuries. Concomitant external and internal hemorrhage and wound infection-related sepsis result in a high mortality rate and treatment challenges. Here, we validated the World Society Emergency Society (WSES) classification system for pelvic injuries in open pelvic fractures, which are quite different from closed fractures, using the National Trauma Data Bank (NTDB). Methods Open pelvic fracture patients in the NTDB 2015 dataset were retrospectively queried. The mortality rates associated with WSES minor, moderate and severe injuries were compared. A multivariate logistic regression model (MLR) was used to evaluate independent factors of mortality. Patients with and without sepsis were compared. The performance of the WSES classification in the prediction of mortality was evaluated by determining the discrimination and calibration. Results A total of 830 open pelvic fracture patients were studied. The mortality rates of the mild, moderate and severe WSES classes were 3.5%, 11.2% and 23.8%, respectively (p

Published
2022
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4. Two years later: Is the SARS-CoV-2 pandemic still having an impact on emergency surgery? An international cross-sectional survey among WSES members.

Author

Reichert, Martin, Sartelli, Massimo, Weigand, Markus A., Hecker, Matthias, Oppelt, Philip U., Noll, Julia, Askevold, Ingolf H., Liese, Juliane, Padberg, Winfried, Coccolini, Federico, Catena, Fausto, Hecker, Andreas, The WSES COVID-19 emergency surgery survey collaboration group, Peckham-Cooper, Adam, Camacho-Ortiz, Adrian, Mastoraki, Aikaterini T., Landaluce-Olavarria, Aitor, Pal, Ajay Kumar, Kuriyama, Akira, and Chichom-Mefire, Alain

Subjects
*HOSPITAL emergency services, *OPERATIVE surgery, *CROSS-sectional method, *APPENDICITIS, *PATIENTS, *CHOLECYSTITIS, *SURVEYS, *TREATMENT effectiveness, *TREATMENT delay (Medicine), *EMERGENCY medical services, *EMPLOYEES' workload, *DESCRIPTIVE statistics, *INTERNATIONAL agencies, *WORKING hours, *COVID-19 pandemic, *DIVERTICULITIS
Abstract

Background: The SARS-CoV-2 pandemic is still ongoing and a major challenge for health care services worldwide. In the first WSES COVID-19 emergency surgery survey, a strong negative impact on emergency surgery (ES) had been described already early in the pandemic situation. However, the knowledge is limited about current effects of the pandemic on patient flow through emergency rooms, daily routine and decision making in ES as well as their changes over time during the last two pandemic years. This second WSES COVID-19 emergency surgery survey investigates the impact of the SARS-CoV-2 pandemic on ES during the course of the pandemic. Methods: A web survey had been distributed to medical specialists in ES during a four-week period from January 2022, investigating the impact of the pandemic on patients and septic diseases both requiring ES, structural problems due to the pandemic and time-to-intervention in ES routine. Results: 367 collaborators from 59 countries responded to the survey. The majority indicated that the pandemic still significantly impacts on treatment and outcome of surgical emergency patients (83.1% and 78.5%, respectively). As reasons, the collaborators reported decreased case load in ES (44.7%), but patients presenting with more prolonged and severe diseases, especially concerning perforated appendicitis (62.1%) and diverticulitis (57.5%). Otherwise, approximately 50% of the participants still observe a delay in time-to-intervention in ES compared with the situation before the pandemic. Relevant causes leading to enlarged time-to-intervention in ES during the pandemic are persistent problems with in-hospital logistics, lacks in medical staff as well as operating room and intensive care capacities during the pandemic. This leads not only to the need for triage or transferring of ES patients to other hospitals, reported by 64.0% and 48.8% of the collaborators, respectively, but also to paradigm shifts in treatment modalities to non-operative approaches reported by 67.3% of the participants, especially in uncomplicated appendicitis, cholecystitis and multiple-recurrent diverticulitis. Conclusions: The SARS-CoV-2 pandemic still significantly impacts on care and outcome of patients in ES. Well-known problems with in-hospital logistics are not sufficiently resolved by now; however, medical staff shortages and reduced capacities have been dramatically aggravated over last two pandemic years. [ABSTRACT FROM AUTHOR]

Published
2022
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5. Liver Trauma: Management in the Emergency Setting and Medico-Legal Implications.

Author

Saviano, Angela, Ojetti, Veronica, Zanza, Christian, Franceschi, Francesco, Longhitano, Yaroslava, Martuscelli, Ermelinda, Maiese, Aniello, Volonnino, Gianpietro, Bertozzi, Giuseppe, Ferrara, Michela, and La Russa, Raffaele

Subjects
*EMERGENCY management, *ABDOMINAL injuries, *BLUNT trauma, *EMERGENCY physicians, *LIVER, *LIVER surgery
Abstract

Traumatic abdominal injuries are life-threatening emergencies frequently seen in the Emergency Department (ED). The most common is liver trauma, which accounts for approximately 5% of all ED admissions for trauma. The management of blunt liver trauma has evolved significantly over the past few decades and, according to the injury's severity, it may require massive resuscitation, radiological procedures, endoscopy, or surgery. Patients admitted to the ED with blunt abdominal trauma require a multidisciplinary evaluation, including emergency physicians, surgeons, radiologists, and anesthetists, who must promptly identify the extent of the injury to prevent serious complications. In case of a patient's death, the execution of a forensic examination carried out with a multidisciplinary approach (radiological, macroscopic, and histological) is essential to understand the cause of death and to correlate the extent of the injuries to the possibility of survival to be able to manage any medico-legal disputes. This manuscript aims to collect the most up-to-date evidence regarding the management of hepatic trauma in the emergency room and to explore radiological findings and medico-legal implications. [ABSTRACT FROM AUTHOR]

Published
2022
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6. The application of the WSES classification system for open pelvic fractures—validation and supplement from a nationwide data bank.

Author

Li, Pei-Hua, Hsu, Ting-An, Kuo, Yu-Chi, Fu, Chih-Yuan, Bajani, Francesco, Bokhari, Marissa, Mis, Justin, Poulakidas, Stathis, and Bokhari, Faran

Subjects
*PELVIC fractures, *DATABASES, *OPERATIVE surgery, *RESEARCH methodology, *MULTIPLE regression analysis, *RETROSPECTIVE studies, *ACQUISITION of data, *COMPARATIVE studies, *SEPSIS, *COMPOUND fractures, *PELVIC bones, *EMERGENCY medical services, *MEDICAL records, *DESCRIPTIVE statistics, *INTERNATIONAL agencies, *WOUNDS & injuries, *ODDS ratio, *RECEIVER operating characteristic curves, *DISEASE complications, MORTALITY risk factors
Abstract

Background: Open pelvic fractures are rare but complex injuries. Concomitant external and internal hemorrhage and wound infection-related sepsis result in a high mortality rate and treatment challenges. Here, we validated the World Society Emergency Society (WSES) classification system for pelvic injuries in open pelvic fractures, which are quite different from closed fractures, using the National Trauma Data Bank (NTDB). Methods: Open pelvic fracture patients in the NTDB 2015 dataset were retrospectively queried. The mortality rates associated with WSES minor, moderate and severe injuries were compared. A multivariate logistic regression model (MLR) was used to evaluate independent factors of mortality. Patients with and without sepsis were compared. The performance of the WSES classification in the prediction of mortality was evaluated by determining the discrimination and calibration. Results: A total of 830 open pelvic fracture patients were studied. The mortality rates of the mild, moderate and severe WSES classes were 3.5%, 11.2% and 23.8%, respectively (p < 0.001). The MLR analysis showed that the presence of sepsis was an independent factor of mortality (odds of mortality 9.740, p < 0.001). Compared with patients without sepsis, those with sepsis had significantly higher mortality rates in all WSES classes (minor: 40.0% vs. 3.1%, p < 0.001; moderate: 50.0% vs. 9.1%, p < 0.001; severe: 66.7% vs. 22.2%, p < 0.001). The receiver operating characteristic (ROC) curve showed an acceptable discrimination of the WSES classification alone for evaluating the mortality of open pelvic fracture patients [area under curve (AUC) = 0.717]. Improved discrimination with an increased AUC was observed using the WSES classification plus sepsis (AUC = 0.767). Conclusions: The WSES guidelines can be applied to evaluate patients with open pelvic fracture with accurate evaluation of outcomes. The presence of sepsis is recommended as a supplement to the WSES classification for open pelvic fractures. [ABSTRACT FROM AUTHOR]

Published
2022
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7. Impact of the SARS-CoV-2 pandemic on emergency surgery services—a multi-national survey among WSES members

Author

Martin Reichert, Massimo Sartelli, Markus A. Weigand, Christoph Doppstadt, Matthias Hecker, Alexander Reinisch-Liese, Fabienne Bender, Ingolf Askevold, Winfried Padberg, Federico Coccolini, Fausto Catena, Andreas Hecker, and The WSES COVID-19 emergency surgery survey collaboration group

Subjects
COVID-19, SARS-CoV-2, Emergency surgery, Appendicitis, Cholecystitis, WSES, Surgery, RD1-811, Medical emergencies. Critical care. Intensive care. First aid, RC86-88.9
Abstract

Abstract Background The SARS-CoV-2 pandemic is a major challenge for health care services worldwide. It’s impact on oncologic therapies and elective surgery has been described recently, and the literature provides guidelines regarding appropriate elective patient treatment during the pandemic. However, the impact of SARS-CoV-2 pandemic on emergency surgery services has been poorly investigated up to now. Methods A 17-item web survey had been distributed to emergency surgeons in June 2020 around the world, investigating the impact of SARS-CoV-2 pandemic on patients and septic diseases both requiring emergency surgery and the time-to-intervention in emergency surgery routine, as well as experiences with surgery in COVID-19 patients. Results Ninety-eight collaborators from 31 countries responded to the survey. The majority (65.3%) estimated the impact of the SARS-CoV-2 pandemic on emergency surgical patient care as being strong or very strong. Due to the pandemic, 87.8% reported a decrease in the total number of patients undergoing emergency surgery and approximately 25% estimated a delay of more than 2 h in the time-to-diagnosis and another 2 h in the time-to-intervention. Fifty percent make structural problems with in-hospital logistics (e.g. transport of patients, closed normal wards etc.) mainly responsible for delayed emergency surgery and the frequent need (56.1%) for a triage of emergency surgical patients. 56.1% of the collaborators observed more severe septic abdominal diseases during the pandemic, especially for perforated appendicitis and severe septic cholecystitis (41.8% and 40.2%, respectively). 62.2% had experiences with surgery in COVID-19-infected patients. Conclusions The results of The WSES COVID-19 emergency surgery survey are alarming. The combination of an estimated decrease in numbers of emergency surgical patients and an observed increase in more severe septic diseases may be a result of the fear of patients from infection with COVID-19 and a consecutive delayed hospital admission and diagnosis. A critical delay in time-to-diagnosis and time-to-intervention may be a result of changes in in-hospital logistics and operating room as well as intensive care capacities. Both reflect the potentially harmful impact of SARS-CoV-2 pandemic on emergency surgery services.

Published
2020
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8. Grade III blunt splenic injury without contrast extravasation - World Society of Emergency Surgery Nijmegen consensus practice

Author

Francesco Amico, Rebecca Anning, Cino Bendinelli, Zsolt J. Balogh, and Participants of the 2019 World Society of Emergency Surgery (WSES) Nijmegen splenic injury collaboration group.

Subjects
Trauma, Spleen, Injury, Blunt, Grade III, WSES, Surgery, RD1-811, Medical emergencies. Critical care. Intensive care. First aid, RC86-88.9
Abstract

Abstract Background Recent trauma guidelines recommend non-operative management for grade III splenic injury without contrast extravasation on computed tomography. Nevertheless, such recommendations rely on low-quality evidence, and practice variation characterizes clinical management for this type of injury. We aimed to identify the role of eleven selected clinical factors influencing the management of grade III splenic injury without contrast extravasation by expert consensus and a modified Delphi approach. Methods A questionnaire was developed with the endorsement of the World Society of Emergency Surgery (WSES). This was delivered and answered live by acute care surgeons attending the 6th WSES congress in Nijmegen in 2019. A dedicated mobile phone application was utilized to collect the answers. All answers were evaluated for areas of discrepancy with an 80% threshold for consensus between respondents. Results Three factors generated discrepancy in opinion for managing this pattern of injury: the patients’ injury severity, the presence of a bleeding diathesis, and an associated intra-abdominal injury. Agreement was obtained for the other eight factors. Conclusion Researchers should focus their efforts on the identified area of discrepancy. Clinicians should use additional care in the presence of the three factors for which discordant opinions were found.

Published
2020
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9. Utility of World Society of Emergency Surgery Sepsis Severity Score in Predicting Outcomes of Intra-abdominal Infections

Author

Kinyua Isaiah Mwenda, Ojuka Daniel, and Awori Mark

Subjects
wses, sepsis, sepsis severity score, intra-abdominal infections, Surgery, RD1-811
Abstract

Background: Intra-abdominal infections are classified as simple or complicated. Many tools have been studied to predict risk factors and outcomes of patients with intra-abdominal infections. None of these tools has been adopted for patient care at the Kenyatta National Hospital (KNH), Kenya. Objective: To determine the utility of the World Society of Emergency Surgery (WSES) Sepsis Severity Score in predicting short-term outcomes of patients managed for complicated intra-abdominal infections. Methods: We conducted a hospital-based prospective cohort study. Patients aged 18 years and above with complicated intra-abdominal infections were recruited. Data were obtained on demographics, condition at admission, time to source control, origin of infection, immune suppressants and complications. IBM SPSS version 21.0 was used to obtain means and standard deviations while logistic regression was used for associations. Results: A sepsis severity score of 6.5, best predicted mortality having a sensitivity of 80% and a specificity of 20.9% were obtained. For each unit increase in the WSES scores, the odds of mortality were 2.1, organ dysfunction 2.2, CCU admission 2.1. Conclusion: Our sepsis severity score has demonstrated good performance in our adult population, and also ability to predict adverse outcomes other than mortality in patients managed for intra-abdominal sepsis.

Published
2020

10. Risk factors for necrotic cholecystitis during the COVID-19 pandemic: the ChoCO-WSES prospective collaborative study’s experience.

Author

de Simone, Belinda, Catena, Fausto, Saverio, Salomone Di, Sartelli, Massimo, Abu-Zidan, Fikri M., Podda, Mauro, Biffl, Walter L., Ansaloni, Luca, Coccolini, Federico, Moore, Ernest E., Kluger, Yoram, Gomes, Carlos Augusto, Agresta, Ferdinando, and Chouillard, Elie

Subjects
*CHOLECYSTITIS, *COVID-19 pandemic, *MEDICAL ethics, *LONGITUDINAL method, WESTERN countries
Published
2021
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11. WSES guidelines updates

Author

Marco Ceresoli, Federico Coccolini, Walter L. Biffl, Massimo Sartelli, Luca Ansaloni, Ernest E. Moore, Salomone Di Saverio, Yoram Kluger, and Fausto Catena

Subjects
Guidelines, Evidence-based medicine, Guideline development, Guideline update, WSES, Surgery, RD1-811, Medical emergencies. Critical care. Intensive care. First aid, RC86-88.9
Abstract

Abstract The World Society of Emergency Surgery promotes training and continuing medical education in the field of emergency surgery and trauma. One of the most important activities of the society is the development of guidelines. The debate about the process of developing and updating guidelines is very active with no clear consensus and different policies among scientific societies. The present commentary provides the position of the World Society of Emergency Surgery on guideline development process and their update.

Published
2020
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12. Liver Trauma: Management in the Emergency Setting and Medico-Legal Implications

Author

Angela Saviano, Veronica Ojetti, Christian Zanza, Francesco Franceschi, Yaroslava Longhitano, Ermelinda Martuscelli, Aniello Maiese, Gianpietro Volonnino, Giuseppe Bertozzi, Michela Ferrara, and Raffaele La Russa

Subjects
liver trauma, blunt abdominal trauma, emergency department, bleeding, WSES, Medicine (General), R5-920
Abstract

Traumatic abdominal injuries are life-threatening emergencies frequently seen in the Emergency Department (ED). The most common is liver trauma, which accounts for approximately 5% of all ED admissions for trauma. The management of blunt liver trauma has evolved significantly over the past few decades and, according to the injury’s severity, it may require massive resuscitation, radiological procedures, endoscopy, or surgery. Patients admitted to the ED with blunt abdominal trauma require a multidisciplinary evaluation, including emergency physicians, surgeons, radiologists, and anesthetists, who must promptly identify the extent of the injury to prevent serious complications. In case of a patient’s death, the execution of a forensic examination carried out with a multidisciplinary approach (radiological, macroscopic, and histological) is essential to understand the cause of death and to correlate the extent of the injuries to the possibility of survival to be able to manage any medico-legal disputes. This manuscript aims to collect the most up-to-date evidence regarding the management of hepatic trauma in the emergency room and to explore radiological findings and medico-legal implications.

Published
2022
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13. Impact of the SARS-CoV-2 pandemic on emergency surgery services—a multi-national survey among WSES members.

Author

Reichert, Martin, Sartelli, Massimo, Weigand, Markus A., Doppstadt, Christoph, Hecker, Matthias, Reinisch-Liese, Alexander, Bender, Fabienne, Askevold, Ingolf, Padberg, Winfried, Coccolini, Federico, Catena, Fausto, Hecker, Andreas, The WSES COVID-19 emergency surgery survey collaboration group, Abdullaev, Abakar, Camacho-Ortiz, Adrian, Toro, Adriana, Chichom-Mefire, Alain, Martínez-Pérez, Aleix, Kavalakat, Alfie J., and Mohamedahmed, Ali Yasen Y.

Subjects
*SURGERY & psychology, *APPENDICITIS, *CHOLECYSTITIS, *HOSPITAL emergency services, *MEDICAL care, *MEDICAL needs assessment, *PATIENTS, *SEPSIS, *SURGEONS, *OPERATIVE surgery, *MEDICAL triage, *WORLD Wide Web, *SEVERITY of illness index, *DESCRIPTIVE statistics, *TREATMENT delay (Medicine), *COVID-19 pandemic
Abstract

Background: The SARS-CoV-2 pandemic is a major challenge for health care services worldwide. It's impact on oncologic therapies and elective surgery has been described recently, and the literature provides guidelines regarding appropriate elective patient treatment during the pandemic. However, the impact of SARS-CoV-2 pandemic on emergency surgery services has been poorly investigated up to now. Methods: A 17-item web survey had been distributed to emergency surgeons in June 2020 around the world, investigating the impact of SARS-CoV-2 pandemic on patients and septic diseases both requiring emergency surgery and the time-to-intervention in emergency surgery routine, as well as experiences with surgery in COVID-19 patients. Results: Ninety-eight collaborators from 31 countries responded to the survey. The majority (65.3%) estimated the impact of the SARS-CoV-2 pandemic on emergency surgical patient care as being strong or very strong. Due to the pandemic, 87.8% reported a decrease in the total number of patients undergoing emergency surgery and approximately 25% estimated a delay of more than 2 h in the time-to-diagnosis and another 2 h in the time-to-intervention. Fifty percent make structural problems with in-hospital logistics (e.g. transport of patients, closed normal wards etc.) mainly responsible for delayed emergency surgery and the frequent need (56.1%) for a triage of emergency surgical patients. 56.1% of the collaborators observed more severe septic abdominal diseases during the pandemic, especially for perforated appendicitis and severe septic cholecystitis (41.8% and 40.2%, respectively). 62.2% had experiences with surgery in COVID-19-infected patients. Conclusions: The results of The WSES COVID-19 emergency surgery survey are alarming. The combination of an estimated decrease in numbers of emergency surgical patients and an observed increase in more severe septic diseases may be a result of the fear of patients from infection with COVID-19 and a consecutive delayed hospital admission and diagnosis. A critical delay in time-to-diagnosis and time-to-intervention may be a result of changes in in-hospital logistics and operating room as well as intensive care capacities. Both reflect the potentially harmful impact of SARS-CoV-2 pandemic on emergency surgery services. [ABSTRACT FROM AUTHOR]

Published
2020
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14. Grade III blunt splenic injury without contrast extravasation - World Society of Emergency Surgery Nijmegen consensus practice.

Author

Amico, Francesco, Anning, Rebecca, Bendinelli, Cino, Balogh, Zsolt J., Participants of the 2019 World Society of Emergency Surgery (WSES) Nijmegen splenic injury collaboration group., Leppäniemi, Ari, Aparicio-Sánchez, Daniel, Hermans, Erik, Coccolini, Federico, Abu-Zidan, Fikri M., Chiarugi, Massimo, Arvieux, Catherine, Pirozzolo, Giovanni, Khokha, Vladimir, Tolonen, Matti, Edward, Tan, Sugrue, Michael, Ceresoli, Marco, Muhrbeck, Måns, and Mohan, Rajashekar

Subjects
*SPLEEN radiography, *SPLEEN surgery, *SPLEEN injuries, *BLUNT trauma, *COMPUTED tomography, *CONFERENCES & conventions, *CONSENSUS (Social sciences), *DELPHI method, *EPIDEMIOLOGY, *HEMORRHAGE, *MEDICAL practice, *QUESTIONNAIRES, *SURGEONS, *WOUNDS & injuries, *SYSTEMATIC reviews, *DISEASE management, *CELL phones, *CONTRAST media, *SEVERITY of illness index
Abstract

Background: Recent trauma guidelines recommend non-operative management for grade III splenic injury without contrast extravasation on computed tomography. Nevertheless, such recommendations rely on low-quality evidence, and practice variation characterizes clinical management for this type of injury. We aimed to identify the role of eleven selected clinical factors influencing the management of grade III splenic injury without contrast extravasation by expert consensus and a modified Delphi approach. Methods: A questionnaire was developed with the endorsement of the World Society of Emergency Surgery (WSES). This was delivered and answered live by acute care surgeons attending the 6th WSES congress in Nijmegen in 2019. A dedicated mobile phone application was utilized to collect the answers. All answers were evaluated for areas of discrepancy with an 80% threshold for consensus between respondents. Results: Three factors generated discrepancy in opinion for managing this pattern of injury: the patients' injury severity, the presence of a bleeding diathesis, and an associated intra-abdominal injury. Agreement was obtained for the other eight factors. Conclusion: Researchers should focus their efforts on the identified area of discrepancy. Clinicians should use additional care in the presence of the three factors for which discordant opinions were found. [ABSTRACT FROM AUTHOR]

Published
2020
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15. COVID-19 the showdown for mass casualty preparedness and management: the Cassandra Syndrome.

Author

Coccolini, Federico, Sartelli, Massimo, Kluger, Yoram, Pikoulis, Emmanouil, Karamagioli, Evika, Moore, Ernest E., Biffl, Walter L., Peitzman, Andrew, Hecker, Andreas, Chirica, Mircea, Damaskos, Dimitrios, Ordonez, Carlos, Vega, Felipe, Fraga, Gustavo P., Chiarugi, Massimo, Di Saverio, Salomone, Kirkpatrick, Andrew W., Abu-Zidan, Fikri, Mefire, Alain Chicom, and Leppaniemi, Ari

Subjects
*COVID-19, *CORONAVIRUS diseases, *DISASTERS, *EMERGENCY management education, *EPIDEMICS, *MASS casualties, *PROFESSIONAL associations, *DISEASE management
Abstract

Since December 2019, the world is potentially facing one of the most difficult infectious situations of the last decades. COVID-19 epidemic warrants consideration as a mass casualty incident (MCI) of the highest nature. An optimal MCI/disaster management should consider all four phases of the so-called disaster cycle: mitigation, planning, response, and recovery. COVID-19 outbreak has demonstrated the worldwide unpreparedness to face a global MCI. This present paper thus represents a call for action to solicitate governments and the Global Community to actively start effective plans to promote and improve MCI management preparedness in general, and with an obvious current focus on COVID-19. [ABSTRACT FROM AUTHOR]

Published
2020
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16. Surgery in COVID-19 patients: operational directives.

Author

Coccolini, Federico, Perrone, Gennaro, Chiarugi, Massimo, Di Marzo, Francesco, Ansaloni, Luca, Scandroglio, Ildo, Marini, Pierluigi, Zago, Mauro, De Paolis, Paolo, Forfori, Francesco, Agresta, Ferdinando, Puzziello, Alessandro, D'Ugo, Domenico, Bignami, Elena, Bellini, Valentina, Vitali, Pietro, Petrini, Flavia, Pifferi, Barbara, Corradi, Francesco, and Tarasconi, Antonio

Subjects
*COVID-19, *DISASTERS, *EPIDEMICS, *HEALTH facility administration, *INTERPROFESSIONAL relations, *MASS casualties, *MEDICAL care use, *PERSONNEL management
Abstract

The current COVID-19 pandemic underlines the importance of a mindful utilization of financial and human resources. Preserving resources and manpower is paramount in healthcare. It is important to ensure the ability of surgeons and specialized professionals to function through the pandemic. A conscious effort should be made to minimize infection in this sector. A high mortality rate within this group would be detrimental. This manuscript is the result of a collaboration between the major Italian surgical and anesthesiologic societies: ACOI, SIC, SICUT, SICO, SICG, SIFIPAC, SICE, and SIAARTI. We aim to describe recommended clinical pathways for COVID-19-positive patients requiring acute non-deferrable surgical care. All hospitals should organize dedicated protocols and workforce training as part of the effort to face the current pandemic. [ABSTRACT FROM AUTHOR]

Published
2020
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17. Pediatric trauma and emergency surgery: an international cross-sectional survey among WSES members

Author

Reichert, M, Sartelli, M, Askevold, I, Braun, J, Weigand, M, Hecker, M, Agnoletti, V, Coccolini, F, Catena, F, Padberg, W, Riedel, J, Hecker, A, Dogjani, A, Kuriyama, A, Porcu, A, Martinez-Perez, A, Coppola, A, Spolini, A, Giordano, A, Kyriakidis, A, Mohamedahmed, A, Vasilopoulou, A, Zakaria, A, Balla, A, Fette, A, Litvin, A, Guariniello, A, Isik, A, Kechagias, A, Mitul, A, De Simone, B, Zampogna, B, Sensi, B, Gazia, C, Seretis, C, Brooke, C, Luppi, D, Coletta, D, Sasia, D, Corallino, D, Chatzipetris, D, Schizas, D, Lostoridis, E, Hsabo, E, Kaouras, E, Schneck, E, Pinotti, E, Dimitrov, E, D'Acapito, F, Saraceno, F, Abu-Zidan, F, Silvestri, F, Favi, F, Fleres, F, Mulita, F, Nita, G, Martines, G, Mazzarella, G, Perrone, G, Giraudo, G, Bacchiocchi, G, Argenio, G, Brisinda, G, Curro, G, Palomba, G, Fraga, G, Hamid, H, Katsaros, I, Negoi, I, Tochie, J, Davies, J, Kok, K, Apostolou, K, Lasithiotakis, K, Tsekouras, K, Sydorchuk, L, Siragusa, L, Solaini, L, Ferrario, L, Buonomo, L, Waledziak, M, Gachabayov, M, Bulanauca, M, Agrawal, M, Ceresoli, M, Ranucci, M, Petridou, M, D'Oria, M, Veroux, M, Frountzas, M, Teuben, M, Bala, M, Minger, M, Goncalves, M, Sharma, N, Tamini, N, Medappil, N, Ioannidis, O, Bisagni, P, Rahim, R, Gonsaga, R, Ragozzino, R, Bini, R, Cammarata, R, Sydorchuk, R, Di Saverio, S, Awad, S, Atici, S, Meric, S, Chowdhury, S, Xenaki, S, Pintar, T, Perra, T, Hardcastle, T, Voglino, V, Lohsiriwat, V, Kong, V, Christos, V, Zuidema, W, Reichert M., Sartelli M., Askevold I. H., Braun J., Weigand M. A., Hecker M., Agnoletti V., Coccolini F., Catena F., Padberg W., Riedel J. G., Hecker A., Dogjani A., Kuriyama A., Porcu A., Martinez-Perez A., Coppola A., Spolini A., Giordano A., Kyriakidis A., Mohamedahmed A. Y. Y., Vasilopoulou A., Zakaria A. D., Balla A., Fette A., Litvin A., Guariniello A., Isik A., Kechagias A., Mitul A. R., De Simone B., Zampogna B., Sensi B., Gazia C., Seretis C., Brooke C., Luppi D., Coletta D., Sasia D., Corallino D., Chatzipetris D., Schizas D., Lostoridis E., Hsabo E. A., Kaouras E., Schneck E., Pinotti E., Dimitrov E., D'Acapito F., Saraceno F., Abu-Zidan F., Silvestri F. M., Favi F., Fleres F., Mulita F., Nita G., Martines G., Mazzarella G., Perrone G., Giraudo G., Bacchiocchi G., Argenio G., Brisinda G., Curro G., Palomba G., Fraga G. P., Hamid H. K. S., Katsaros I., Negoi I., Tochie J. N., Davies J., Kok K. Y. Y., Apostolou K. G., Lasithiotakis K., Tsekouras K., Sydorchuk L., Siragusa L., Solaini L., Ferrario L., Buonomo L., Waledziak M., Gachabayov M., Bulanauca M., Agrawal M. K., Ceresoli M., Ranucci M. C., Petridou M., D'Oria M., Veroux M., Frountzas M., Teuben M. P. J., Bala M., Minger M. A., Goncalves M., Sharma N., Tamini N., Medappil N., Ioannidis O., Bisagni P., Rahim R., Gonsaga R. A. T., Ragozzino R., Bini R., Cammarata R., Sydorchuk R., Di Saverio S., Awad S. S., Atici S. D., Meric S., Chowdhury S., Xenaki S., Pintar T., Perra T., Hardcastle T. C., Voglino V., Lohsiriwat V., Kong V., Christos V., Zuidema W., Reichert, M, Sartelli, M, Askevold, I, Braun, J, Weigand, M, Hecker, M, Agnoletti, V, Coccolini, F, Catena, F, Padberg, W, Riedel, J, Hecker, A, Dogjani, A, Kuriyama, A, Porcu, A, Martinez-Perez, A, Coppola, A, Spolini, A, Giordano, A, Kyriakidis, A, Mohamedahmed, A, Vasilopoulou, A, Zakaria, A, Balla, A, Fette, A, Litvin, A, Guariniello, A, Isik, A, Kechagias, A, Mitul, A, De Simone, B, Zampogna, B, Sensi, B, Gazia, C, Seretis, C, Brooke, C, Luppi, D, Coletta, D, Sasia, D, Corallino, D, Chatzipetris, D, Schizas, D, Lostoridis, E, Hsabo, E, Kaouras, E, Schneck, E, Pinotti, E, Dimitrov, E, D'Acapito, F, Saraceno, F, Abu-Zidan, F, Silvestri, F, Favi, F, Fleres, F, Mulita, F, Nita, G, Martines, G, Mazzarella, G, Perrone, G, Giraudo, G, Bacchiocchi, G, Argenio, G, Brisinda, G, Curro, G, Palomba, G, Fraga, G, Hamid, H, Katsaros, I, Negoi, I, Tochie, J, Davies, J, Kok, K, Apostolou, K, Lasithiotakis, K, Tsekouras, K, Sydorchuk, L, Siragusa, L, Solaini, L, Ferrario, L, Buonomo, L, Waledziak, M, Gachabayov, M, Bulanauca, M, Agrawal, M, Ceresoli, M, Ranucci, M, Petridou, M, D'Oria, M, Veroux, M, Frountzas, M, Teuben, M, Bala, M, Minger, M, Goncalves, M, Sharma, N, Tamini, N, Medappil, N, Ioannidis, O, Bisagni, P, Rahim, R, Gonsaga, R, Ragozzino, R, Bini, R, Cammarata, R, Sydorchuk, R, Di Saverio, S, Awad, S, Atici, S, Meric, S, Chowdhury, S, Xenaki, S, Pintar, T, Perra, T, Hardcastle, T, Voglino, V, Lohsiriwat, V, Kong, V, Christos, V, Zuidema, W, Reichert M., Sartelli M., Askevold I. H., Braun J., Weigand M. A., Hecker M., Agnoletti V., Coccolini F., Catena F., Padberg W., Riedel J. G., Hecker A., Dogjani A., Kuriyama A., Porcu A., Martinez-Perez A., Coppola A., Spolini A., Giordano A., Kyriakidis A., Mohamedahmed A. Y. Y., Vasilopoulou A., Zakaria A. D., Balla A., Fette A., Litvin A., Guariniello A., Isik A., Kechagias A., Mitul A. R., De Simone B., Zampogna B., Sensi B., Gazia C., Seretis C., Brooke C., Luppi D., Coletta D., Sasia D., Corallino D., Chatzipetris D., Schizas D., Lostoridis E., Hsabo E. A., Kaouras E., Schneck E., Pinotti E., Dimitrov E., D'Acapito F., Saraceno F., Abu-Zidan F., Silvestri F. M., Favi F., Fleres F., Mulita F., Nita G., Martines G., Mazzarella G., Perrone G., Giraudo G., Bacchiocchi G., Argenio G., Brisinda G., Curro G., Palomba G., Fraga G. P., Hamid H. K. S., Katsaros I., Negoi I., Tochie J. N., Davies J., Kok K. Y. Y., Apostolou K. G., Lasithiotakis K., Tsekouras K., Sydorchuk L., Siragusa L., Solaini L., Ferrario L., Buonomo L., Waledziak M., Gachabayov M., Bulanauca M., Agrawal M. K., Ceresoli M., Ranucci M. C., Petridou M., D'Oria M., Veroux M., Frountzas M., Teuben M. P. J., Bala M., Minger M. A., Goncalves M., Sharma N., Tamini N., Medappil N., Ioannidis O., Bisagni P., Rahim R., Gonsaga R. A. T., Ragozzino R., Bini R., Cammarata R., Sydorchuk R., Di Saverio S., Awad S. S., Atici S. D., Meric S., Chowdhury S., Xenaki S., Pintar T., Perra T., Hardcastle T. C., Voglino V., Lohsiriwat V., Kong V., Christos V., and Zuidema W.

Abstract

Background: In contrast to adults, the situation for pediatric trauma care from an international point of view and the global management of severely injured children remain rather unclear. The current study investigates structural management of pediatric trauma in centers of different trauma levels as well as experiences with pediatric trauma management around the world. Methods: A web-survey had been distributed to the global mailing list of the World Society of Emergency Surgery from 10/2021–03/2022, investigating characteristics of respondents and affiliated hospitals, case-load of pediatric trauma patients, capacities and infrastructure for critical care in children, trauma team composition, clinical work-up and individual experiences with pediatric trauma management in response to patients ́ age. The collaboration group was subdivided regarding sizes of affiliated hospitals to allow comparisons concerning hospital volumes. Comparable results were conducted to statistical analysis. Results: A total of 133 participants from 34 countries, i.e. 5 continents responded to the survey. They were most commonly affiliated with larger hospitals (> 500 beds in 72.9%) and with level I or II trauma centers (82.0%), respectively. 74.4% of hospitals offer unrestricted pediatric medical care, but only 63.2% and 42.9% of the participants had sufficient experiences with trauma care in children ≤ 10 and ≤ 5 years of age (p = 0.0014). This situation is aggravated in participants from smaller hospitals (p < 0.01). With regard to hospital size (≤ 500 versus > 500 in-hospital beds), larger hospitals were more likely affiliated with advanced trauma centers, more elaborated pediatric intensive care infrastructure (p < 0.0001), treated children at all ages more frequently (p = 0.0938) and have higher case-loads of severely injured children < 12 years of age (p = 0.0009). Therefore, the majority of larger hospitals reserve either pediatric surgery departments or board-certi

Published
2023

18. The WSES: what do we see in the future?

Author

Belinda De Simone, Yoram Kluger, Ernest E. Moore, Salomone Di Saverio, Massimo Sartelli, Luca Ansaloni, Federico Coccolini, Walter L. Biffl, and Fausto Catena

Subjects
Emergency surgery, WSES, Program, Inclusivity, Equality, Education, Surgery, RD1-811, Medical emergencies. Critical care. Intensive care. First aid, RC86-88.9
Abstract

Abstract We present the New Year letter from the WSES board to wish everyone a new year full of positive surprises and good news, despite COVID-19 pandemic. We confirm the WSES primary aim: to promote education in emergency surgery putting together all the world experts on emergency surgery without restrictions or boundaries, in inclusivity, equality, and equal opportunities. This will be the year of innovations and WSES will assess the application of artificial intelligence technologies in emergency and trauma surgery. Thank you All for trusting us with your collaboration.

Published
2021
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19. WSES guidelines updates.

Author

Ceresoli, Marco, Coccolini, Federico, Biffl, Walter L., Sartelli, Massimo, Ansaloni, Luca, Moore, Ernest E., Di Saverio, Salomone, Kluger, Yoram, and Catena, Fausto

Subjects
*CONTINUING education, *HOSPITAL emergency services, *MEDICAL education, *MEDICAL protocols, *OPERATIVE surgery
Abstract

The World Society of Emergency Surgery promotes training and continuing medical education in the field of emergency surgery and trauma. One of the most important activities of the society is the development of guidelines. The debate about the process of developing and updating guidelines is very active with no clear consensus and different policies among scientific societies. The present commentary provides the position of the World Society of Emergency Surgery on guideline development process and their update. [ABSTRACT FROM AUTHOR]

Published
2020
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20. WSES: HIGH SECURED DATA ENCRYPTION AND AUTHENTICATION USING WEAVING, ROTATION AND FLIPPING

Author

A. Yesu Raj and S. Arumuga Perumal

Subjects
Data Security, XOR, WSES, Encryption, Decryption, Hash, ENTN, Weaving, REM, Flipped Matrix, Computer engineering. Computer hardware, TK7885-7895, Information technology, T58.5-58.64
Abstract

Data security is the very important part in the network data communication. Avoidance of the information hacking and steeling are very challenging part for network data communication. Now-a-days people are using many encryption and decryption techniques for data security. But all encryption and decryption techniques are having more time occupation or less security for the process. This paper proposed high level security approach to encryption and decryption for data security. Two levels of securities are used in this proposed method. First one is data encryption and the second one is hash value generation. The proposed Weaving based Superior Encryption Standard (WSES) uses a novel weaving based approach. The weaving array generation is done by Elementary Number Theory Notation (ENTN) method. The weaving array has multiple private keys for XOR encryption. After encryption the error value is extracted from the encrypted array and weaving array. This error value is sent to the other side. The novel approach for hash value generation uses the encrypted array. After encryption, the encrypted array is rotated into four degrees and each degree data are converted to vector format and arranged on by one under the vector. Finally a 2D Rotational Encryption Matrix (REM) is obtained. After this process a REM copy is converted to mirror flip and it is need as Flipped Matrix (FM). The FM is concatenated under the REM and converted to vector using the zigzag operation. Finally this process gives two bytes hash value from the vector. This proposed method executes very fast and provide high security. This method is much reliable to small size applications and also used for any type of data security.

Published
2015

21. Two years later: Is the SARS-CoV-2 pandemic still having an impact on emergency surgery? An international cross-sectional survey among WSES members

Author

Reichert, M, Sartelli, M, Weigand, M, Hecker, M, Oppelt, P, Noll, J, Askevold, I, Liese, J, Padberg, W, Coccolini, F, Catena, F, Hecker, A, Peckham-Cooper, A, Camacho-Ortiz, A, Mastoraki, A, Landaluce-Olavarria, A, Pal, A, Kuriyama, A, Chichom-Mefire, A, Porcu, A, Martinez-Perez, A, Karamarkovic, A, Osipov, A, Coppola, A, Cucchetti, A, Spolini, A, Giordano, A, Reinisch-Liese, A, Kavalakat, A, Vasilescu, A, Alamin, A, Gupta, A, Dascalu, A, Musina, A, Bakopoulos, A, Zakaria, A, Vereczkei, A, Balla, A, Bottari, A, Baumann, A, Fette, A, Litvin, A, Reichert, A, Guariniello, A, Paspala, A, Schneck, A, Brillantino, A, Pesce, A, Isik, A, Leppaniemi, A, Papadopoulos, A, Kechagias, A, Mohamed, A, Mitul, A, Marinis, A, Syllaios, A, Mantoglu, B, De Simone, B, Weiss, B, Posentrup, B, Picardi, B, Zampogna, B, Sakakushev, B, Atanasov, B, Nardo, B, Calik, B, Cremonini, C, Ordonez, C, Seretis, C, Cascone, C, Chouliaras, C, Bendinelli, C, Lopes, C, Guerci, C, Weber, C, Nastos, C, Mesina, C, Caputo, D, Massalou, D, Cavaliere, D, Mcnamara, D, Demetriades, D, Pantalone, D, Coletta, D, Sasia, D, Visconti, D, Weber, D, Corallino, D, Chatzipetris, D, Manatakis, D, Ntourakis, D, Papaconstantinou, D, Schizas, D, Chrysikos, D, Adamovich, D, Elkafrawy, D, Seban, D, Garcia, E, Baldini, E, Picetti, E, Tan, E, Baili, E, Lostoridis, E, Toma, E, Colak, E, Cerutti, E, Steyn, E, Hsabo, E, Kapetanakis, E, Kaouras, E, Schneck, E, Akin, E, Gonullu, E, Celik, E, Cicuttin, E, Pinotti, E, Johnsson, E, Moore, E, Agastra, E, Dimitrov, E, Griffiths, E, D'Acapito, F, Saraceno, F, Alconchel, F, Zeppernick, F, Rodriguez, F, Abu-Zidan, F, Pecchini, F, Favi, F, Ferrara, F, Fleres, F, Pata, F, Roscio, F, Mulita, F, Dor, F, Linder, F, Dimofte, G, Rodrigues, G, Nita, G, Sganga, G, Martines, G, Mazzarella, G, Perrone, G, Velmahos, G, Lianos, G, Tomadze, G, Baiocchi, G, D'Ambrosio, G, Pellino, G, Pattacini, G, Giraudo, G, Lisi, G, Tebala, G, Pirozzolo, G, Montori, G, Argenio, G, Brisinda, G, Curro, G, Giuliani, G, Palomba, G, Roscitano, G, Avsar, G, Augustin, G, Clarizia, G, Vega, G, Fraga, G, Sethi, H, Eltyeb, H, Lohse, H, Bayhan, H, Hamid, H, Kryvoruchko, I, Iannone, I, Wani, I, Lazaridis, I, Katsaros, I, Nikolopoulos, I, Negoi, I, Reccia, I, Di Carlo, I, Olaoye, I, Czepiel, J, Kim, J, Meyer, J, Terrazas, J, Tochie, J, Galante, J, Davies, J, Sugand, K, Gonfa, K, Rasa, K, Kok, K, Apostolou, K, Lasithiotakis, K, Tsekouras, K, Angamuthu, K, Akhmeteli, L, Sydorchuk, L, Fortuna, L, Siragusa, L, Pagani, L, Solaini, L, Miller, L, Bains, L, Ansaloni, L, Ferrario, L, Bonavina, L, Conti, L, Buonomo, L, Tallon-Aguilar, L, Tomczyk, L, Widmer, L, Waledziak, M, Gachabayov, M, Bulanauca, M, Malbrain, M, Maegele, M, Catarci, M, Ceresoli, M, Ranucci, M, Antonopoulou, M, Papadoliopoulou, M, Valenti, M, Sotiropoulou, M, D'Oria, M, Martin, M, Hirschburger, M, Veroux, M, Fantoni, M, Nardi, M, Tolonen, M, Montuori, M, Podda, M, Scheiterle, M, Frountzas, M, Sarikaya, M, Yildirim, M, Bender, M, Vailas, M, Teuben, M, Campanelli, M, Ammendola, M, Malerba, M, Pisano, M, Pertea, M, Slavchev, M, Ukkonen, M, Bala, M, Chirica, M, Barone, M, Shaat, M, Mohammed, M, Abuelgasim, M, Gureh, M, Ouadii, M, Balkan, M, Mohamed, M, Hakseven, M, Velenciuc, N, Cillara, N, De'Angelis, N, Tamini, N, Zavras, N, Machairas, N, Michalopoulos, N, Koliakos, N, Pararas, N, Donlon, N, Medappil, N, Ben-Ishay, O, Stefano, O, Islam, O, Tammo, O, Ioannidis, O, Aparicio, O, Baraket, O, Kumar, P, Cianci, P, Ortenwall, P, Uchikov, P, de Reuver, P, Stahel, P, Barie, P, Piccoli, M, Major, P, Navsaria, P, Sasmal, P, Coimbra, R, Rahim, R, Capoglu, R, Koshy, R, Gonsaga, R, Pertile, R, Mohamed, R, Deryol, R, Sawyer, R, Angelico, R, Ragozzino, R, Bini, R, Cammarata, R, Scaramuzzo, R, Gioco, R, Sydorchuk, R, Ahmed, S, Di Saverio, S, Emile, S, Delibegovic, S, Marwah, S, Symeonidis, S, Thomas, S, Demir, S, Awad, S, Atici, S, Chooklin, S, Meric, S, Sarikaya, S, Chowdhury, S, Mirghani, S, Wren, S, Gargarella, S, Del Monte, S, Esposito, S, Xenaki, S, Mohamed, S, Beka, S, Lunca, S, Delis, S, Dritsas, S, Morarasu, S, Magnone, S, Rossi, S, Bitsianis, S, Kykalos, S, Baral, S, Jain, S, Ali, S, Pintar, T, Triantafyllou, T, Delko, T, Perra, T, Sidiropoulos, T, Scalea, T, Vilz, T, Hardcastle, T, Wannatoop, T, Herzog, T, Mishra, T, Boggi, U, Calu, V, Tomajer, V, Agnoletti, V, Lohsiriwat, V, Kong, V, Munoz-Cruzado, V, Shelat, V, Khokha, V, Ghannam, W, Biffl, W, Zuidema, W, Kara, Y, Kobe, Y, Demetrashvili, Z, Memish, Z, Madrazo, Z, Balogh, Z, Bayhan, Z, Reichert M., Sartelli M., Weigand M. A., Hecker M., Oppelt P. U., Noll J., Askevold I. H., Liese J., Padberg W., Coccolini F., Catena F., Hecker A., Peckham-Cooper A., Camacho-Ortiz A., Mastoraki A. T., Landaluce-Olavarria A., Pal A. K., Kuriyama A., Chichom-Mefire A., Porcu A., Martinez-Perez A., Karamarkovic A. R., Osipov A. V., Coppola A., Cucchetti A., Spolini A., Giordano A., Reinisch-Liese A., Kavalakat A. J., Vasilescu A., Alamin A., Gupta A., Dascalu A. M., Musina A. -M., Bakopoulos A., Zakaria A. D., Vereczkei A., Balla A., Bottari A., Baumann A., Fette A., Litvin A., Reichert A. K., Guariniello A., Paspala A., Schneck A. -S., Brillantino A., Pesce A., Isik A., Leppaniemi A. K., Papadopoulos A., Kechagias A., Mohamed A. Y. A., Mitul A. R., Marinis A., Syllaios A., Mantoglu B., De Simone B., Weiss B. S., Posentrup B., Picardi B., Zampogna B., Sakakushev B. E., Atanasov B. C., Nardo B., Calik B., Cremonini C., Ordonez C. A., Seretis C., Cascone C., Chouliaras C., Bendinelli C., Lopes C., Guerci C., Weber C., Nastos C., Mesina C., Caputo D., Massalou D., Cavaliere D., McNamara D. A., Demetriades D., Pantalone D., Coletta D., Sasia D., Visconti D., Weber D. G., Corallino D., Chatzipetris D., Manatakis D. K., Ntourakis D., Papaconstantinou D., Schizas D., Chrysikos D., Adamovich D. M., Elkafrawy D., Seban D., Garcia E. F. H., Baldini E., Picetti E., Tan E. C. T. H., Baili E., Lostoridis E., Toma E. A., Colak E., Cerutti E., Steyn E., Hsabo E. A., Kapetanakis E. I., Kaouras E., Schneck E., Akin E., Gonullu E., celik E., Cicuttin E., Pinotti E., Johnsson E., Moore E. E., Agastra E., Dimitrov E. N., Griffiths E. A., D'Acapito F., Saraceno F., Alconchel F., Zeppernick F. A., Rodriguez F. M., Abu-Zidan F., Pecchini F., Favi F., Ferrara F., Fleres F., Pata F., Roscio F. P. M., Mulita F., Dor F. J. M. F., Linder F., Dimofte G., Rodrigues G., Nita G., Sganga G., Martines G., Mazzarella G., Perrone G., Velmahos G., Lianos G. D., Tomadze G., Baiocchi G. L., D'Ambrosio G., Pellino G., Pattacini G. C., Giraudo G., Lisi G., Tebala G. D., Pirozzolo G., Montori G., Argenio G., Brisinda G., Curro G., Giuliani G., Palomba G., Roscitano G., Avsar G., Augustin G., Clarizia G., Vega G. M. M., Fraga G. P., Sethi H., Eltyeb H. A., Lohse H. A. S., Lohse H. R. S., Bayhan H., Hamid H. K. S., Kryvoruchko I. A., Iannone I., Wani I., Lazaridis I. I., Katsaros I., Nikolopoulos I., Negoi I., Reccia I., Di Carlo I., Olaoye I. O., Czepiel J., Kim J. I., Meyer J., Terrazas J. M. S., Tochie J. N., Galante J. M., Davies J., Sugand K., Gonfa K. B., Rasa K., Kok K. Y. Y., Apostolou K. G., Lasithiotakis K., Tsekouras K., Angamuthu K., Akhmeteli L., Sydorchuk L., Fortuna L., Siragusa L., Pagani L., Solaini L., Miller L. A., Bains L., Ansaloni L., Ferrario L., Bonavina L., Conti L., Buonomo L. A., Tallon-Aguilar L., Tomczyk L., Widmer L. W., Waledziak M., Gachabayov M., Bulanauca M. M., Malbrain M. L. N. G., Maegele M., Catarci M., Ceresoli M., Ranucci M. C., Antonopoulou M. I., Papadoliopoulou M., Valenti M. R., Sotiropoulou M., D'Oria M., Martin M. S., Hirschburger M., Veroux M., Fantoni M., Nardi M., Tolonen M., Montuori M., Podda M., Scheiterle M., Frountzas M., Sarikaya M., Yildirim M., Bender M., Vailas M., Teuben M., Campanelli M., Ammendola M., Malerba M., Pisano M., Pertea M., Slavchev M., Ukkonen M., Bala M., Chirica M., Barone M., Shaat M. M., Mohammed M. J. S., Abuelgasim M. A. A., Gureh M., Ouadii M., Balkan M., Mohamed M., Hakseven M., Velenciuc N., Cillara N., de'Angelis N., Tamini N., Zavras N. J., Machairas N., Michalopoulos N., Koliakos N. N., Pararas N., Donlon N. E., Medappil N., Ben-Ishay O., Stefano O., Islam O., Tammo O., Ioannidis O., Aparicio O., Baraket O., Kumar P., Cianci P., Ortenwall P., Uchikov P. A., de Reuver P., Stahel P. F., Barie P. S., Piccoli M., Major P., Navsaria P. H., Sasmal P. K., Coimbra R., Rahim R., Capoglu R., Koshy R. M., Gonsaga R. A. T., Pertile R., Mohamed R. R. M., Deryol R., Sawyer R. G., Angelico R., Ragozzino R., Bini R., Cammarata R., Scaramuzzo R., Gioco R., Sydorchuk R., Ahmed S., Di Saverio S., Emile S. H., Delibegovic S., Marwah S., Symeonidis S., Thomas S. G., Demir S., Awad S. S., Atici S. D., Chooklin S., Meric S., Sarikaya S., Chowdhury S., Mirghani S. F., Wren S. M., Gargarella S., Del Monte S. R., Esposito S., Xenaki S., Mohamed S. F. G., Beka S. G., Lunca S., Delis S. G., Dritsas S., Morarasu S., Magnone S., Rossi S., Bitsianis S., Kykalos S., Baral S., Jain S. A., Ali S. M., Pintar T., Triantafyllou T., Delko T., Perra T., Sidiropoulos T. A., Scalea T. M., Vilz T. O., Hardcastle T. C., Wannatoop T., Herzog T., Mishra T. S., Boggi U., Calu V., Tomajer V., Agnoletti V., Lohsiriwat V., Kong V., Munoz-Cruzado V. D., Shelat V. G., Khokha V., Ghannam W. M., Biffl W. L., Zuidema W., Kara Y., Kobe Y., Demetrashvili Z., Memish Z. A., Madrazo Z., Balogh Z. J., Bayhan Z., Reichert, M, Sartelli, M, Weigand, M, Hecker, M, Oppelt, P, Noll, J, Askevold, I, Liese, J, Padberg, W, Coccolini, F, Catena, F, Hecker, A, Peckham-Cooper, A, Camacho-Ortiz, A, Mastoraki, A, Landaluce-Olavarria, A, Pal, A, Kuriyama, A, Chichom-Mefire, A, Porcu, A, Martinez-Perez, A, Karamarkovic, A, Osipov, A, Coppola, A, Cucchetti, A, Spolini, A, Giordano, A, Reinisch-Liese, A, Kavalakat, A, Vasilescu, A, Alamin, A, Gupta, A, Dascalu, A, Musina, A, Bakopoulos, A, Zakaria, A, Vereczkei, A, Balla, A, Bottari, A, Baumann, A, Fette, A, Litvin, A, Reichert, A, Guariniello, A, Paspala, A, Schneck, A, Brillantino, A, Pesce, A, Isik, A, Leppaniemi, A, Papadopoulos, A, Kechagias, A, Mohamed, A, Mitul, A, Marinis, A, Syllaios, A, Mantoglu, B, De Simone, B, Weiss, B, Posentrup, B, Picardi, B, Zampogna, B, Sakakushev, B, Atanasov, B, Nardo, B, Calik, B, Cremonini, C, Ordonez, C, Seretis, C, Cascone, C, Chouliaras, C, Bendinelli, C, Lopes, C, Guerci, C, Weber, C, Nastos, C, Mesina, C, Caputo, D, Massalou, D, Cavaliere, D, Mcnamara, D, Demetriades, D, Pantalone, D, Coletta, D, Sasia, D, Visconti, D, Weber, D, Corallino, D, Chatzipetris, D, Manatakis, D, Ntourakis, D, Papaconstantinou, D, Schizas, D, Chrysikos, D, Adamovich, D, Elkafrawy, D, Seban, D, Garcia, E, Baldini, E, Picetti, E, Tan, E, Baili, E, Lostoridis, E, Toma, E, Colak, E, Cerutti, E, Steyn, E, Hsabo, E, Kapetanakis, E, Kaouras, E, Schneck, E, Akin, E, Gonullu, E, Celik, E, Cicuttin, E, Pinotti, E, Johnsson, E, Moore, E, Agastra, E, Dimitrov, E, Griffiths, E, D'Acapito, F, Saraceno, F, Alconchel, F, Zeppernick, F, Rodriguez, F, Abu-Zidan, F, Pecchini, F, Favi, F, Ferrara, F, Fleres, F, Pata, F, Roscio, F, Mulita, F, Dor, F, Linder, F, Dimofte, G, Rodrigues, G, Nita, G, Sganga, G, Martines, G, Mazzarella, G, Perrone, G, Velmahos, G, Lianos, G, Tomadze, G, Baiocchi, G, D'Ambrosio, G, Pellino, G, Pattacini, G, Giraudo, G, Lisi, G, Tebala, G, Pirozzolo, G, Montori, G, Argenio, G, Brisinda, G, Curro, G, Giuliani, G, Palomba, G, Roscitano, G, Avsar, G, Augustin, G, Clarizia, G, Vega, G, Fraga, G, Sethi, H, Eltyeb, H, Lohse, H, Bayhan, H, Hamid, H, Kryvoruchko, I, Iannone, I, Wani, I, Lazaridis, I, Katsaros, I, Nikolopoulos, I, Negoi, I, Reccia, I, Di Carlo, I, Olaoye, I, Czepiel, J, Kim, J, Meyer, J, Terrazas, J, Tochie, J, Galante, J, Davies, J, Sugand, K, Gonfa, K, Rasa, K, Kok, K, Apostolou, K, Lasithiotakis, K, Tsekouras, K, Angamuthu, K, Akhmeteli, L, Sydorchuk, L, Fortuna, L, Siragusa, L, Pagani, L, Solaini, L, Miller, L, Bains, L, Ansaloni, L, Ferrario, L, Bonavina, L, Conti, L, Buonomo, L, Tallon-Aguilar, L, Tomczyk, L, Widmer, L, Waledziak, M, Gachabayov, M, Bulanauca, M, Malbrain, M, Maegele, M, Catarci, M, Ceresoli, M, Ranucci, M, Antonopoulou, M, Papadoliopoulou, M, Valenti, M, Sotiropoulou, M, D'Oria, M, Martin, M, Hirschburger, M, Veroux, M, Fantoni, M, Nardi, M, Tolonen, M, Montuori, M, Podda, M, Scheiterle, M, Frountzas, M, Sarikaya, M, Yildirim, M, Bender, M, Vailas, M, Teuben, M, Campanelli, M, Ammendola, M, Malerba, M, Pisano, M, Pertea, M, Slavchev, M, Ukkonen, M, Bala, M, Chirica, M, Barone, M, Shaat, M, Mohammed, M, Abuelgasim, M, Gureh, M, Ouadii, M, Balkan, M, Mohamed, M, Hakseven, M, Velenciuc, N, Cillara, N, De'Angelis, N, Tamini, N, Zavras, N, Machairas, N, Michalopoulos, N, Koliakos, N, Pararas, N, Donlon, N, Medappil, N, Ben-Ishay, O, Stefano, O, Islam, O, Tammo, O, Ioannidis, O, Aparicio, O, Baraket, O, Kumar, P, Cianci, P, Ortenwall, P, Uchikov, P, de Reuver, P, Stahel, P, Barie, P, Piccoli, M, Major, P, Navsaria, P, Sasmal, P, Coimbra, R, Rahim, R, Capoglu, R, Koshy, R, Gonsaga, R, Pertile, R, Mohamed, R, Deryol, R, Sawyer, R, Angelico, R, Ragozzino, R, Bini, R, Cammarata, R, Scaramuzzo, R, Gioco, R, Sydorchuk, R, Ahmed, S, Di Saverio, S, Emile, S, Delibegovic, S, Marwah, S, Symeonidis, S, Thomas, S, Demir, S, Awad, S, Atici, S, Chooklin, S, Meric, S, Sarikaya, S, Chowdhury, S, Mirghani, S, Wren, S, Gargarella, S, Del Monte, S, Esposito, S, Xenaki, S, Mohamed, S, Beka, S, Lunca, S, Delis, S, Dritsas, S, Morarasu, S, Magnone, S, Rossi, S, Bitsianis, S, Kykalos, S, Baral, S, Jain, S, Ali, S, Pintar, T, Triantafyllou, T, Delko, T, Perra, T, Sidiropoulos, T, Scalea, T, Vilz, T, Hardcastle, T, Wannatoop, T, Herzog, T, Mishra, T, Boggi, U, Calu, V, Tomajer, V, Agnoletti, V, Lohsiriwat, V, Kong, V, Munoz-Cruzado, V, Shelat, V, Khokha, V, Ghannam, W, Biffl, W, Zuidema, W, Kara, Y, Kobe, Y, Demetrashvili, Z, Memish, Z, Madrazo, Z, Balogh, Z, Bayhan, Z, Reichert M., Sartelli M., Weigand M. A., Hecker M., Oppelt P. U., Noll J., Askevold I. H., Liese J., Padberg W., Coccolini F., Catena F., Hecker A., Peckham-Cooper A., Camacho-Ortiz A., Mastoraki A. T., Landaluce-Olavarria A., Pal A. K., Kuriyama A., Chichom-Mefire A., Porcu A., Martinez-Perez A., Karamarkovic A. R., Osipov A. V., Coppola A., Cucchetti A., Spolini A., Giordano A., Reinisch-Liese A., Kavalakat A. J., Vasilescu A., Alamin A., Gupta A., Dascalu A. M., Musina A. -M., Bakopoulos A., Zakaria A. D., Vereczkei A., Balla A., Bottari A., Baumann A., Fette A., Litvin A., Reichert A. K., Guariniello A., Paspala A., Schneck A. -S., Brillantino A., Pesce A., Isik A., Leppaniemi A. K., Papadopoulos A., Kechagias A., Mohamed A. Y. A., Mitul A. R., Marinis A., Syllaios A., Mantoglu B., De Simone B., Weiss B. S., Posentrup B., Picardi B., Zampogna B., Sakakushev B. E., Atanasov B. C., Nardo B., Calik B., Cremonini C., Ordonez C. A., Seretis C., Cascone C., Chouliaras C., Bendinelli C., Lopes C., Guerci C., Weber C., Nastos C., Mesina C., Caputo D., Massalou D., Cavaliere D., McNamara D. A., Demetriades D., Pantalone D., Coletta D., Sasia D., Visconti D., Weber D. G., Corallino D., Chatzipetris D., Manatakis D. K., Ntourakis D., Papaconstantinou D., Schizas D., Chrysikos D., Adamovich D. M., Elkafrawy D., Seban D., Garcia E. F. H., Baldini E., Picetti E., Tan E. C. T. H., Baili E., Lostoridis E., Toma E. A., Colak E., Cerutti E., Steyn E., Hsabo E. A., Kapetanakis E. I., Kaouras E., Schneck E., Akin E., Gonullu E., celik E., Cicuttin E., Pinotti E., Johnsson E., Moore E. E., Agastra E., Dimitrov E. N., Griffiths E. A., D'Acapito F., Saraceno F., Alconchel F., Zeppernick F. A., Rodriguez F. M., Abu-Zidan F., Pecchini F., Favi F., Ferrara F., Fleres F., Pata F., Roscio F. P. M., Mulita F., Dor F. J. M. F., Linder F., Dimofte G., Rodrigues G., Nita G., Sganga G., Martines G., Mazzarella G., Perrone G., Velmahos G., Lianos G. D., Tomadze G., Baiocchi G. L., D'Ambrosio G., Pellino G., Pattacini G. C., Giraudo G., Lisi G., Tebala G. D., Pirozzolo G., Montori G., Argenio G., Brisinda G., Curro G., Giuliani G., Palomba G., Roscitano G., Avsar G., Augustin G., Clarizia G., Vega G. M. M., Fraga G. P., Sethi H., Eltyeb H. A., Lohse H. A. S., Lohse H. R. S., Bayhan H., Hamid H. K. S., Kryvoruchko I. A., Iannone I., Wani I., Lazaridis I. I., Katsaros I., Nikolopoulos I., Negoi I., Reccia I., Di Carlo I., Olaoye I. O., Czepiel J., Kim J. I., Meyer J., Terrazas J. M. S., Tochie J. N., Galante J. M., Davies J., Sugand K., Gonfa K. B., Rasa K., Kok K. Y. Y., Apostolou K. G., Lasithiotakis K., Tsekouras K., Angamuthu K., Akhmeteli L., Sydorchuk L., Fortuna L., Siragusa L., Pagani L., Solaini L., Miller L. A., Bains L., Ansaloni L., Ferrario L., Bonavina L., Conti L., Buonomo L. A., Tallon-Aguilar L., Tomczyk L., Widmer L. W., Waledziak M., Gachabayov M., Bulanauca M. M., Malbrain M. L. N. G., Maegele M., Catarci M., Ceresoli M., Ranucci M. C., Antonopoulou M. I., Papadoliopoulou M., Valenti M. R., Sotiropoulou M., D'Oria M., Martin M. S., Hirschburger M., Veroux M., Fantoni M., Nardi M., Tolonen M., Montuori M., Podda M., Scheiterle M., Frountzas M., Sarikaya M., Yildirim M., Bender M., Vailas M., Teuben M., Campanelli M., Ammendola M., Malerba M., Pisano M., Pertea M., Slavchev M., Ukkonen M., Bala M., Chirica M., Barone M., Shaat M. M., Mohammed M. J. S., Abuelgasim M. A. A., Gureh M., Ouadii M., Balkan M., Mohamed M., Hakseven M., Velenciuc N., Cillara N., de'Angelis N., Tamini N., Zavras N. J., Machairas N., Michalopoulos N., Koliakos N. N., Pararas N., Donlon N. E., Medappil N., Ben-Ishay O., Stefano O., Islam O., Tammo O., Ioannidis O., Aparicio O., Baraket O., Kumar P., Cianci P., Ortenwall P., Uchikov P. A., de Reuver P., Stahel P. F., Barie P. S., Piccoli M., Major P., Navsaria P. H., Sasmal P. K., Coimbra R., Rahim R., Capoglu R., Koshy R. M., Gonsaga R. A. T., Pertile R., Mohamed R. R. M., Deryol R., Sawyer R. G., Angelico R., Ragozzino R., Bini R., Cammarata R., Scaramuzzo R., Gioco R., Sydorchuk R., Ahmed S., Di Saverio S., Emile S. H., Delibegovic S., Marwah S., Symeonidis S., Thomas S. G., Demir S., Awad S. S., Atici S. D., Chooklin S., Meric S., Sarikaya S., Chowdhury S., Mirghani S. F., Wren S. M., Gargarella S., Del Monte S. R., Esposito S., Xenaki S., Mohamed S. F. G., Beka S. G., Lunca S., Delis S. G., Dritsas S., Morarasu S., Magnone S., Rossi S., Bitsianis S., Kykalos S., Baral S., Jain S. A., Ali S. M., Pintar T., Triantafyllou T., Delko T., Perra T., Sidiropoulos T. A., Scalea T. M., Vilz T. O., Hardcastle T. C., Wannatoop T., Herzog T., Mishra T. S., Boggi U., Calu V., Tomajer V., Agnoletti V., Lohsiriwat V., Kong V., Munoz-Cruzado V. D., Shelat V. G., Khokha V., Ghannam W. M., Biffl W. L., Zuidema W., Kara Y., Kobe Y., Demetrashvili Z., Memish Z. A., Madrazo Z., Balogh Z. J., and Bayhan Z.

Abstract

Background: The SARS-CoV-2 pandemic is still ongoing and a major challenge for health care services worldwide. In the first WSES COVID-19 emergency surgery survey, a strong negative impact on emergency surgery (ES) had been described already early in the pandemic situation. However, the knowledge is limited about current effects of the pandemic on patient flow through emergency rooms, daily routine and decision making in ES as well as their changes over time during the last two pandemic years. This second WSES COVID-19 emergency surgery survey investigates the impact of the SARS-CoV-2 pandemic on ES during the course of the pandemic. Methods: A web survey had been distributed to medical specialists in ES during a four-week period from January 2022, investigating the impact of the pandemic on patients and septic diseases both requiring ES, structural problems due to the pandemic and time-to-intervention in ES routine. Results: 367 collaborators from 59 countries responded to the survey. The majority indicated that the pandemic still significantly impacts on treatment and outcome of surgical emergency patients (83.1% and 78.5%, respectively). As reasons, the collaborators reported decreased case load in ES (44.7%), but patients presenting with more prolonged and severe diseases, especially concerning perforated appendicitis (62.1%) and diverticulitis (57.5%). Otherwise, approximately 50% of the participants still observe a delay in time-to-intervention in ES compared with the situation before the pandemic. Relevant causes leading to enlarged time-to-intervention in ES during the pandemic are persistent problems with in-hospital logistics, lacks in medical staff as well as operating room and intensive care capacities during the pandemic. This leads not only to the need for triage or transferring of ES patients to other hospitals, reported by 64.0% and 48.8% of the collaborators, respectively, but also to paradigm shifts in treatment modalities to non-operative approach

Published
2022

23. Diverticulitis aguda: diagnóstico y estadificación.

Author

Valdés Hernández, Javier, Alpizar Rivas, Óscar, Pérez Sánchez, A., Gómez Rosado, Juan Carlos, Cano Matías, Auxiliadora, Cintas Catena, Juan, Valdés Hernández, Javier, Alpizar Rivas, Óscar, Pérez Sánchez, A., Gómez Rosado, Juan Carlos, Cano Matías, Auxiliadora, and Cintas Catena, Juan

Abstract

Acute diverticulitis is a common cause of an acute abdomen. The Symptoms and the laboratory test are important in suspecting the illness, but nowadays, imaging tests are necessary, not only for the diagnosis but for the classification. The classifications have evolved to adapt to current practices., La diverticulitis aguda (DA) es una causa frecuente de abdomen agudo. La clínica y los resultados analíticos son importantes en la sospecha diagnóstica, pero en la actualidad, el apoyo en las pruebas de imagen es necesario, no solo para el diagnóstico sino también para su clasificación. Estas han evolucionado a lo largo del tiempo para adaptarse a las prácticas actuales.

Published
2021

24. WSES: HIGH SECURED DATA ENCRYPTION AND AUTHENTICATION USING WEAVING, ROTATION AND FLIPPING.

Author

Yesu Raja, A. and Arumuga Perumal, S.

Subjects
DATA encryption, COMPUTER access control
Abstract

Data security is the very important part in the network data communication. Avoidance of the information hacking and steeling are very challenging part for network data communication. Now-adays people are using many encryption and decryption techniques for data security. But all encryption and decryption techniques are having more time occupation or less security for the process. This paper proposed high level security approach to encryption and decryption for data security. Two levels of securities are used in this proposed method. First one is data encryption and the second one is hash value generation. The proposed Weaving based Superior Encryption Standard (WSES) uses a novel weaving based approach. The weaving array generation is done by Elementary Number Theory Notation (ENTN) method. The weaving array has multiple private keys for XOR encryption. After encryption the error value is extracted from the encrypted array and weaving array. This error value is sent to the other side. The novel approach for hash value generation uses the encrypted array. After encryption, the encrypted array is rotated into four degrees and each degree data are converted to vector format and arranged on by one under the vector. Finally a 2D Rotational Encryption Matrix (REM) is obtained. After this process a REM copy is converted to mirror flip and it is need as Flipped Matrix (FM). The FM is concatenated under the REM and converted to vector using the zigzag operation. Finally this process gives two bytes hash value from the vector. This proposed method executes very fast and provide high security. This method is much reliable to small size applications and also used for any type of data security. [ABSTRACT FROM AUTHOR]

Published
2015
Full Text
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25. WSES guidelines updates

Author

Ceresoli, M, Coccolini, F, Biffl, W, Sartelli, M, Ansaloni, L, Moore, E, Di Saverio, S, Kluger, Y, Catena, F, Ceresoli M., Coccolini F., Biffl W. L., Sartelli M., Ansaloni L., Moore E. E., Di Saverio S., Kluger Y., Catena F., Ceresoli, M, Coccolini, F, Biffl, W, Sartelli, M, Ansaloni, L, Moore, E, Di Saverio, S, Kluger, Y, Catena, F, Ceresoli M., Coccolini F., Biffl W. L., Sartelli M., Ansaloni L., Moore E. E., Di Saverio S., Kluger Y., and Catena F.

Abstract

The World Society of Emergency Surgery promotes training and continuing medical education in the field of emergency surgery and trauma. One of the most important activities of the society is the development of guidelines. The debate about the process of developing and updating guidelines is very active with no clear consensus and different policies among scientific societies. The present commentary provides the position of the World Society of Emergency Surgery on guideline development process and their update.

Published
2020

26. Grade III blunt splenic injury without contrast extravasation - World Society of Emergency Surgery Nijmegen consensus practice

Author

Amico, F, Anning, R, Bendinelli, C, Balogh, Z, Leppaniemi, A, Aparicio-Sanchez, D, Hermans, E, Coccolini, F, Abu-Zidan, F, Chiarugi, M, Arvieux, C, Pirozzolo, G, Khokha, V, Tolonen, M, Edward, T, Sugrue, M, Ceresoli, M, Muhrbeck, M, Mohan, R, Piscioneri, F, Ietto, G, Chiara, O, Catena, F, Amico F., Anning R., Bendinelli C., Balogh Z. J., Leppaniemi A., Aparicio-Sanchez D., Hermans E., Coccolini F., Abu-Zidan F. M., Chiarugi M., Arvieux C., Pirozzolo G., Khokha V., Tolonen M., Edward T., Sugrue M., Ceresoli M., Muhrbeck M., Mohan R., Piscioneri F., Ietto G., Chiara O., Catena F., Amico, F, Anning, R, Bendinelli, C, Balogh, Z, Leppaniemi, A, Aparicio-Sanchez, D, Hermans, E, Coccolini, F, Abu-Zidan, F, Chiarugi, M, Arvieux, C, Pirozzolo, G, Khokha, V, Tolonen, M, Edward, T, Sugrue, M, Ceresoli, M, Muhrbeck, M, Mohan, R, Piscioneri, F, Ietto, G, Chiara, O, Catena, F, Amico F., Anning R., Bendinelli C., Balogh Z. J., Leppaniemi A., Aparicio-Sanchez D., Hermans E., Coccolini F., Abu-Zidan F. M., Chiarugi M., Arvieux C., Pirozzolo G., Khokha V., Tolonen M., Edward T., Sugrue M., Ceresoli M., Muhrbeck M., Mohan R., Piscioneri F., Ietto G., Chiara O., and Catena F.

Abstract

Background: Recent trauma guidelines recommend non-operative management for grade III splenic injury without contrast extravasation on computed tomography. Nevertheless, such recommendations rely on low-quality evidence, and practice variation characterizes clinical management for this type of injury. We aimed to identify the role of eleven selected clinical factors influencing the management of grade III splenic injury without contrast extravasation by expert consensus and a modified Delphi approach. Methods: A questionnaire was developed with the endorsement of the World Society of Emergency Surgery (WSES). This was delivered and answered live by acute care surgeons attending the 6th WSES congress in Nijmegen in 2019. A dedicated mobile phone application was utilized to collect the answers. All answers were evaluated for areas of discrepancy with an 80% threshold for consensus between respondents. Results: Three factors generated discrepancy in opinion for managing this pattern of injury: the patients' injury severity, the presence of a bleeding diathesis, and an associated intra-abdominal injury. Agreement was obtained for the other eight factors. Conclusion: Researchers should focus their efforts on the identified area of discrepancy. Clinicians should use additional care in the presence of the three factors for which discordant opinions were found.

Published
2020

27. Surgery in COVID-19 patients: Operational directives

Author

Coccolini, F., Perrone, G., Chiarugi, M., Di Marzo, F., Ansaloni, L., Scandroglio, I., Marini, P., Zago, M., De Paolis, P., Forfori, F., Agresta, F., Puzziello, A., D'Ugo, D., Bignami, E., Bellini, V., Vitali, P., Petrini, F., Pifferi, B., Corradi, F., Tarasconi, A., Pattonieri, V., Bonati, E., Tritapepe, L., Agnoletti, V., Corbella, D., Sartelli, M., Catena, F., Perrone G., D'Ugo D. (ORCID:0000-0001-6657-6318), Coccolini, F., Perrone, G., Chiarugi, M., Di Marzo, F., Ansaloni, L., Scandroglio, I., Marini, P., Zago, M., De Paolis, P., Forfori, F., Agresta, F., Puzziello, A., D'Ugo, D., Bignami, E., Bellini, V., Vitali, P., Petrini, F., Pifferi, B., Corradi, F., Tarasconi, A., Pattonieri, V., Bonati, E., Tritapepe, L., Agnoletti, V., Corbella, D., Sartelli, M., Catena, F., Perrone G., and D'Ugo D. (ORCID:0000-0001-6657-6318)

Abstract

The current COVID-19 pandemic underlines the importance of a mindful utilization of financial and human resources. Preserving resources and manpower is paramount in healthcare. It is important to ensure the ability of surgeons and specialized professionals to function through the pandemic. A conscious effort should be made to minimize infection in this sector. A high mortality rate within this group would be detrimental. This manuscript is the result of a collaboration between the major Italian surgical and anesthesiologic societies: ACOI, SIC, SICUT, SICO, SICG, SIFIPAC, SICE, and SIAARTI. We aim to describe recommended clinical pathways for COVID-19-positive patients requiring acute non-deferrable surgical care. All hospitals should organize dedicated protocols and workforce training as part of the effort to face the current pandemic.

Published
2020

28. The WSES: what do we see in the future?

Author

Massimo Sartelli, Salomone Di Saverio, Belinda De Simone, Luca Ansaloni, Fausto Catena, Walter L. Biffl, Yoram Kluger, Federico Coccolini, and Ernest E. Moore

Subjects
2019-20 coronavirus outbreak, Emergency Medical Services, Artificial intelligence, Coronavirus disease 2019 (COVID-19), Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), lcsh:Surgery, Inclusivity, 030230 surgery, Education, 03 medical and health sciences, Equality, 0302 clinical medicine, Emergency surgery, Medicine, Humans, Societies, Medical, Program, business.industry, SARS-CoV-2, lcsh:Medical emergencies. Critical care. Intensive care. First aid, COVID-19, WSES, lcsh:RD1-811, lcsh:RC86-88.9, WJES, medicine.disease, Emergency Medicine, Commentary, Surgery, Medical emergency, business
Abstract

We present the New Year letter from the WSES board to wish everyone a new year full of positive surprises and good news, despite COVID-19 pandemic.We confirm the WSES primary aim: to promote education in emergency surgery putting together all the world experts on emergency surgery without restrictions or boundaries, in inclusivity, equality, and equal opportunities. This will be the year of innovations and WSES will assess the application of artificial intelligence technologies in emergency and trauma surgery.Thank you All for trusting us with your collaboration.

Published
2021

29. WSES guidelines updates

Author

Fausto Catena, Federico Coccolini, Luca Ansaloni, Marco Ceresoli, Walter L. Biffl, Yoram Kluger, Ernest E. Moore, Massimo Sartelli, Salomone Di Saverio, Ceresoli, M, Coccolini, F, Biffl, W, Sartelli, M, Ansaloni, L, Moore, E, Di Saverio, S, Kluger, Y, and Catena, F

Subjects
Guideline development, MEDLINE, lcsh:Surgery, 030230 surgery, Guideline, Guidelines, Guideline update, 03 medical and health sciences, 0302 clinical medicine, Continuing medical education, Emergency surgery, Medicine, Humans, 030212 general & internal medicine, Societies, Medical, Evidence-based medicine, WSES, Evidence-Based Medicine, business.industry, lcsh:Medical emergencies. Critical care. Intensive care. First aid, lcsh:RD1-811, lcsh:RC86-88.9, medicine.disease, Surgical Procedures, Operative, Practice Guidelines as Topic, Commentary, Emergency Medicine, Surgery, Medical emergency, business
Abstract

The World Society of Emergency Surgery promotes training and continuing medical education in the field of emergency surgery and trauma. One of the most important activities of the society is the development of guidelines. The debate about the process of developing and updating guidelines is very active with no clear consensus and different policies among scientific societies. The present commentary provides the position of the World Society of Emergency Surgery on guideline development process and their update.

Published
2020

30. COVID-19 the showdown for mass casualty preparedness and management: the Cassandra Syndrome

Author

Davide Corbella, Emmanouil Pikoulis, Andrew W Kirkpatrick, Alain Chicom Mefire, Massimo Sartelli, Andrew B. Peitzman, Vladimir Khokha, Mircea Chirica, Fausto Catena, Dimitrios Damaskos, Yoram Kluger, Fikri M. Abu-Zidan, Gustavo Pereira Fraga, Walter L. Biffl, Massimo Chiarugi, Ari Leppäniemi, Boris Sakakushev, Ernest E. Moore, Raul Coimbra, Luca Ansaloni, Andreas Hecker, Carlos A. Ordoñez, Rodolfo Catena, Evika Karamagioli, Felipe Vega, Salomone Di Saverio, Federico Coccolini, and Apollo - University of Cambridge Repository

Subjects
Resource, Resource (biology), Coronavirus disease 2019 (COVID-19), Human Rights, Pneumonia, Viral, lcsh:Surgery, Disaster Planning, 030230 surgery, Global Health, Risk Assessment, 03 medical and health sciences, 0302 clinical medicine, Pandemic, Epidemia, Global health, Medicine, Humans, Mass Casualty Incidents, Operations management, 030212 general & internal medicine, Viral, COVID-19, Coronavirus, Criticalities, Management, Mass casualties, Pademia, WSES, Civil Defense, Delivery of Health Care, Coronavirus Infections, Pandemics, Emergency management, business.industry, lcsh:Medical emergencies. Critical care. Intensive care. First aid, lcsh:RD1-811, lcsh:RC86-88.9, Pneumonia, Mass-casualty incident, Preparedness, Emergency Medicine, Commentary, Surgery, business, Risk assessment
Abstract

Since December 2019, the world is potentially facing one of the most difficult infectious situations of the last decades. COVID-19 epidemic warrants consideration as a mass casualty incident (MCI) of the highest nature. An optimal MCI/disaster management should consider all four phases of the so-called disaster cycle: mitigation, planning, response, and recovery. COVID-19 outbreak has demonstrated the worldwide unpreparedness to face a global MCI.This present paper thus represents a call for action to solicitate governments and the Global Community to actively start effective plans to promote and improve MCI management preparedness in general, and with an obvious current focus on COVID-19.

Published
2020

31. Surgery in COVID-19 patients: Operational directives

Author

Elena Bonati, Mauro Zago, Antonio Tarasconi, Barbara Pifferi, Davide Corbella, Gennaro Perrone, Flavia Petrini, Francesco Corradi, Francesco Forfori, Valentina Bellini, Francesco Di Marzo, Fausto Catena, Elena Bignami, Pietro Vitali, Domenico D'Ugo, Massimo Sartelli, Luca Ansaloni, Pierluigi Marini, Alessandro Puzziello, Ildo Scandroglio, Vittoria Pattonieri, Ferdinando Agresta, Massimo Chiarugi, Luigi Tritapepe, Vanni Agnoletti, Paolo De Paolis, Federico Coccolini, Coccolini F., Perrone G., Chiarugi M., Di Marzo F., Ansaloni L., Scandroglio I., Marini P., Zago M., De Paolis P., Forfori F., Agresta F., Puzziello A., D'Ugo D., Bignami E., Bellini V., Vitali P., Petrini F., Pifferi B., Corradi F., Tarasconi A., Pattonieri V., Bonati E., Tritapepe L., Agnoletti V., Corbella D., Sartelli M., and Catena F.

Subjects
Infectious Disease Transmission, Settore MED/18 - CHIRURGIA GENERALE, Mass casualtie, 030230 surgery, Patient-to-Professional, 0302 clinical medicine, Health care, Pandemic, Medicine, Infection control, Coronavirus, COVID-19, Criticalities, Epidemic, Management, Mass casualties, Resources, WSES, Betacoronavirus, Coronavirus Infections, Humans, Infection Control, Infectious Disease Transmission, Patient-to-Professional, Italy, Pandemics, Pneumonia, Viral, Surgeons, Surgical Procedures, Operative, Viral, Function (engineering), media_common, Surgical care, lcsh:Medical emergencies. Critical care. Intensive care. First aid, Operative, Workforce, Emergency Medicine, Medical emergency, Resource, Coronavirus disease 2019 (COVID-19), media_common.quotation_subject, Coronaviru, lcsh:Surgery, 03 medical and health sciences, Criticalitie, Human resources, Surgical Procedures, business.industry, SARS-CoV-2, lcsh:RD1-811, lcsh:RC86-88.9, Pneumonia, medicine.disease, Commentary, Surgery, business
Abstract

The current COVID-19 pandemic underlines the importance of a mindful utilization of financial and human resources. Preserving resources and manpower is paramount in healthcare. It is important to ensure the ability of surgeons and specialized professionals to function through the pandemic. A conscious effort should be made to minimize infection in this sector. A high mortality rate within this group would be detrimental.This manuscript is the result of a collaboration between the major Italian surgical and anesthesiologic societies: ACOI, SIC, SICUT, SICO, SICG, SIFIPAC, SICE, and SIAARTI. We aim to describe recommended clinical pathways for COVID-19-positive patients requiring acute non-deferrable surgical care. All hospitals should organize dedicated protocols and workforce training as part of the effort to face the current pandemic.

Published
2020

32. WSES guidelines for management of Clostridium difficile infection in surgical patients

Author

Francis D. LaBarbera, Carlos Augusto Gomes, Miguel Caínzos, Ari Leppäniemi, Libor Urbánek, Massimo Sartelli, Adrián Camacho-Ortiz, Pierre Tattevin, Goran Augustin, Wen Chien Ko, Varut Lohsiriwat, Torsten Herzog, Nicola Petrosillo, Federico Coccolini, Arnab Ray, Yunfeng Cui, Paula Ferrada, Raul Coimbra, Paul Juang, Jill R. Cherry-Bukowiec, Sanjay Marwah, Rao R. Ivatury, Fausto Catena, Offir Ben-Ishay, David B. Stewart, Mario Paulo Faro, Charles H. Cook, Kathleen B. To, Lynne V. McFarland, Pierluigi Viale, Basant K. Puri, Ian Eltringham, Rita Galeiras, Shirley Chan, Jean-Ralph Zahar, Zaza Demetrashvili, Harry van Goor, Luca Ansaloni, Christian Eckmann, Patrizia Spigaglia, Jean-François Timsit, Catherine Eckert, Boris Sakakushev, Stefano Di Bella, Aneel Bhangu, Layan Alrahmani, Gustavo Pereira Fraga, Jae Gil Lee, Ernest E. Moore, Salomone Di Saverio, Ciaran P. Kelly, Frederick A. Moore, Jacek Czepiel, Carl Erik Nord, Luis Furuya-Kanamori, Stephen M. Brecher, Waldemar Uhl, Zaid M. Abdelsattar, Cristian Tranà, Jean-Louis Frossard, Ewen A. Griffiths, Mushira Enani, George C. Velmahos, Mohamed Hassan Ahmed, Irina Magdalena Dumitru, Wagih Ghnnam, Sahil Khanna, Gerson Alves Pereira Júnior, Mansoor Raza, Felicia Humphrey, Miran Rems, Laura A. Canterbury, Frédéric Barbut, Mark A. Malangoni, Emanuele Caproli, Edward H. Eiland, Maria-Elena Cocuz, Arda Isik, Yoram Kluger, Walter L. Biffl, Gabriele Sganga, Miklosh Bala, Koray Das, Vishal G Shelat, Peter K. Kim, Gökhan Metan, Fikri M. Abu-Zidan, Angela Vassallo, Jesse Clanton, Yeong Yeh Lee, Francisco Portela, Joseph D. Forrester, Isidoro Di Carlo, Aleksandar Karamarkovic, Jae Il Kim, John E. Mazuski, Carlos A. Ordoñez, Venkata Subhash Gorrepati, Sartelli, Massimo, Malangoni Mark, A., Abu-Zidan Fikri, M., Griffiths Ewen, A., Di Bella, S, McFarland Lynne, V., Eltringham, Ian, Shelat Vishal, G., Velmahos George, C., Kelly Ciarán, P., Khanna, Sahil, Abdelsattar Zaid, M., Alrahmani, Layan, Ansaloni, Luca, Augustin, Goran, Bala, Miklosh, Barbut, Frédéric, Ben-Ishay, Offir, Bhangu, Aneel, Biffl Walter, L., Brecher Stephen, M., Camacho-Ortiz, Adrián, Caínzos Miguel, A., Canterbury Laura, A., Catena, Fausto, Chan, Shirley, Cherry-Bukowiec Jill, R., Clanton, Jesse, Coccolini, Federico, Cocuz Maria, Elena, Coimbra, Raul, Cook Charles, H., Cui, Yunfeng, Czepiel, Jacek, Das, Koray, Demetrashvili, Zaza, Di Carlo, Isidoro, Di Saverio, Salomone, Dumitru Irina, Magdalena, Eckert, Catherine, Eckmann, Christian, Eiland Edward, H., Enani Mushira, Abdulaziz, Faro, Mario, Ferrada, Paula, Forrester Joseph, Derek, Fraga Gustavo, P., Frossard Jean, Loui, Galeiras, Rita, Ghnnam, Wagih, Gomes Carlos, Augusto, Gorrepati, Venkata, Ahmed Mohamed, Hassan, Herzog, Torsten, Humphrey, Felicia, Kim Jae, Il, Isik, Arda, Ivatury, Rao, Lee Yeong, Yeh, Juang, Paul, Furuya-Kanamori, Lui, Karamarkovic, Aleksandar, Kim Peter, K., Kluger, Yoram, Ko Wen, Chien, LaBarbera Francis, D., Lee Jae, Gil, Leppaniemi, Ari, Lohsiriwat, Varut, Marwah, Sanjay, Mazuski John, E., Metan, Gokhan, Moore Ernest, E., Moore Frederick, Alan, Nord Carl, Erik, Ordoñez Carlos, A., Júnior Gerson Alves, Pereira, Petrosillo, Nicola, Portela, Francisco, Puri Basant, K., Ray, Arnab, Raza, Mansoor, Rems, Miran, Sakakushev Boris, E., Sganga, Gabriele, Spigaglia, Patrizia, Stewart David, B., Tattevin, Pierre, Timsit Jean, Francoi, To Kathleen, B., Tranà, Cristian, Uhl, Waldemar, Urbánek, Libor, van Goor, Harry, Vassallo, Angela, Zahar Jean, Ralph, Caproli, Emanuele, Viale, Pierluigi, Centre de Recherche des Cordeliers (CRC (UMR_S 872)), Université Paris Descartes - Paris 5 (UPD5)-Université Pierre et Marie Curie - Paris 6 (UPMC)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Centre National de la Recherche Scientifique (CNRS), Service des maladies infectieuses, CHU Pontchaillou [Rennes], Fonction, structure et inactivation d'ARN bactériens, Université de Rennes 1 (UR1), Université de Rennes (UNIV-RENNES)-Université de Rennes (UNIV-RENNES)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Structure Fédérative de Recherche en Biologie et Santé de Rennes ( Biosit : Biologie - Santé - Innovation Technologique ), Hôpital Bichat - Claude Bernard, Centre Hospitalier Universitaire d'Angers (CHU Angers), PRES Université Nantes Angers Le Mans (UNAM), Department of Internal Medicine, Geriatrics and Nephrologic Diseases, Section of Infectious Diseases, S.Orsola-Malpighi Hospital, Alma Mater Studiorum University of Bologna (UNIBO), Centre de Recherche des Cordeliers ( CRC (UMR_S 872) ), Université Pierre et Marie Curie - Paris 6 ( UPMC ) -Université Paris Descartes - Paris 5 ( UPD5 ) -Institut National de la Santé et de la Recherche Médicale ( INSERM ) -Centre National de la Recherche Scientifique ( CNRS ), Université de Rennes 1 ( UR1 ), Université de Rennes ( UNIV-RENNES ) -Université de Rennes ( UNIV-RENNES ) -Institut National de la Santé et de la Recherche Médicale ( INSERM ) -Structure Fédérative de Recherche en Biologie et Santé de Rennes ( Biosit : Biologie - Santé - Innovation Technologique ), CHU Angers, Alma Mater Studiorum University of Bologna ( UNIBO ), Université Pierre et Marie Curie - Paris 6 (UPMC)-Université Paris Descartes - Paris 5 (UPD5)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Centre National de la Recherche Scientifique (CNRS), Université de Rennes (UR)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Structure Fédérative de Recherche en Biologie et Santé de Rennes ( Biosit : Biologie - Santé - Innovation Technologique ), Malangoni, Mark A., Abu-Zidan, Fikri M., Griffiths, Ewen A., Di Bella, Stefano, Mcfarland, Lynne V., Shelat, Vishal G., Velmahos, George C., Kelly, Ciarán P., Abdelsattar, Zaid M., Biffl, Walter L., Brecher, Stephen M., Caínzos, Miguel A., Canterbury, Laura A., Cherry-Bukowiec, Jill R., Cocuz, Maria Elena, Cook, Charles H., Dumitru, Irina Magdalena, Eiland, Edward H., Enani, Mushira Abdulaziz, Forrester, Joseph Derek, Fraga, Gustavo P., Frossard, Jean Loui, Gomes, Carlos Augusto, Ahmed, Mohamed Hassan, Kim, Jae Il, Lee, Yeong Yeh, Kim, Peter K, Ko, Wen Chien, Labarbera, Francis D., Lee, Jae Gil, Mazuski, John E., Moore, Ernest E., Moore, Frederick Alan, Nord, Carl Erik, Ordoñez, Carlos A., Júnior, Gerson Alves Pereira, Puri, Basant K., Sakakushev, Boris E., Stewart, David B., Timsit, Jean Francoi, To, Kathleen B., Zahar, Jean Ralph, and İç Hastalıkları

Subjects
medicine.medical_specialty, Pathology, genetic structures, Settore MED/18 - CHIRURGIA GENERALE, [SDV]Life Sciences [q-bio], Disease, Review, Inflammatory bowel disease, 03 medical and health sciences, 0302 clinical medicine, Emergency surgery, Clostridium difficile, guidelines, management, Epidemiology, medicine, 030212 general & internal medicine, Intensive care medicine, [ SDV ] Life Sciences [q-bio], business.industry, Incidence (epidemiology), WSES, Pseudomembranous colitis, medicine.disease, 3. Good health, Reconstructive and regenerative medicine Radboud Institute for Molecular Life Sciences [Radboudumc 10], Emergency Medicine, 030211 gastroenterology & hepatology, Surgery, business, guideline, Surgical patients
Abstract

Contains fulltext : 154431.pdf (Publisher’s version ) (Open Access) In the last two decades there have been dramatic changes in the epidemiology of Clostridium difficile infection (CDI), with increases in incidence and severity of disease in many countries worldwide. The incidence of CDI has also increased in surgical patients. Optimization of management of C difficile, has therefore become increasingly urgent. An international multidisciplinary panel of experts prepared evidenced-based World Society of Emergency Surgery (WSES) guidelines for management of CDI in surgical patients.

Published
2015
Full Text
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33. WSES guidelines for management of Clostridium difficile infection in surgical patients

Author

Sartelli, M., Malangoni, M. A., Abu-Zidan, F. M., Griffiths, E. A., Di Bella, S., Mcfarland, L. V., Eltringham, I., Shelat, V. G., Velmahos, G. C., Kelly, C. P., Khanna, S., Abdelsattar, Z. M., Alrahmani, L., Ansaloni, L., Augustin, G., Bala, M., Barbut, F., Ben-Ishay, O., Bhangu, A., Biffl, W. L., Brecher, S. M., Camacho-Ortiz, A., Cainzos, M. A., Canterbury, L. A., Catena, F., Chan, S., Cherry-Bukowiec, J. R., Clanton, J., Coccolini, F., Cocuz, M. E., Coimbra, R., Cook, C. H., Cui, Y., Czepiel, J., Das, K., Demetrashvili, Z., Di Carlo, I., Di Saverio, S., Dumitru, I. M., Eckert, C., Eckmann, C., Eiland, E. H., Enani, M. A., Faro, M., Ferrada, P., Forrester, J. D., Fraga, G. P., Frossard, J. L., Galeiras, R., Ghnnam, W., Gomes, C. A., Gorrepati, V., Ahmed, M. H., Herzog, T., Humphrey, F., Kim, J. I., Isik, A., Ivatury, R., Lee, Y. Y., Juang, P., Furuya-Kanamori, L., Karamarkovic, A., Kim, P. K., Kluger, Y., Ko, W. C., Labarbera, F. D., Lee, J. G., Leppaniemi, A., Lohsiriwat, V., Marwah, S., Mazuski, J. E., Metan, G., Moore, E. E., Moore, F. A., Nord, C. E., Ordonez, C. A., Junior, G. A. P., Petrosillo, N., Portela, F., Puri, B. K., Ray, A., Raza, M., Rems, M., Sakakushev, B. E., Sganga, Gabriele, Spigaglia, P., Stewart, D. B., Tattevin, P., Timsit, J. F., To, K. B., Trana, C., Uhl, W., Urbanek, L., van Goor, H., Vassallo, A., Zahar, J. R., Caproli, E., Viale, P., Sganga G. (ORCID:0000-0001-5079-0395), Sartelli, M., Malangoni, M. A., Abu-Zidan, F. M., Griffiths, E. A., Di Bella, S., Mcfarland, L. V., Eltringham, I., Shelat, V. G., Velmahos, G. C., Kelly, C. P., Khanna, S., Abdelsattar, Z. M., Alrahmani, L., Ansaloni, L., Augustin, G., Bala, M., Barbut, F., Ben-Ishay, O., Bhangu, A., Biffl, W. L., Brecher, S. M., Camacho-Ortiz, A., Cainzos, M. A., Canterbury, L. A., Catena, F., Chan, S., Cherry-Bukowiec, J. R., Clanton, J., Coccolini, F., Cocuz, M. E., Coimbra, R., Cook, C. H., Cui, Y., Czepiel, J., Das, K., Demetrashvili, Z., Di Carlo, I., Di Saverio, S., Dumitru, I. M., Eckert, C., Eckmann, C., Eiland, E. H., Enani, M. A., Faro, M., Ferrada, P., Forrester, J. D., Fraga, G. P., Frossard, J. L., Galeiras, R., Ghnnam, W., Gomes, C. A., Gorrepati, V., Ahmed, M. H., Herzog, T., Humphrey, F., Kim, J. I., Isik, A., Ivatury, R., Lee, Y. Y., Juang, P., Furuya-Kanamori, L., Karamarkovic, A., Kim, P. K., Kluger, Y., Ko, W. C., Labarbera, F. D., Lee, J. G., Leppaniemi, A., Lohsiriwat, V., Marwah, S., Mazuski, J. E., Metan, G., Moore, E. E., Moore, F. A., Nord, C. E., Ordonez, C. A., Junior, G. A. P., Petrosillo, N., Portela, F., Puri, B. K., Ray, A., Raza, M., Rems, M., Sakakushev, B. E., Sganga, Gabriele, Spigaglia, P., Stewart, D. B., Tattevin, P., Timsit, J. F., To, K. B., Trana, C., Uhl, W., Urbanek, L., van Goor, H., Vassallo, A., Zahar, J. R., Caproli, E., Viale, P., and Sganga G. (ORCID:0000-0001-5079-0395)

Abstract

In the last two decades there have been dramatic changes in the epidemiology of Clostridium difficile infection (CDI), with increases in incidence and severity of disease in many countries worldwide. The incidence of CDI has also increased in surgical patients. Optimization of management of C difficile, has therefore become increasingly urgent. An international multidisciplinary panel of experts prepared evidenced-based World Society of Emergency Surgery (WSES) guidelines for management of CDI in surgical patients.

Published
2015

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