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High-grade liver injury: outcomes with a trauma surgery-liver surgery collaborative approach.
Trauma Surg Acute Care Open
January 2025
Surgery, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania, USA.
Background: Operative mortality for high-grade liver injury (HGLI) remains 42% to 66%, with near-universal mortality after retrohepatic caval injury. The objective of this study was to evaluate mortality and complications of operative and nonoperative management (OM and NOM) of HGLI at our institution, characterized by a trauma surgery-liver surgery collaborative approach to trauma care.
Methods: This was an observational cohort study of adult patients (age ≥16) with HGLI (The American Association for Surgery of Trauma (AAST) grades IV and V) admitted to an urban level I trauma center from January 2010 to November 2021.
"Choice of surgical approach for the treatment of acute small bowel obstruction: A retrospective analysis from a high-volume single center in Milan, Northern Italy".
Surg Pract Sci
September 2023
Emergency and General Surgery, I.R.C.C.S. San Raffaele Hospital, via Olgettina 60, 20132, Milan, Italy.
Background: Acute small bowel obstruction (aSBO) is the most common cause (76%) of acute intestinal obstruction. Laparoscopy use is still controversial in aSBO and indications not yet clearly defined. The aim of this study was to demonstrate the effectiveness and safety of a laparoscopic approach in aSBO by using specific pre-operative criteria for appropriate patient selection.
View Article and Find Full Text PDFCT scans do not reliably identify appendicoliths in acute appendicitis.
Surg Pract Sci
September 2022
Professor of Surgery, New York Medical College, Chief of Surgery, Metropolitan Hospital Center, New York, NY, United States.
Background: Both the CODA trial and the 2020 WSES Jerusalem guidelines concluded that nonoperative management of appendicitis (NOMA) was non-inferior for uncomplicated appendicitis but appendicoliths increase risk for complications. Thus "Appendicoliths on CT" are a relative contraindication to NOMA but accuracy of CT in identifying appendicoliths is just assumed.
Materials And Methods: We conducted an EMR review of 1552 appendectomy patients, who had pre-operative CT scans for suspected acute appendicitis from 2001-2019.
Short- and long-term outcomes in the nonoperative treatment of diverticular abscesses.
Surg Pract Sci
June 2023
Assiut University, 55PC+X4V, El Fateh, Assiut Governorate, 71515, Egypt.
Introduction: Recommendations for surgery of diverticular abscesses continue to evolve. This study aimed to examine the short- and long-term results of nonoperative management of diverticular abscesses while analyzing granular data to assess for predictive factors for successful treatment.
Materials And Methods: We analyzed patients admitted with diverticular abscesses at Penn Highlands Mon Valley Hospital from 2010 to 2020 who received initial planned nonoperative management.
The influence of pre-injury anticoagulant or antiplatelet agents on outcomes in trauma patients sustaining abdominal solid organ injuries: A scoping review.
Injury
January 2025
Faculty of Medicine, University of Queensland, Brisbane, Queensland, Australia; Department of General Surgery, Royal Brisbane and Women's Hospital, Brisbane, Queensland, Australia; Jamieson Trauma Institute, Royal Brisbane and Women's Hospital, Brisbane, Queensland, Australia; Trauma Service, Royal Brisbane and Women's Hospital, Brisbane, Queensland, Australia. Electronic address:
Background: Indications for, and usage of, anticoagulant (AC) and antiplatelet (AP) agents is increasing. In this context, it is important to understand the evidence base of the effect of pre-injury AC/AP agents on patient outcomes in the context of traumatic solid organ injury (SOI) to inform management protocols.
Methods: A scoping review of the literature was undertaken with a systematic search strategy within the PubMed and Scopus databases.
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