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World Journal of Emergency Surgery
Scopus
ISSN 1749-7922 · BMC · 870 articles in the index
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Journal Article
Re: Small versus large bore chest tube in traumatic hemothorax, hemopneumothorax, and pneumothorax—external validity, endpoint heterogeneity, and trial sequential analysis assumptions
Abstract Background Granieri and colleagues compared small-caliber chest drains (14 Ch or smaller) with large-bore chest tubes (28 Ch or larger) for traumatic hemothorax, hemopneumothorax, and pneumothorax and combined conventional meta-analysis with trial sequential analysis. Main points: While…
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Journal Article
Beyond the initial impact: troponin patterns frequently reveal delayed cardiac injury in polytrauma patients
Abstract Background Cardiac troponin serves as a biomarker for diagnosing myocardial contusion following blunt chest trauma and for differentiating between types of myocardial infarction. However, its interpretation in polytrauma remains challenging due to overlapping pathophysiological mechanisms…
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Journal Article
Pneumoperitoneum without significant bowel perforation in patients with blunt trauma: a systematic review and meta-analysis
Abstract Background Free intraperitoneal air (FIA) after blunt trauma is traditionally considered a radiological marker of hollow viscus perforation requiring urgent laparotomy. However, emerging reports have described pneumoperitoneum without surgically meaningful bowel injury, raising concerns…
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Journal Article
Impact of blunt adrenal gland injury (BAGI) in major trauma: a systematic review and meta-analysis
Abstract Background Blunt adrenal gland injuries (BAGI) are rare and typically reflect high-energy trauma. Despite suggestions that BAGI may be a marker of increased injury severity and mortality, evidence remains conflicting. We conducted a systematic review and meta-analysis to assess the impact…
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Journal Article
Dogma, data, and decision-making: a history of treatment for small-bowel obstruction
Abstract Background Mechanical small-bowel obstruction (SBO) has been recognized since antiquity. We systematically review the evolution of its diagnosis and treatment, with emphasis on surgical milestones, influential surgeons, and procedural advances alongside the development of imaging and…
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Journal Article
Percutaneous vs. surgical management in acute cholecystitis: addressing selection bias in meta-analyses
Abstract This commentary addresses the recent research titled “Comparing percutaneous treatment and cholecystectomy outcomes in acute cholecystitis patients: a systematic review and meta-analysis” published in the World Journal of Emergency Surgery. The review confirms that cholecystectomy (CC)…
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Journal Article
Effect of prehospital cervical spine immobilization on mortality and neurological outcome in trauma patients: an observational cohort study with propensity score matching based on the trauma registry of the German trauma society (TraumaRegister DGU®)
Abstract Background Prehospital cervical spine immobilization is standard trauma care intended to prevent secondary spinal cord injury, yet evidence for its effectiveness is limited, and adverse effects are increasingly recognized. Large registry-based comparisons accounting for injury severity are…
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Journal Article
Pathophysiology, prevention and treatment of postoperative peritoneal adhesions: a WSES narrative
Abstract Background Adhesions are a common complication following surgery, and they can cause significant morbidity. However, adhesions are not easily diagnosed with imaging, and often only become apparent when they cause intestinal obstruction symptoms. The pathophysiology of adhesion formation is…
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Journal Article
Global practices and attitudes in acute appendicitis management: the PAMAP-W international survey and Delphi consensus study on the WSES appendicitis grading system
Abstract Background Despite the availability of several appendicitis grading systems and ongoing efforts toward standardization, substantial variability persists worldwide in the management of acute appendicitis. Differences are particularly evident in operative approach, stump closure…
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Journal Article
Short-term relief or long-term solution? A comparison between endoscopic stenting and gastrojejunostomy for malignant gastric outlet obstruction
Abstract Introduction Malignant gastric outlet obstruction is the consequence of advanced cancer resulting in mechanical obstruction to gastric emptying. Traditionally, surgical bypass (GJ) is performed and is known for its durability but also for its high morbidity. In contrast, endoscopic…
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Journal Article
Impact of transportation methods on pediatric and adolescent severely injured vehicle occupants
Abstract Background Road traffic collisions (RTCs) are the leading cause of death globally. Reducing the transportation time to definitive care and training bystanders in trauma management may impact clinical outcome. We aimed to study the impact of transportation methods on pediatric and…
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Journal Article
A description of patient experience after undergoing an emergency laparotomy
Abstract Background To date, emergency laparotomy outcomes have centred on mortality, while survivorship remains inadequately defined and underexplored. It is expected that survivors are likely to experience significant short- and long-term biopsychosocial challenges and research is key to…
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Journal Article
Polymeric clips versus staplers for appendiceal stump closure in laparoscopic appendectomy: a retrospective observational study
Abstract Purpose The aim of this study was to compare non-absorbable polymeric clips and endostapler techniques used for appendiceal stump closure in laparoscopic appendectomy and to evaluate the outcomes of both methods in terms of clinical safety, complication rates, appendiceal diameter…
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Journal Article
Outcomes of emergency department and operating room preperitoneal pelvic packing in hemodynamically unstable severe pelvic fractures: a retrospective risk-adjusted observational study
Abstract Background Hemodynamically unstable patients with pelvic fractures have a high mortality rate. Most bleeding from pelvic fractures originates from venous and bony sources; therefore, direct compression of the pelvic wall can be effective, and preperitoneal pelvic packing (PPP) should be…
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Journal Article
Machine learning models for early mortality prediction in trauma patients using public data: a nationwide retrospective study
Abstract Background Trauma is a leading cause of morbidity and mortality worldwide, particularly in younger populations. Early identification of high-risk trauma patients is critical for timely interventions and improved outcomes. Although artificial intelligence and machine learning have…
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Journal Article
Interpreting the evidence for chlorhexidine wound irrigation in contaminated abdominal surgery
Abstract Kultanaruangnonth et al. recently reported a well-conducted double-blind randomized trial comparing intraoperative irrigation with 0.05% aqueous chlorhexidine gluconate (CHG) against normal saline for the prevention of surgical site infection (SSI) in abdominal surgery, concluding that CHG…
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Journal Article
An open access trauma registry for developing countries: a tested selected minimal dataset with its free database program
Abstract Background Injury is a global health problem, especially in low- and middle-income countries (LMICs). Sustainable trauma registries in these settings require concise, locally relevant, and low-cost solutions. This methodology paper shares a minimal trauma registry dataset developed and…
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Journal Article
Comparative efficacy of intraoperative wound irrigation with aqueous chlorhexidine versus normal saline to prevent surgical site infections: a double-blind randomized controlled trial
Abstract Background Surgical site infections (SSIs) remain a major concern after abdominal surgery, with incidences of 15–22%. Intraoperative wound irrigation (IOWI) before closure is routinely performed to reduce bacterial contamination, but the benefit of antiseptic irrigation, such as aqueous…
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Journal Article
Comparison of short-term outcomes in open versus endovascular management of traumatic axillosubclavian arterial injuries in the contemporary era: a systematic review and meta-analysis
Abstract Background Traumatic axillosubclavian arterial injuries are rare but associated with high morbidity and mortality. Endovascular repair (ER) has emerged as an alternative to open surgery (OS), yet comparative outcome data remain inconsistent. This systematic review and meta-analysis…
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Journal Article
Congenital band as a rare cause of small bowel obstruction: a case series and review of the literature
Abstract Introduction Small bowel obstruction (SBO) is a common surgical emergency, most often caused by adhesions, whereas congenital peritoneal bands (CPBs) represent a rare etiology in adults. Limited contemporary data exist, with most adult series reporting fewer than ten cases. This study…