Author: Lukas Widmer

trauma

Adult Emergency Resuscitative Thoracotomy: A Western Trauma Association Clinical Decisions Algorithm (2024)

by Lukas Widmer

Tesoriero, Ronald, Raul Coimbra, Walter L. Biffl, Clay Cothren Burlew, Chasen A. Croft, Charles Fox, Jennifer L. Hartwell, u. a. „Adult Emergency Resuscitative Thoracotomy: A Western Trauma Association Clinical Decisions Algorithm“. Journal of Trauma and Acute Care Surgery 97, Nr. 6 (Dezember 2024): 961–68. https://doi.org/10.1097/TA.0000000000004462. ExplanationsWhile chest compressions have not been clearly demonstrated to improve outcomes […]

gallbladder

Evidence-Based, Cost-Effective Management of Acute Cholecystitis: An Algorithm of the Journal of Trauma and Acute Care Surgery Emergency General Surgery Algorithms Working Group (2025)

by Lukas Widmer

Explanations A Cochrane Review examined early versus delayed laparoscopic CCY for uncomplicated biliary colic. Early CCY was performed within 24 hours, while the mean waiting time to delayed CCY was 4.2 months. The early group had significantly shorter operating time (by 14.8 minutes) and hospital stay (by 1.25 days) and fewer serious adverse events (0% […]

coloproctology

European Society of Coloproctology: Guidelines for diagnosis and treatment of cryptoglandular anal fistula (2023)

by Lukas Widmer

Reza L, Gottgens K, Kleijnen J, Breukink S, Ambe PC, Aigner F, et al. European Society of Coloproctology: Guidelines for diagnosis and treatment of cryptoglandular anal fistula. Color Dis 2023:1–52. doi:10.1111/codi.16741. Diagnosis, classification and preoperative investigations Immediate fistulotomy at incision and drainage of an acute peri-anal abscess is not recommended.Low-level evidence. [Upgraded by the Guideline […]

urinary tract injuries

2023 WSES guidelines for the prevention, detection, and management of iatrogenic urinary tract injuries (IUTIs) during emergency digestive surgery (2023)

by Lukas Widmer

de’Angelis N, Schena CA, Marchegiani F, Reitano E, De Simone B, Wong GYM, et al. 2023 WSES guidelines for the prevention, detection, and management of iatrogenic urinary tract injuries (IUTIs) during emergency digestive surgery. World J Emerg Surg 2023;18:45. doi:10.1186/s13017-023-00513-8. IntroductionThe reported incidence of iatrogenic ureteral injury during elective abdominal surgery ranges between 0 and […]

perioperative care Uncategorized

Duration of Antimicrobial Treatment for Complicated Intra-abdominal Infections after Definitive Source Control: A Systematic Review, Meta-Analysis, and Practice Management Guideline from the Eastern Association for the Surgery of Trauma (2023)

by Lukas Widmer

Ra JH, Rattan R, Patel NJ, Bhattacharya B, Butts CA, Gupta S, et al. Duration of Antimicrobial Treatment for Complicated Intra-abdominal Infections after Definitive Source Control: A Systematic Review, Meta-Analysis, and Practice Management Guideline from the Eastern Association for the Surgery of Trauma. J Trauma Acute Care Surg 2023;Publish Ah:603–12. doi:10.1097/ta.0000000000003998. Introduction Definitive source control […]

appendicitis

EAES rapid guideline: appendicitis in the elderly (2021)

by Lukas Widmer

Antoniou SA, Mavridis D, Kontouli KM, Drakopoulos V, Gorter-Stam M, Eriksson S, et al. EAES rapid guideline: appendicitis in the elderly. Surg Endosc 2021;35:3233–43. doi:10.1007/s00464-021-08524-9. Inclusion/Exclusion The overarching inclusion criterion was patient age ≥ 65 years. Exclusion criteria were robotic surgery, natural orifice transluminal endoscopic surgery, and single-incision laparoscopic surgery. Recommendations We suggest against the […]

appendicitis

Diagnosis and treatment of acute appendicitis: 2020 update of the WSES Jerusalem guidelines (2020)

by Lukas Widmer

Di Saverio S, Podda M, De Simone B, Ceresoli M, Augustin G, Gori A, et al. Diagnosis and treatment of acute appendicitis: 2020 update of the WSES Jerusalem guidelines. World J Emerg Surg. World Journal of Emergency Surgery; 2020;15:27. https://wjes.biomedcentral.com/articles/10.1186/s13017-020-00306-3 Diagnosis Recommendation 1.1 We recommend to adopt a tailored individualized diagnostic approach for stratifying the […]

hernia

Midline incisional hernia guidelines: the European Hernia Society (2023)

by Lukas Widmer

Sanders DL, Pawlak MM, de Beaux AC. European Hernia Society incisional hernia guidelines. Br J Surg. 2023;110:343–343. https://academic.oup.com/bjs/article/110/3/343/6970433 IntroductionA meta-analysis including over 14 000 patients reported a weighted incidence of 12.8 per cent 2 years after a midline incision, and that one-third of patients with an incisional hernia undergo surgical repair. Eligibility criteriaEligibility criteria for […]

abdominal trauma pancreas

Blunt pancreatic trauma: A Western Trauma Association critical decisions algorithm (2023)

by Lukas Widmer

Moren AM, Biffl WL, Ball CG, de Moya M, Brasel KJ, Brown CVR, et al. Blunt pancreatic trauma: A Western Trauma Association critical decisions algorithm. J Trauma Acute Care Surg. 2023;94:455–60. https://journals.lww.com/10.1097/TA.0000000000003794 Explanation Among patients with BPI, approximately 20% have indications for immediate laparotomy and will have an intraoperative diagnosis. A The sensitivities for detecting […]

abdominal trauma upper gi

Management of complicated diaphragmatic hernia in the acute setting: a WSES position paper (2023)

by Lukas Widmer

Introduction Diaphragmatic rupture occurs in 2.1% of blunt trauma and 3.5% of penetrating trauma. Overall, diaphragmatic rupture (DR) is infrequent and may reach up to 5% of trauma patients depending on the injury severity and mechanism of injury. The distribution of diaphragmatic hernia after blunt trauma is as follows: 50–80% affect the left hemidiaphragm, 12–40% […]