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)

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)

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)

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 […]

appendicitis

EAES rapid guideline: appendicitis in the elderly (2021)

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)

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 […]

appendicitis obstetrics

EAES rapid guideline: systematic review, meta-analysis, GRADE assessment, and evidence-informed European recommendations on appendicitis in pregnancy (2022)

Adamina M, Andreou A, Arezzo A, Christogiannis C, Di Lorenzo N, Gioumidou M, et al. EAES rapid guideline: systematic review, meta-analysis, GRADE assessment, and evidence-informed European recommendations on appendicitis in pregnancy. Surg Endosc. 2022;36:8699–712. https://link.springer.com/10.1007/s00464-022-09625-9. Recommendations •We recommend operative treatment over conservative management in pregnant patients with complicated appendicitis or appendicolith on imaging studies. (strong […]

obstetrics perioperative care

SAGES guidelines for the use of laparoscopy during pregnancy (2017)

Pearl JP, Price RR, Tonkin AE, Richardson WS, Stefanidis D. SAGES guidelines for the use of laparoscopy during pregnancy. Surg Endosc. Springer US; 2017;31:3767–82. Diagnosis and Workup Guideline 1: Ultrasound imaging during pregnancy is safe and effective in identifying the etiology of acute abdominal pain in many patients and should be the initial imaging test […]