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Open AccessThe 2023 WSES guidelines on the management of trauma in elderly and frail patients
The trauma mortality rate is higher in the elderly compared with younger patients. Ageing is associated with physiological changes in multiple systems and correlated with frailty. Frailty is a risk factor for ...
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Article
Open AccessThe pathophysiology of pelvic ring injuries: a review
Traumatic pelvic ring injuries continue to represent a major challenge due to the high rates of post-injury mortality of around 30-40% in the peer-reviewed literature. The main root cause of potentially preven...
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Article
The Operating Room management for emergency Surgical Activity (ORSA) study: a WSES international survey
Despite advances and improvements in the management of surgical patients, emergency and trauma surgery is associated with high morbidity and mortality. This may be due in part to delays in definitive surgical ...
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Article
Open AccessThe Rothman Index predicts unplanned readmissions to intensive care associated with increased mortality and hospital length of stay: a propensity-matched cohort study
Patients with unplanned readmissions to the intensive care unit (ICU) are at high risk of preventable adverse events. The Rothman Index represents an objective real-time grading system of a patient’s clinical ...
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Article
Open AccessAre we ready for "green surgery" to promote environmental sustainability in the operating room? Results from the WSES STAR investigation
The importance of environmental sustainability is acknowledged in all sectors, including healthcare. To meet the United Nations Sustainable Development Goals 2030 Agenda, healthcare will need a paradigm shift ...
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Open AccessEarly management of adult traumatic spinal cord injury in patients with polytrauma: a consensus and clinical recommendations jointly developed by the World Society of Emergency Surgery (WSES) & the European Association of Neurosurgical Societies (EANS)
The early management of polytrauma patients with traumatic spinal cord injury (tSCI) is a major challenge. Sparse data is available to provide optimal care in this scenario and worldwide variability in clinica...
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Open AccessCorrection: ECLAPTE: Effective Closure of LAParoTomy in Emergency—2023 World Society of Emergency Surgery guidelines for the closure of laparotomy in emergency settings
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Open AccessPatient Safety in Surgery – announcing the journal’s first impact factor (3.7)
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Open AccessECLAPTE: Effective Closure of LAParoTomy in Emergency—2023 World Society of Emergency Surgery guidelines for the closure of laparotomy in emergency settings
Laparotomy incisions provide easy and rapid access to the peritoneal cavity in case of emergency surgery. Incisional hernia (IH) is a late manifestation of the failure of abdominal wall closure and represents ...
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Open AccessAssessing and managing frailty in emergency laparotomy: a WSES position paper
Many countries are facing an aging population. As people live longer, surgeons face the prospect of operating on increasingly older patients. Traditional teaching is that with older age, these patients face an...
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Article
Open AccessThe new timing in acute care surgery (new TACS) classification: a WSES Delphi consensus study
Timely access to the operating room for emergency general surgery (EGS) indications remains a challenge across the globe, largely driven by operating room availability and staffing constraints. The “timing in ...
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Open AccessInvestigational medications in 9,638 hospitalized patients with severe COVID-19: lessons from the “fail-and-learn” strategy during the first two waves of the pandemic in 2020
The early surge of the novel coronavirus disease 2019 (COVID-19) pandemic introduced a significant clinical challenge due to the high case-fatality rate in absence of evidence-based recommendations. The empiri...
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Open AccessCorrection: Early management of isolated severe traumatic brain injury patients in a hospital without neurosurgical capabilities: a consensus and clinical recommendations of the World Society of Emergency Surgery (WSES)
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Open AccessEarly management of isolated severe traumatic brain injury patients in a hospital without neurosurgical capabilities: a consensus and clinical recommendations of the World Society of Emergency Surgery (WSES)
Severe traumatic brain-injured (TBI) patients should be primarily admitted to a hub trauma center (hospital with neurosurgical capabilities) to allow immediate delivery of appropriate care in a specialized env...
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Pelvic Trauma
High-energy pelvic fractures continue to represent a major challenge in trauma management due to the high rates of postinjury mortality of around 30–40% in the modern peer-reviewed literature. The main root ca...
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High Reliability: The Next Frontier for Patient Safety in Surgery
The consistent assurance of patient safety in surgery remains challenging due to the risk stratification related to the surgical acuity and the patients’ individual underlying conditions, in conjunction with t...
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Article
Open AccessOpioid-free anesthesia: the next frontier in surgical patient safety
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Open AccessAcute mesenteric ischemia: updated guidelines of the World Society of Emergency Surgery
Acute mesenteric ischemia (AMI) is a group of diseases characterized by an interruption of the blood supply to varying portions of the intestine, leading to ischemia and secondary inflammatory changes. If untr...
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Open AccessThe acute phase management of spinal cord injury affecting polytrauma patients: the ASAP study
Few data on the management of acute phase of traumatic spinal cord injury (tSCI) in patients suffering polytrauma are available. As the therapeutic choices in the first hours may have a deep impact on outcome ...
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Open AccessServant leadership: an endangered species?
