Antonio La Greca
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View article: Abdominal wall blunt trauma: Review on an overlooked injury
Abdominal wall blunt trauma: Review on an overlooked injury Open
Background: Abdominal muscle injuries after blunt trauma are rare but increasingly recognized. The overall incidence in all traumatic admissions is 0.2%–0.9%, which rises to 9.2% in patients who underwent abdominal/pelvis CT scan. The aim …
View article: Economic impact of surgical site infection prevention across surgical units at Gemelli University Hospital: insights from a point prevalence survey
Economic impact of surgical site infection prevention across surgical units at Gemelli University Hospital: insights from a point prevalence survey Open
The findings indicate that targeted preventive measures reduce the prevalence and associated costs of SSIs significantly. The reduction rate exceeds previously reported figures in the literature, emphasizing the effectiveness of the interv…
View article: Management of high-surgical-risk patients with acute cholecystitis following percutaneous cholecystostomy: results of an international Delphi consensus study
Management of high-surgical-risk patients with acute cholecystitis following percutaneous cholecystostomy: results of an international Delphi consensus study Open
Background: The management of high-surgical-risk patients with moderate to severe acute cholecystitis is challenging in clinical practice. Early laparoscopic cholecystectomy is considered the gold standard for patients who do not respond t…
View article: Updates on Antibiotic Regimens in Acute Cholecystitis
Updates on Antibiotic Regimens in Acute Cholecystitis Open
Acute cholecystitis is one of the most common surgical diseases, which may progress from mild to severe cases. When combined with bacteremia, the mortality rate of acute cholecystitis reaches up to 10–20%. The standard of care in patients …
View article: Editorial: Surgical outcomes in acute care surgery: should we introduce the concept of time-critical condition?
Editorial: Surgical outcomes in acute care surgery: should we introduce the concept of time-critical condition? Open
EDITORIAL article Front. Surg., 26 July 2023Sec. Surgical Oncology Volume 10 - 2023 | https://doi.org/10.3389/fsurg.2023.1234200
View article: Implementing Enhanced Perioperative Care in Emergency General Surgery: A Prospective Multicenter Observational Study
Implementing Enhanced Perioperative Care in Emergency General Surgery: A Prospective Multicenter Observational Study Open
Introduction ERAS pathway has been proposed as the standard of care in elective abdominal surgery. Guidelines on ERAS in emergency surgery have been recently published; however, few evidences are still available in the literature. The aim …
View article: Transanal Evisceration in Rectal Perforation: Typical Presentation of a Rare Condition
Transanal Evisceration in Rectal Perforation: Typical Presentation of a Rare Condition Open
Transanal evisceration resulting from rectal perforation is a rare but potentially fatal event, if not treated promptly. We describe the case of an elderly woman for which the history of rectal prolapse played a major role in the etiopatho…
View article: Can the American College of Surgeons NSQIP Surgical Risk Calculator Accurately Predict Adverse Postoperative Outcomes in Emergency Abdominal Surgery? An Italian Multicenter Analysis
Can the American College of Surgeons NSQIP Surgical Risk Calculator Accurately Predict Adverse Postoperative Outcomes in Emergency Abdominal Surgery? An Italian Multicenter Analysis Open
BACKGROUND: The American College of Surgeons NSQIP surgical risk calculator provides an estimation of 30-day postoperative adverse outcomes. It is useful in the identification of high-risk patients needing clinical optimization and support…
View article: Metabolic Syndrome (MetS), Systemic Inflammatory Response Syndrome (SIRS), and Frailty: Is There any Room for Good Outcome in the Elderly Undergoing Emergency Surgery?
Metabolic Syndrome (MetS), Systemic Inflammatory Response Syndrome (SIRS), and Frailty: Is There any Room for Good Outcome in the Elderly Undergoing Emergency Surgery? Open
Background Patients with MetS or SIRS experience higher rates of mortality and morbidity, across both cardiac and noncardiac surgery. Frailty assessment has acquired increasing importance in recent years as it predisposes elderly patients …
View article: Management of antithrombotic treatment and bleeding disorders in patients requiring venous access devices: A systematic review and a GAVeCeLT consensus statement
Management of antithrombotic treatment and bleeding disorders in patients requiring venous access devices: A systematic review and a GAVeCeLT consensus statement Open
Insertion of venous access devices (VAD) is usually considered a procedure with low risk of bleeding. Nonetheless, insertion of some devices is invasive enough to be associated with bleeding, especially in patients with previous coagulopat…
View article: Gastric emergencies in older adults: not always the same old story! A tertiary care emergency department observational cohort study
Gastric emergencies in older adults: not always the same old story! A tertiary care emergency department observational cohort study Open
Objective To analyse and compare the clinical outcomes between patients ≥80 years and 65–79 years, who presented to our emergency department (ED) with the two most common gastric emergency (GE) clinical presentation, that is, gastric bleed…
View article: ECHOTIP: A structured protocol for ultrasound-based tip navigation and tip location during placement of central venous access devices in adult patients
ECHOTIP: A structured protocol for ultrasound-based tip navigation and tip location during placement of central venous access devices in adult patients Open
Central venous access devices are routinely used in clinical practice for administration of fluids and medications, for drawing blood samples and for hemodynamic monitoring. The adoption of ultrasound guided venipuncture has significantly …
View article: Should we use a patient’s port as the preferred intravenous route rather than inserting an additional venous access?
Should we use a patient’s port as the preferred intravenous route rather than inserting an additional venous access? Open
Early in 2021, the Infusion Nursing Society has released the latest version of the Infusion Therapy Standards of Practice. In the last two decades, these Standards have been representing one of the most important evidence-based documents a…
View article: Clinical-pathological features and treatment of acute appendicitis in the very elderly: an interim analysis of the FRAILESEL Italian multicentre prospective study
Clinical-pathological features and treatment of acute appendicitis in the very elderly: an interim analysis of the FRAILESEL Italian multicentre prospective study Open
Age ≥ 80 years is not an independent risk factor for morbidities. POCUS is safe and effective for the diagnosis; however, a CECT is often needed. Having the oldest old a smaller functional organ reserve, an earlier intervention should be c…
View article: Duodenal perforation in a SARS-CoV-2-positive patient with negative PCR results for SARS-CoV-2 in the peritoneal fluid.
Duodenal perforation in a SARS-CoV-2-positive patient with negative PCR results for SARS-CoV-2 in the peritoneal fluid. Open
The first implication of this case is that the relation between repeated administration of IL-6 inhibitors and upper gastrointestinal bleeding and perforation must be investigated, and that the threshold for administering prophylactic prot…
View article: Clinical-pathological features and treatment of acute appendicitis in the very elderly: an interim analysis of the FRAILESEL Italian Multicentre Prospective Study
Clinical-pathological features and treatment of acute appendicitis in the very elderly: an interim analysis of the FRAILESEL Italian Multicentre Prospective Study Open
Background emergency abdominal surgery in the elderly represents a global issue. Diagnosis of AA in old patients is often more difficult. Appendectomy remains the gold standard of treatment and, even though it is performed almost exclusive…
View article: Set up of a dedicated COVID-19 surgical pathway and operating room for surgical emergencies
Set up of a dedicated COVID-19 surgical pathway and operating room for surgical emergencies Open
Fransvea, Pietro MD; Sganga, Gabriele MD, FACS; Cozza, Valerio MD; Di Grezia, Marta MD; Fico, Valeria MD; Tirelli, Flavio MD; Pepe, Gilda MD; La Greca, Antonio MD, FACS Author Information
View article: ACTES 2019 - Abstracts Book; The 3rd Albanian Congress of Trauma and Emergency Surgery
ACTES 2019 - Abstracts Book; The 3rd Albanian Congress of Trauma and Emergency Surgery Open
This event reflects the author's involvement in internationally recognized education and training models, as ATLS, ETC, and DSTC, and UEMS Boards of Emergency SurgeryDo different countries need very different things? I don’t think so, for …
View article: Endoscopic necrosectomy of walled-off pancreatic necrosis by large-bore percutaneus metal stent: a new opportunity?
Endoscopic necrosectomy of walled-off pancreatic necrosis by large-bore percutaneus metal stent: a new opportunity? Open
Background and study aims Endoscopic drainage of walled-off pancreatic necrosis (WOPN) is feasible when contact with the gastric or duodenal wall is present; when WOPN cannot be accessed endoscopically, a percutaneous approach can be consi…