Dimitrios Damaskos
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View article: Surgical training for simple and complex hernia repair in the UK: results of a nationwide training survey
Surgical training for simple and complex hernia repair in the UK: results of a nationwide training survey Open
Introduction Abdominal wall reconstruction (AWR) is increasingly recognised as a subspecialty in general surgery, owing to the growing complexity and advancement of hernia repair techniques. Concerns have been raised among UK hernia specia…
View article: Prioritizing circulation over airway to improve survival in trauma patients with exsanguinating injuries: a world society of emergency surgery-panamerican trauma consensus statement
Prioritizing circulation over airway to improve survival in trauma patients with exsanguinating injuries: a world society of emergency surgery-panamerican trauma consensus statement Open
Prioritizing circulation over airway management in trauma patients with exsanguinating injuries significantly reduces mortality compared to the traditional ABC approach. The present consensus paper, conducted according to the WSES methodol…
View article: Gastrointestinal Complications and Laparotomy after Cardiac Surgery: A Retrospective Cohort Study
Gastrointestinal Complications and Laparotomy after Cardiac Surgery: A Retrospective Cohort Study Open
AIM: Gastrointestinal (GI) complications following cardiac surgery are infrequent, but associated with high rates of postoperative mortality. The aim of our study was to identify risk factors predisposing patients to GI complications follo…
View article: eP14 Gastrointestinal complications and laparotomy after cardiac surgery: A retrospective cohort study
eP14 Gastrointestinal complications and laparotomy after cardiac surgery: A retrospective cohort study Open
Introduction Gastro-intestinal (GI) complications following cardiac surgery are infrequent, but associated with high rates of post-operative mortality. The aim of our study was to identify risk factors predisposing patients to GI complicat…
View article: Frailty in emergency general surgery and the role of the perioperative physician/geriatrician
Frailty in emergency general surgery and the role of the perioperative physician/geriatrician Open
The aging of the population is a fact, and with it, our surgical patients are becoming increasingly more complex and frailer. It is a well-known aspect of our practice nowadays, but its impact was not recognized until recently. The article…
View article: D-Dimer in Acute Mesenteric Venous Thrombosis: A Prospective Case-Control International Multicenter Study
D-Dimer in Acute Mesenteric Venous Thrombosis: A Prospective Case-Control International Multicenter Study Open
Background: Acute mesenteric venous thrombosis (MVT) is rarely suspected as primary diagnosis in emergency departments and still carries an in-hospital mortality rate of above 20%. Objectives: The aim of this study was to find differences …
View article: Biomarkers In Prediction of Acute Mesenteric Ischaemia: a prospective multicentre study (BIPAMI study): a study protocol
Biomarkers In Prediction of Acute Mesenteric Ischaemia: a prospective multicentre study (BIPAMI study): a study protocol Open
Background Acute mesenteric ischaemia (AMI) is a life-threatening disease where early diagnosis is critical to avoid morbidity and mortality from extensive irreversible bowel necrosis. Appropriate prediction of presence of bowel necrosis i…
View article: Biomarkers In Prediction of Acute Mesenteric Ischaemia: a prospective multicentre study (BIPAMI study): a study protocol
Biomarkers In Prediction of Acute Mesenteric Ischaemia: a prospective multicentre study (BIPAMI study): a study protocol Open
Introduction Acute mesenteric ischaemia (AMI) is a life-threatening disease where early diagnosis is critical to avoid morbidity and mortality from extensive irreversible bowel necrosis. Appropriate prediction of presence of bowel necrosis…
View article: Validation of the emergency surgery score (ESS) in a UK patient population and comparison with NELA scoring: a retrospective multicentre cohort study
Validation of the emergency surgery score (ESS) in a UK patient population and comparison with NELA scoring: a retrospective multicentre cohort study Open
Introduction Accurate risk scoring in emergency general surgery (EGS) is vital for consent and resource allocation. The emergency surgery score (ESS) has been validated as a reliable preoperative predictor of postoperative outcomes in EGS …
View article: Are we ready for "green surgery" to promote environmental sustainability in the operating room? Results from the WSES STAR investigation
Are we ready for "green surgery" to promote environmental sustainability in the operating room? Results from the WSES STAR investigation Open
Background 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 toward more environ…
View article: Novel Textbook Outcomes following emergency laparotomy: Delphi exercise
Novel Textbook Outcomes following emergency laparotomy: Delphi exercise Open
Background Textbook outcomes are composite outcome measures that reflect the ideal overall experience for patients. There are many of these in the elective surgery literature but no textbook outcomes have been proposed for patients followi…
View article: Antibiotic prophylaxis in trauma: Global Alliance for Infection in Surgery, Surgical Infection Society Europe, World Surgical Infection Society, American Association for the Surgery of Trauma, and World Society of Emergency Surgery guidelines
Antibiotic prophylaxis in trauma: Global Alliance for Infection in Surgery, Surgical Infection Society Europe, World Surgical Infection Society, American Association for the Surgery of Trauma, and World Society of Emergency Surgery guidelines Open
Trauma is a complex disease, and the use of antibiotic prophylaxis (AP) in trauma patients is common practice. However, considering the increasing rates of antibiotic resistance, AP use should be questioned and limited only to specific cas…
View article: Cesena guidelines: WSES consensus statement on laparoscopic-first approach to general surgery emergencies and abdominal trauma
Cesena guidelines: WSES consensus statement on laparoscopic-first approach to general surgery emergencies and abdominal trauma Open
Background Laparoscopy is widely adopted across nearly all surgical subspecialties in the elective setting. Initially finding indication in minor abdominal emergencies, it has gradually become the standard approach in the majority of elect…
View article: The importance of accuracy in consenting in Laparoscopic Appendicectomies and Cholecystectomies in Emergency General Surgery
The importance of accuracy in consenting in Laparoscopic Appendicectomies and Cholecystectomies in Emergency General Surgery Open
Background Emergency General Surgery frequently necessitates expediting the consent due to clinic pressure often reducing the time for extensive and accurate consents. New recommendations from GIRFT, RCS and ASGBI advise the best practice …
View article: Demographics, diagnostics, treatment, and outcomes of patients presenting with acute groin hernia: 15-year multicentre retrospective cohort study
Demographics, diagnostics, treatment, and outcomes of patients presenting with acute groin hernia: 15-year multicentre retrospective cohort study Open
Background Groin hernias commonly present acutely in high-risk populations and can be challenging to manage. This retrospective, observational study aimed to report on patient demographics and outcomes, following acute admissions with a gr…
View article: Timing of Cholecystectomy After Moderate and Severe Acute Biliary Pancreatitis
Timing of Cholecystectomy After Moderate and Severe Acute Biliary Pancreatitis Open
Importance Considering the lack of equipoise regarding the timing of cholecystectomy in patients with moderately severe and severe acute biliary pancreatitis (ABP), it is critical to assess this issue. Objective To assess the outcomes of e…
View article: SP8.8 Necrotising fasciitis: A retrospective single-centre 10-year experience
SP8.8 Necrotising fasciitis: A retrospective single-centre 10-year experience Open
Aims Necrotizing fasciitis (NF) is a life-threatening condition with early diagnosis and goal-directed resuscitation critical to improve perioperative outcomes. The aim of this study is to review our experience and define trends in the inc…
View article: ECLAPTE: Effective Closure of LAParoTomy in Emergency—2023 World Society of Emergency Surgery guidelines for the closure of laparotomy in emergency settings
ECLAPTE: Effective Closure of LAParoTomy in Emergency—2023 World Society of Emergency Surgery guidelines for the closure of laparotomy in emergency settings Open
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 frequent complication of any a…
View article: The 2023 MANCTRA Acute Biliary Pancreatitis Care Bundle
The 2023 MANCTRA Acute Biliary Pancreatitis Care Bundle Open
Objective: To generate an up-to-date bundle to manage acute biliary pancreatitis using an evidence-based, artificial intelligence (AI)-assisted GRADE method. Background: A care bundle is a set of core elements of care that are distilled fr…
View article: Spontaneous tumor lysis syndrome in patients with solid tumors: a scoping review of the literature
Spontaneous tumor lysis syndrome in patients with solid tumors: a scoping review of the literature Open
No systematic synthesis of all cases of spontaneous tumor lysis syndrome (STLS) in adult patients with solid tumors is available to date. Herein, we aim to recognize specific STLS characteristics and parameters related to a worse prognosis…