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View article: Prophylactic Retrorectus Mesh Versus Small-Stitch Closure After Emergency Midline Laparotomy: 2-Year Results of a Randomized Controlled Trial
Prophylactic Retrorectus Mesh Versus Small-Stitch Closure After Emergency Midline Laparotomy: 2-Year Results of a Randomized Controlled Trial Open
Introduction Incisional hernias (IH) are common complications following emergency midline laparotomies. Mesh reinforcement has shown efficacy in preventing incisional hernias in elective surgeries, but evidence remains limited for emergenc…
View article: Comparison of classification systems for acute diverticulitis and updating of Helsinki staging
Comparison of classification systems for acute diverticulitis and updating of Helsinki staging Open
BACKGROUND Helsinki classification for acute colonic diverticulitis, based on radiological and clinical parameters, stratifies patients according to their prognosis and recommended treatment into five stages. This study aims to update Hels…
View article: Failure to Rescue in Early Versus Late Severe Anastomotic leakage after Colorectal Surgery
Failure to Rescue in Early Versus Late Severe Anastomotic leakage after Colorectal Surgery Open
Objective: We aimed to assess the failure-to-rescue (FTR) rates for severe early and late anastomotic leakage (EAL and LAL) after elective and emergency colorectal surgery. Background: Severe anastomotic leakage (AL), defined as the need f…
View article: PROtective ileoStomy versus ProtectivE colostomy in anterior Rectal resectIon: study protocol for a multicenter, open-label, randomised conTrolled studY (PROSPERITY)
PROtective ileoStomy versus ProtectivE colostomy in anterior Rectal resectIon: study protocol for a multicenter, open-label, randomised conTrolled studY (PROSPERITY) Open
Introduction Loop ileostomy and loop colostomy are both used to form a protective stoma after anterior resection. Evidence regarding which of these two procedures is superior is lacking. Furthermore, no studies comparing changes in the mic…
View article: Sigmoid Resection vs Conservative Treatment After Diverticulitis
Sigmoid Resection vs Conservative Treatment After Diverticulitis Open
Importance Laparoscopic elective sigmoid resection is a treatment option for patients with recurring, persistent painful, or complicated diverticulitis, but outcomes of surgery compared with conservative treatment are unclear in long-term …
View article: Development and external validation of prediction risk scores (STRISK and NOFA) to predict immediate surgical need in adhesive small bowel obstruction: an observational prospective multicentre study
Development and external validation of prediction risk scores (STRISK and NOFA) to predict immediate surgical need in adhesive small bowel obstruction: an observational prospective multicentre study Open
Background Adhesive small bowel obstruction (SBO) is a common cause of emergency admission. Identification of patients at high risk of strangulation or failure of non-operative treatment is difficult. In this multicentre prospective observ…
View article: Repeated scoring with Adult Appendicitis Score improves the sensitivity and the specificity of appendicitis diagnosis in patients with early equivocal signs of appendicitis: A secondary analysis
Repeated scoring with Adult Appendicitis Score improves the sensitivity and the specificity of appendicitis diagnosis in patients with early equivocal signs of appendicitis: A secondary analysis Open
Background The use of computed tomography at the early stage of acute appendicitis can lead to overdiagnosis and predispose patients unnecessarily to ionising radiation. Adult Appendicitis Score (AAS) can be used to select patients for ima…
View article: Pre-hospital management and patient-related factors affecting access to the surgical care of appendicitis – a survey study
Pre-hospital management and patient-related factors affecting access to the surgical care of appendicitis – a survey study Open
Advanced age, fever and failure to suspect acute appendicitis in primary care are associated with prolonged pre-hospital delay and complicated appendicitis.
View article: Impact of hospital volume on failure to rescue for complications requiring reoperation after elective colorectal surgery: multicentre propensity score–matched cohort study
Impact of hospital volume on failure to rescue for complications requiring reoperation after elective colorectal surgery: multicentre propensity score–matched cohort study Open
Background It has previously been reported that there are similar reoperation rates after elective colorectal surgery but higher failure-to-rescue (FTR) rates in low-volume hospitals (LVHs) versus high-volume hospitals (HVHs). This study a…
View article: The open abdomen in trauma, acute care, and vascular and endovascular surgery: comprehensive, expert, narrative review
The open abdomen in trauma, acute care, and vascular and endovascular surgery: comprehensive, expert, narrative review Open
Background The open abdomen is an innovation that greatly improved surgical understanding of damage control, temporary abdominal closure, staged abdominal reconstruction, viscera and enteric fistula care, and abdominal wall reconstruction.…
View article: Quality-of-Life and Recurrence Outcomes Following Laparoscopic Elective Sigmoid Resection vs Conservative Treatment Following Diverticulitis
Quality-of-Life and Recurrence Outcomes Following Laparoscopic Elective Sigmoid Resection vs Conservative Treatment Following Diverticulitis Open
Importance Both elective sigmoid resection and conservative treatment are options for patients with recurrent, complicated, or persistent painful diverticulitis; understanding outcomes following each can help inform decision-making. Object…
View article: Potential for intestinal transplantation after acute mesenteric ischemia in patients aged less than 70 years: A population-based study
Potential for intestinal transplantation after acute mesenteric ischemia in patients aged less than 70 years: A population-based study Open
Background and objective: Acute mesenteric ischemia (AMI) has a high mortality rate due to the development of bowel necrosis. Patients are often ruled outside active care if a large proportion of small bowel is necrotic. With the developme…
View article: Stoma reversal after Hartmann's procedure for acute diverticulitis
Stoma reversal after Hartmann's procedure for acute diverticulitis Open
After the Hartmann's procedure for acute diverticulitis, one-third died, half underwent stoma reversal, and one-fifth did not undergo stoma reversal within 2 years. Patients who survive with stoma are either not willing to have reversal or…
View article: Editor's Choice – Epidemiology, Diagnostics, and Outcomes of Acute Occlusive Arterial Mesenteric Ischaemia: A Population Based Study
Editor's Choice – Epidemiology, Diagnostics, and Outcomes of Acute Occlusive Arterial Mesenteric Ischaemia: A Population Based Study Open
A significant proportion of patients with AMI are not diagnosed alive, which is reflected in the mortality rates. Post-mortem examinations and autopsy rate data continue to be key factors in epidemiological studies on AMI.
View article: Failure to rescue after reoperation for major complications of elective and emergency colorectal surgery: A population-based multicenter cohort study
Failure to rescue after reoperation for major complications of elective and emergency colorectal surgery: A population-based multicenter cohort study Open
Major complications requiring reoperation occur more than twice as often after emergency surgery and have a higher failure-to-rescue rate of >3× compared with elective surgery. The 4 most common complication types constitute three-fourths …
View article: DIAgnostic iMaging or Observation in early equivocal appeNDicitis (DIAMOND): open-label, randomized clinical trial
DIAgnostic iMaging or Observation in early equivocal appeNDicitis (DIAMOND): open-label, randomized clinical trial Open
Background Mild appendicitis may resolve spontaneously. The use of CT may lead to an overdiagnosis of uncomplicated appendicitis. The aims of this study were to examine whether early imaging results in more patients being diagnosed with ac…
View article: Prophylactic retrorectus mesh <i>versus</i> no mesh in midline emergency laparotomy closure for prevention of incisional hernia (PREEMER): study protocol for a multicentre, double-blinded, randomized controlled trial
Prophylactic retrorectus mesh <i>versus</i> no mesh in midline emergency laparotomy closure for prevention of incisional hernia (PREEMER): study protocol for a multicentre, double-blinded, randomized controlled trial Open
Background Despite the fact that emergency midline laparotomy is a risk factor for an incisional hernia, active research on hernia prevention in emergency settings is lacking. Different kinds of meshes and mesh positions have been studied …
View article: Role of delay and antibiotics on PERForation rate while waiting appendicECTomy (PERFECT): a protocol for a randomized non-inferiority trial
Role of delay and antibiotics on PERForation rate while waiting appendicECTomy (PERFECT): a protocol for a randomized non-inferiority trial Open
Background Longer duration from symptom onset is associated with increased risk of perforation in appendicitis. In previous studies, in-hospital delay to surgery has had conflicting effects on perforation rates. Although preoperative antib…
View article: The implementation of a pathway and care bundle for the management of acute occlusive arterial mesenteric ischemia reduced mortality
The implementation of a pathway and care bundle for the management of acute occlusive arterial mesenteric ischemia reduced mortality Open
BACKGROUND Acute mesenteric ischemia (AMI) is a disease with high mortality and requires a multidisciplinary approach for effective management. A pathway and care bundle were developed and implemented with the objective to reduce mortality…
View article: Perforation rate after a diagnosis of uncomplicated appendicitis on CT
Perforation rate after a diagnosis of uncomplicated appendicitis on CT Open
Background Appendicectomy is a common emergency operation. The aim of this analysis was to study the effect of preoperative delay on disease progression, and whether a novel scoring system (Atema score) could be useful in predicting compli…
View article: Comparing Laparoscopic Elective Sigmoid Resection With Conservative Treatment in Improving Quality of Life of Patients With Diverticulitis
Comparing Laparoscopic Elective Sigmoid Resection With Conservative Treatment in Improving Quality of Life of Patients With Diverticulitis Open
ClinicalTrials.gov Identifier: NCT02174926.
View article: INtravenous Contrast computed tomography versus native computed tomography in patients with acute Abdomen and impaired Renal functiOn (INCARO): a multicentre, open-label, randomised controlled trial - study protocol
INtravenous Contrast computed tomography versus native computed tomography in patients with acute Abdomen and impaired Renal functiOn (INCARO): a multicentre, open-label, randomised controlled trial - study protocol Open
Introduction CT is the primary imaging option for acute abdominal pain in adults. Intravenous (IV) contrast media use improves CT quality but may cause post-contrast acute kidney injury (PC-AKI). Retrospective studies show no association b…
View article: Predictors of insufficient recanalization and portal hypertensive complications after treatment of non-cirrhotic, non-malignant portal vein thrombosis – a population-based study
Predictors of insufficient recanalization and portal hypertensive complications after treatment of non-cirrhotic, non-malignant portal vein thrombosis – a population-based study Open
In acute portal vein thrombosis (PVT), a six-month anticoagulation treatment achieves complete recanalization in only 35%–45% of patients, but the predictors of poor treatment responses are unclear. We examined treatment outcomes in PVT an…
View article: Superior primary fascial closure rate and lower mortality after open abdomen using negative pressure wound therapy with continuous fascial traction
Superior primary fascial closure rate and lower mortality after open abdomen using negative pressure wound therapy with continuous fascial traction Open
BACKGROUND Open abdomen (OA) is a useful option for treatment strategy in many acute abdominal catastrophes. A number of temporary abdominal closure (TAC) methods are used with limited number of comparative studies. The present study was d…
View article: Does the Surgeon’s Caseload Affect the Outcome in Laparoscopic Cholecystectomy for Acute Cholecystitis?
Does the Surgeon’s Caseload Affect the Outcome in Laparoscopic Cholecystectomy for Acute Cholecystitis? Open
Background: This study investigated how annual caseloads and the surgeon’s previous experience influence the outcome in laparoscopic cholecystectomy (LCC) for acute cholecystitis. Methods: A total of 892 patients treated in Helsinki Univer…