Gregorio Tugnoli

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The CIAOW study (Complicated intra-abdominal infections worldwide observational study) is a multicenter observational study underwent in 68 medical institutions worldwide during a six-month study period (October 2012-March 2013). The study included patients older than 18 years undergoing surgery or interventional drainage to address complicated(More)
BACKGROUND In 2013 Guidelines on diagnosis and management of ASBO have been revised and updated by the WSES Working Group on ASBO to develop current evidence-based algorithms and focus indications and safety of conservative treatment, timing of surgery and indications for laparoscopy. RECOMMENDATIONS In absence of signs of strangulation and history of(More)
BACKGROUND Case control studies that randomly assign patients with diagnosis of acute appendicitis to either surgical or non-surgical treatment yield a relapse rate of approximately 14% at one year. It would be useful to know the relapse rate of patients who have, instead, been selected for a given treatment based on a thorough clinical evaluation,(More)
Despite advances in diagnosis, surgery, and antimicrobial therapy, mortality rates associated with complicated intra-abdominal infections remain exceedingly high. The World Society of Emergency Surgery (WSES) has designed the CIAOW study in order to describe the clinical, microbiological, and management-related profiles of both community- and(More)
After years of initial aggressive surgical intervention and a subsequent shift to damage control surgery (DCS), non operative management (NOM) has been shown to be safe and effective. In fact trauma surgeons realized that in liver trauma, it was safer to pack livers [1] than do finger fracture [2] or resection, and this represented a tangential issue to(More)
BACKGROUND There is no consensus on diagnosis and management of ASBO. Initial conservative management is usually safe, however proper timing for discontinuing non operative treatment is still controversial. Open surgery or laparoscopy are used without standardized indications. METHODS A panel of 13 international experts with interest and background in(More)
Acute appendicitis (AA) is among the most common cause of acute abdominal pain. Diagnosis of AA is challenging; a variable combination of clinical signs and symptoms has been used together with laboratory findings in several scoring systems proposed for suggesting the probability of AA and the possible subsequent management pathway. The role of imaging in(More)
The liver is the most injured organ in abdominal trauma. Road traffic crashes and antisocial, violent behavior account for the majority of liver injuries. The present position paper represents the position of the World Society of Emergency Surgery (WSES) about the management of liver injuries.
Introduction Every year peptic ulcer disease (PUD) affects 4 milion people around the world [1]. Complications are encountered in 10%-20% of these patients and 2%-14% of the ulcers will perforate [2,3]. Perforated peptic ulcer (PPU) is relatively rare, but life-threatening with the mortality varying from 10% to 40% [2,4-6]. More than half of the cases are(More)
In summer 2008, a 73-year-old man arrived in the emergency room with vague abdominal pain. On examination, his abdomen was distended and tympanic, but soft and non-tender on palpation. The patient had been immobile and bedridden since 1995, when he had neuro-surgical resection of a medullary ependy-moma of the spine, with residual paraple-gia, peripheral(More)