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Prospective Observational Study on acute Appendicitis Worldwide (POSAW)

M. Sartelli, GL. Baiocchi, S. Di Saverio, F. Ferrara, FM. Labricciosa, L. Ansaloni, F. Coccolini, D. Vijayan, A. Abbas, HK. Abongwa, J. Agboola, A. Ahmed, L. Akhmeteli, N. Akkapulu, S. Akkucuk, F. Altintoprak, AL. Andreiev, D. Anyfantakis, B....

. 2018 ; 13 (-) : 19. [pub] 20180416

Language English Country England, Great Britain

Document type Journal Article, Multicenter Study, Observational Study

Persistent link   https://www.medvik.cz/link/bmc19000787

Background: Acute appendicitis (AA) is the most common surgical disease, and appendectomy is the treatment of choice in the majority of cases. A correct diagnosis is key for decreasing the negative appendectomy rate. The management can become difficult in case of complicated appendicitis. The aim of this study is to describe the worldwide clinical and diagnostic work-up and management of AA in surgical departments. Methods: This prospective multicenter observational study was performed in 116 worldwide surgical departments from 44 countries over a 6-month period (April 1, 2016-September 30, 2016). All consecutive patients admitted to surgical departments with a clinical diagnosis of AA were included in the study. Results: A total of 4282 patients were enrolled in the POSAW study, 1928 (45%) women and 2354 (55%) men, with a median age of 29 years. Nine hundred and seven (21.2%) patients underwent an abdominal CT scan, 1856 (43.3%) patients an US, and 285 (6.7%) patients both CT scan and US. A total of 4097 (95.7%) patients underwent surgery; 1809 (42.2%) underwent open appendectomy and 2215 (51.7%) had laparoscopic appendectomy. One hundred eighty-five (4.3%) patients were managed conservatively. Major complications occurred in 199 patients (4.6%). The overall mortality rate was 0.28%. Conclusions: The results of the present study confirm the clinical value of imaging techniques and prognostic scores. Appendectomy remains the most effective treatment of acute appendicitis. Mortality rate is low.

1183rd Department of Surgery IASO General Hospital Athens Greece

1231st Department of Surgery Department of Abdominal Thoracic Surgery and Traumatology General University Hospital Prague Czech Republic

1st Department of Surgery Kavala General Hospital Kavala Greece

1st Department of Surgery Tzaneio Piraeus Greece

1st Surgical Clinic St Spiridon University Hospital Iasi Romania

2nd Department of Surgery Aretaieion University Hospital National and Kapodistrian University of Athens Athens Greece

554th Surgical Department Aristotle University of Thessaloniki Thessaloniki Greece 56General Hospital George Papanikoalou Thessaloniki Greece

643rd Department of General Surgery Jagiellonian University Medical College Krakow Poland

762nd Department of Surgery Jagiellonian University Medical College Krakow Poland

863rd Department of Surgery Ahepa University Hospital Thessaloniki Greece

873rd Department of Surgery Attikon University Hospital National and Kapodistrian University of Athens Medical School Athens Greece

Abdominal surgery UMC Ljubljana Ljubljana Slovenia

Acute Care Surgery LAC USC Medical Center California USA

Acute Care Surgery North Estonia Medical Center Tallinn Estonia

Chirurgia Città di Castello Hospital Città di Castello Italy

Chirurgie Chud Borgou Alibori Parakou Benin

Cirugía General y del Aparato Digestivo Hospital Universitario Miguel Servet Zaragoza Spain

Cirurgia do Trauma Hospital Escola Padre Albino Catanduva Brazil

Clinic for Emergency Surgery Faculty of Medicine University of Belgrade Belgrade Serbia

Clinic of surgery Department of Gastrointestinal Surgery University Hospital Centre Zagreb Zagreb Croatia

Colorectal Surgery Clinic for Surgery University Clinical Center Tuzla Tuzla Bosnia and Herzegovina

DEA La Sapienza Università di Roma Policlinico Umberto 1 Rome Italy

Department of Abdominal Surgery Vladimir City Clinical Hospital of Emergency Medicine Vladimir Russia

Department of Biomedical Sciences and Public Health Unit of Hygiene Preventive Medicine and Public Health UNIVPM Ancona Italy

Department of Clinical and Experimental Sciences University of Brescia Brescia Italy

Department of Emergency Surgery and Trauma Centre University Hospital Kraków Poland

Department of Endoscopic Metabolic and Soft Tissue Tumors Surgery The University Hospital in Krakow Kraków Poland

Department of Gastrointestinal Surgery Insular University Hospital of Gran Canaria Las Palmas Spain

Department of General and Digestive Surgery Hospital Universitario Doctor Peset Valencia Spain

Department of General and Thoracic Surgery University Hospital Giessen Germany

Department of General Oncological Metabolic and Thoracic Surgery Military Institute of Medicine in Warsaw Warsaw Poland

Department of General Surgery and Emergency Medicine University Hospital Kraków Poland

Department of General Surgery Karadeniz Technical University Farabi Hospital Trabzon Turkey

Department of General Surgery Kocaeli University Kocaeli Turkey

Department of General Surgery Medical University of Plovdiv UMHAT Eurohospital Plovdiv Bulgaria

Department of General Surgery Post Graduate Institute of Medical Sciences Rohtak India

Department of General Surgery Sant'Antonio Abate Hospital Gallarate Italy

Department of General Surgery Trauma and Emergency Surgery Division ABC Medical School Santo Andreì SP Brazil

Department of Surgery 2nd Surgical Clinic Emergency Hospital of Craiova Craiova Romania

Department of Surgery Bufalini Hospital Cesena Italy

Department of Surgery Edendale Hospital Pietermaritzburg South Africa

Department of Surgery Harbor UCLA Medical Center Torrance USA

Department of Surgery Hospital of Lithuanian University of Health Sciences Kaunas Clinics Kaunas Lithuania

Department of Surgery Inje University Ilsan Paik Hospital Goyang Republic of Korea

Department of Surgery Macerata Hospital Macerata Italy

Department of Surgery Medical School University of Pécs Pécs Hungary

Department of Surgery Radiology Anaesthetics and Intensive Care University of the West Indies Kingston Jamaica 83University Hospital of the West Indies Kingston Jamaica

Department of Surgery Tianjin Nankai Hospital Tianjin China

Department of Visceral Digestive and Oncologic Surgery Clinique Sainte Marie Cambrai France

Digestive and Endocrinal Surgery University Hospital Angers France

Digestive Surgery CHU Amiens Picardie Amiens France

Division of Digestive Surgery and Urology Turku University Hospital Turku Finland

Division of Trauma and Acute Care Surgery Department of Surgery Fundación Valle del Lili and Universidad del Valle Cali Colombia

Division of Trauma Surgery Hospital de Clinicas University of Campinas Campinas Brazil

Emergency Surgery Azienda Ospedaliera Universitaria Policlinico Paolo Giaccone Palermo Italy

Emergency surgery City Hospital Mozyr Belarus

Emergency Surgery Maggiore Hospital Bologna Italy

Emergency Surgery Mansoura University Hospital Mansoura Egypt

Emergency Surgery S Anna Teaching Hospital Ferrara Italy

Emergency Surgery Unit Maggiore University Hospital Parma Italy

Faculty of Medicine Department of Surgery Siriraj Hospital Mahidol University Bangkok Thailand

General and Digestive Surgery Hospital Fundación Jimenez Diaz Madrid Spain

General and Emergency Surgery Riga East University Hospital Gailezers Riga Latvia

General and Emergency Surgery San Giovanni Bosco Hospital Turin Italy

General Emergency Surgery Infermi Hospital Rimini Italy

General Surgery and Polytrauma San Carlo Borromeo Hospital Milan Italy

General Surgery and Polytrauma University Hospital Medical College Jagiellonian University Kraków Poland

General Surgery Bahrain Defence Force Hospital Manama Bahrain

General Surgery Baskent Universitesi Adana Eğitim ve Uygulama Hastanesi Adana Turkey

General Surgery Centro Hospitalar São João Porto Portugal

General Surgery City Hospital 1 Moscow Russia

General Surgery Clinical Hospital at Chelyabinsk Station OJSC Russian Railways Chelyabinsk Russian Federation

General Surgery Colorectal Unit Hospital de Braga Braga Portugal

General Surgery Department Mansoura Faculty of Medicine Mansoura University Mansoura Egypt

General Surgery Elazig Training and Research Hospital Elazig Turkey

General Surgery Emergency Hospital of Bucharest Bucharest Romania

General Surgery Erzincan University Mengucek Gazi Training and Research Hospital Erzincan Turkey

General Surgery Hadassah Medical Center Jerusalem Israel

General Surgery Hospital Civil de Guadalajara Dr Juan 1 Menchaca Guadalajara Mexico

General Surgery Hospital Garcia de Orta Lisbon Portugal

General Surgery Hospital General Regional 1 1 M S S Cuernavaca Mexico

General Surgery Hospital Habib Bouguefa de Bizerte Bizerte Tunisia

General Surgery Hospital Municipal Dr Jose de Carvalho Florence Sao Jose Dos Campos Brazil

General Surgery Jubilee Mission Medical College and Research Institute Thrissur India

General Surgery K R Hospital Mysore India

General Surgery Khartoum Teaching Hospital Khartoum Sudan

General Surgery King Abdullah University Hospital Irbid Jordan

General Surgery King George's Medical University Lucknow India

General Surgery Kuala Krai Hospital Kuala Krai Kelantan Malaysia

General Surgery Lewisham and Greenwich NHS Trust London UK

General Surgery Numune Training and Research Hospital Adana Turkey

General Surgery Russells Hall Hospital Birmingham UK

General Surgery S S Annunziata Hospital Taranto Italy

General Surgery Sakarya University School of Medicine Sakarya Turkey

General Surgery Samsun Training and Research Hospital Samsun Turkey

General Surgery Scarborough York Teaching Hospital Scarborough UK

General Surgery Tan Tock Seng Hospital Singapore Singapore

General Surgery Training and Research Hospital of Mustafa Kemal University Hatay Turkey

General Surgery Trauma University Hospital Tirana Albania

General Surgery University Hospital St George Plovdiv Bulgaria

General Surgery University Hospitals Birmingham NHS Foundation Trust Birmingham UK

Laparoscopic and Metabolic Surgery KIMS Hospital Cochin India

Primary Care Primary Health Care Centre of Kissamos Chania Greece

Surgery 1st University Clinic Tbilisi Georgia

Surgery Ahmadu Bello University Teaching Hospital Zaria Zaria Nigeria

Surgery and Anatomy Clinics Hospital Ribeirão Preto Brazil

Surgery and Obstetrics Gynaecology Regional Hospital Limbe Cameroon

Surgery ASTS Spedali Civili Brescia Montichiari Italy

Surgery Bharati Vidyapeeth Deemed University Medical College and Hospital Sangli Maharashtra India

Surgery CHVNG E EPE Vila Nova de Gaia Portugal

Surgery Departement Medical School of Fezm Sidi Mohamed Benabdellah University Fez Morocco

Surgery Department 2 Tbilisi State Medical University Tbilisi Georgia

Surgery Government Medical College and Hospital Chandigarh India

Surgery Hamad General Hospital Doha Qatar

Surgery Hospital and Oncological Centre Novy Jicin Novy Jicin Czech Republic

Surgery Hospital San Juan de Dios de La Serena La Serena Chile

Surgery Kipshidze Central University Hospital Tbilisi Georgia

Surgery Kwara State General Hospital Ilorin Kwara Nigeria

Surgery S M S Medical college Jaipur India

Surgery Therezinha de Jesus University Hospital Juiz de Fora Brazil

Surgery University Hospital Greifswald Germany

Surgery University of Ilorin Teaching Hospital Ilorin Nigeria

Surgical Department Agios Savvas Anticaner Hospital Athens Greece

Surgical Department General Hospital of Larissa Larissa Greece

Surgical Department Konstantopouleio General Hospital Athens Greece

Surgical Department Landesklinikum Hainburg Hainburg An Der Donau Austria

Surgical Disciplines Regional Clinical Hospital Kaliningrad Russia

Trauma Acute Care Surgery University of California San Diego San Diego USA

Trauma and Emergency Surgery Chang Gung Memorial Hospital Taoyuan Taiwan

Upper GI General Surgery University Hospitals Birmingham NHS Foundation Trust Birmingham UK

References provided by Crossref.org

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$a Sartelli, Massimo $u Department of Surgery, Macerata Hospital, Macerata, Italy.
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$a Prospective Observational Study on acute Appendicitis Worldwide (POSAW) / $c M. Sartelli, GL. Baiocchi, S. Di Saverio, F. Ferrara, FM. Labricciosa, L. Ansaloni, F. Coccolini, D. Vijayan, A. Abbas, HK. Abongwa, J. Agboola, A. Ahmed, L. Akhmeteli, N. Akkapulu, S. Akkucuk, F. Altintoprak, AL. Andreiev, D. Anyfantakis, B. Atanasov, M. Bala, D. Balalis, O. Baraket, G. Bellanova, M. Beltran, RB. Melo, R. Bini, K. Bouliaris, D. Brunelli, A. Castillo, M. Catani, A. Che Jusoh, A. Chichom-Mefire, G. Cocorullo, R. Coimbra, E. Colak, S. Costa, K. Das, S. Delibegovic, Z. Demetrashvili, I. Di Carlo, N. Kiseleva, T. El Zalabany, M. Faro, M. Ferreira, GP. Fraga, M. Gachabayov, WM. Ghnnam, T. Giménez Maurel, G. Gkiokas, CA. Gomes, E. Griffiths, A. Guner, S. Gupta, A. Hecker, ES. Hirano, A. Hodonou, M. Hutan, O. Ioannidis, A. Isik, G. Ivakhov, S. Jain, M. Jokubauskas, A. Karamarkovic, S. Kauhanen, R. Kaushik, A. Kavalakat, J. Kenig, V. Khokha, D. Khor, D. Kim, JI. Kim, V. Kong, K. Lasithiotakis, P. Leão, M. Leon, A. Litvin, V. Lohsiriwat, E. López-Tomassetti Fernandez, E. Lostoridis, J. Maciel, P. Major, A. Dimova, D. Manatakis, A. Marinis, A. Martinez-Perez, S. Marwah, M. McFarlane, C. Mesina, M. Pędziwiatr, N. Michalopoulos, E. Misiakos, A. Mohamedahmed, R. Moldovanu, G. Montori, R. Mysore Narayana, I. Negoi, I. Nikolopoulos, G. Novelli, V. Novikovs, I. Olaoye, A. Omari, CA. Ordoñez, M. Ouadii, Z. Ozkan, A. Pal, GM. Palini, LI. Partecke, F. Pata, M. Pędziwiatr, GA. Pereira Júnior, T. Pintar, M. Pisarska, CF. Ploneda-Valencia, K. Pouggouras, V. Prabhu, P. Ramakrishnapillai, JM. Regimbeau, M. Reitz, D. Rios-Cruz, S. Saar, B. Sakakushev, C. Seretis, A. Sazhin, V. Shelat, M. Skrovina, D. Smirnov, C. Spyropoulos, M. Strzałka, P. Talving, RA. Teixeira Gonsaga, G. Theobald, G. Tomadze, M. Torba, C. Tranà, J. Ulrych, MY. Uzunoğlu, A. Vasilescu, S. Occhionorelli, A. Venara, A. Vereczkei, N. Vettoretto, N. Vlad, M. Walędziak, TU. Yilmaz, KC. Yuan, C. Yunfeng, J. Zilinskas, G. Grelpois, F. Catena,
520    9_
$a Background: Acute appendicitis (AA) is the most common surgical disease, and appendectomy is the treatment of choice in the majority of cases. A correct diagnosis is key for decreasing the negative appendectomy rate. The management can become difficult in case of complicated appendicitis. The aim of this study is to describe the worldwide clinical and diagnostic work-up and management of AA in surgical departments. Methods: This prospective multicenter observational study was performed in 116 worldwide surgical departments from 44 countries over a 6-month period (April 1, 2016-September 30, 2016). All consecutive patients admitted to surgical departments with a clinical diagnosis of AA were included in the study. Results: A total of 4282 patients were enrolled in the POSAW study, 1928 (45%) women and 2354 (55%) men, with a median age of 29 years. Nine hundred and seven (21.2%) patients underwent an abdominal CT scan, 1856 (43.3%) patients an US, and 285 (6.7%) patients both CT scan and US. A total of 4097 (95.7%) patients underwent surgery; 1809 (42.2%) underwent open appendectomy and 2215 (51.7%) had laparoscopic appendectomy. One hundred eighty-five (4.3%) patients were managed conservatively. Major complications occurred in 199 patients (4.6%). The overall mortality rate was 0.28%. Conclusions: The results of the present study confirm the clinical value of imaging techniques and prognostic scores. Appendectomy remains the most effective treatment of acute appendicitis. Mortality rate is low.
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700    1_
$a Baiocchi, Gian L $u 2Department of Clinical and Experimental Sciences, University of Brescia, Brescia, Italy.
700    1_
$a Di Saverio, Salomone $u 3Emergency Surgery, Maggiore Hospital, Bologna, Italy.
700    1_
$a Ferrara, Francesco $u 4General Surgery and Polytrauma, San Carlo Borromeo Hospital, Milan, Italy.
700    1_
$a Labricciosa, Francesco M $u Department of Biomedical Sciences and Public Health, Unit of Hygiene, Preventive Medicine and Public Health, UNIVPM, Ancona, Italy.
700    1_
$a Ansaloni, Luca $u 6Department of Surgery, Bufalini Hospital, Cesena, Italy.
700    1_
$a Coccolini, Federico $u 6Department of Surgery, Bufalini Hospital, Cesena, Italy.
700    1_
$a Vijayan, Deepak $u 7General Surgery, University Hospitals Birmingham NHS Foundation Trust, Birmingham, UK.
700    1_
$a Abbas, Ashraf $u 8Emergency Surgery, Mansoura University Hospital, Mansoura, Egypt.
700    1_
$a Abongwa, Hariscine K $u 9Emergency Surgery Unit, Maggiore University Hospital, Parma, Italy.
700    1_
$a Agboola, John $u Surgery, Kwara State General Hospital, Ilorin, Kwara Nigeria.
700    1_
$a Ahmed, Adamu $u 11Surgery, Ahmadu Bello University Teaching Hospital Zaria, Zaria, Nigeria.
700    1_
$a Akhmeteli, Lali $u Surgery, First University Clinic, Tbilisi, Georgia.
700    1_
$a Akkapulu, Nezih $u 13General Surgery, Baskent Universitesi Adana Eğitim ve Uygulama Hastanesi, Adana, Turkey.
700    1_
$a Akkucuk, Seckin $u 14General Surgery, Training and Research Hospital of Mustafa Kemal University, Hatay, Turkey.
700    1_
$a Altintoprak, Fatih $u 15General Surgery, Sakarya University School of Medicine, Sakarya, Turkey.
700    1_
$a Andreiev, Aurelia L $u 7General Surgery, University Hospitals Birmingham NHS Foundation Trust, Birmingham, UK.
700    1_
$a Anyfantakis, Dimitrios $u Primary Care, Primary Health Care Centre of Kissamos, Chania, Greece.
700    1_
$a Atanasov, Boiko $u 17Department of General Surgery, Medical University of Plovdiv, UMHAT Eurohospital, Plovdiv, Bulgaria.
700    1_
$a Bala, Miklosh $u 18General Surgery, Hadassah Medical Center, Jerusalem, Israel.
700    1_
$a Balalis, Dimitrios $u Surgical Department, Agios Savvas Anticaner Hospital, Athens, Greece.
700    1_
$a Baraket, Oussama $u General Surgery, Hospital Habib Bouguefa de Bizerte, Bizerte, Tunisia.
700    1_
$a Bellanova, Giovanni $u General Surgery, S.S. Annunziata Hospital, Taranto, Italy.
700    1_
$a Beltran, Marcelo $u Surgery, Hospital San Juan de Dios de La Serena, La Serena, Chile.
700    1_
$a Melo, Renato Bessa $u 23General Surgery, Centro Hospitalar São João, Porto, Portugal.
700    1_
$a Bini, Roberto $u 24General and Emergency Surgery, San Giovanni Bosco Hospital, Turin, Italy.
700    1_
$a Bouliaris, Konstantinos $u Surgical Department, General Hospital of Larissa, Larissa, Greece.
700    1_
$a Brunelli, Daniele $u Chirurgia, Città di Castello Hospital, Città di Castello, Italy.
700    1_
$a Castillo, Adrian $u 27Department of Surgery, Harbor-UCLA Medical Center, Torrance, USA.
700    1_
$a Catani, Marco $u 28DEA, La Sapienza Università di Roma, Policlinico Umberto I, Rome, Italy.
700    1_
$a Che Jusoh, Asri $u General Surgery, Kuala Krai Hospital, Kuala Krai, Kelantan Malaysia.
700    1_
$a Chichom-Mefire, Alain $u Surgery and Obstetrics/Gynaecology, Regional Hospital, Limbe, Cameroon.
700    1_
$a Cocorullo, Gianfranco $u 31Emergency Surgery, Azienda Ospedaliera Universitaria Policlinico Paolo Giaccone, Palermo, Italy.
700    1_
$a Coimbra, Raul $u 32Trauma/Acute Care Surgery, University of California San Diego, San Diego, USA.
700    1_
$a Colak, Elif $u General Surgery, Samsun Training and Research Hospital, Samsun, Turkey.
700    1_
$a Costa, Silvia $u 34Surgery, CHVNG/E, EPE, Vila Nova de Gaia, Portugal.
700    1_
$a Das, Koray $u 35General Surgery, Numune Training and Research Hospital, Adana, Turkey.
700    1_
$a Delibegovic, Samir $u 36Colorectal Surgery, Clinic for Surgery, University Clinical Center Tuzla, Tuzla, Bosnia and Herzegovina.
700    1_
$a Demetrashvili, Zaza $u Surgery, Kipshidze Central University Hospital, Tbilisi, Georgia.
700    1_
$a Di Carlo, Isidoro $u 38Surgery, Hamad General Hospital, Doha, Qatar.
700    1_
$a Kiseleva, Nadezda $u 39General and Emergency Surgery, Riga East University Hospital "Gailezers", Riga, Latvia.
700    1_
$a El Zalabany, Tamer $u General Surgery, Bahrain Defence Force Hospital, Manama, Bahrain.
700    1_
$a Faro, Mario $u 41Department of General Surgery, Trauma and Emergency Surgery Division, ABC Medical School, Santo Andreì, SP Brazil.
700    1_
$a Ferreira, Margarida $u 42General Surgery, Hospital Garcia de Orta, Lisbon, Portugal.
700    1_
$a Fraga, Gustavo P $u 43Division of Trauma Surgery, Hospital de Clinicas, University of Campinas (Unicamp), Campinas, Brazil.
700    1_
$a Gachabayov, Mahir $u Department of Abdominal Surgery, Vladimir City Clinical Hospital of Emergency Medicine, Vladimir, Russia.
700    1_
$a Ghnnam, Wagih M $u 45General Surgery Department, Mansoura Faculty of Medicine, Mansoura University, Mansoura, Egypt.
700    1_
$a Giménez Maurel, Teresa $u 46Cirugía General y del Aparato Digestivo, Hospital Universitario Miguel Servet, Zaragoza, Spain.
700    1_
$a Gkiokas, Georgios $u 47Second Department of Surgery, Aretaieion University Hospital, National and Kapodistrian University of Athens, Athens, Greece.
700    1_
$a Gomes, Carlos A $u Surgery, Therezinha de Jesus University Hospital, Juiz de Fora, Brazil.
700    1_
$a Griffiths, Ewen $u 49Upper GI/General Surgery, University Hospitals Birmingham NHS Foundation Trust, Birmingham, UK.
700    1_
$a Guner, Ali $u 50Department of General Surgery, Karadeniz Technical University, Farabi Hospital, Trabzon, Turkey.
700    1_
$a Gupta, Sanjay $u 51Surgery, Government Medical College and Hospital, Chandigarh, India.
700    1_
$a Hecker, Andreas $u 52Department of General and Thoracic Surgery, University Hospital, Giessen, Germany.
700    1_
$a Hirano, Elcio S $u 43Division of Trauma Surgery, Hospital de Clinicas, University of Campinas (Unicamp), Campinas, Brazil.
700    1_
$a Hodonou, Adrien $u Chirurgie, Chud-Borgou/Alibori, Parakou, Benin.
700    1_
$a Hutan, Martin $u Surgical Department, Landesklinikum Hainburg, Hainburg An Der Donau, Austria.
700    1_
$a Ioannidis, Orestis $u 554th Surgical Department, Aristotle University of Thessaloniki, Thessaloniki, Greece. 56General Hospital "George Papanikoalou", Thessaloniki, Greece.
700    1_
$a Isik, Arda $u 57General Surgery, Erzincan University Mengucek Gazi Training and Research Hospital, Erzincan, Turkey.
700    1_
$a Ivakhov, Georgy $u General Surgery, City Hospital #1, Moscow, Russia.
700    1_
$a Jain, Sumita $u 59Surgery, S M S Medical college, Jaipur, India.
700    1_
$a Jokubauskas, Mantas $u 60Department of Surgery, Hospital of Lithuanian University of Health Sciences Kaunas Clinics, Kaunas, Lithuania.
700    1_
$a Karamarkovic, Aleksandar $u 61Clinic for Emergency Surgery, Faculty of Medicine University of Belgrade, Belgrade, Serbia.
700    1_
$a Kauhanen, Saila $u 62Division of Digestive Surgery and Urology, Turku University Hospital, Turku, Finland.
700    1_
$a Kaushik, Robin $u 51Surgery, Government Medical College and Hospital, Chandigarh, India.
700    1_
$a Kavalakat, Alfie $u 63General Surgery, Jubilee Mission Medical College & Research Institute, Thrissur, India.
700    1_
$a Kenig, Jakub $u 643rd Department of General Surgery, Jagiellonian University Medical College, Krakow, Poland.
700    1_
$a Khokha, Vladimir $u Emergency surgery, City Hospital, Mozyr, Belarus.
700    1_
$a Khor, Desmond $u 66Acute Care Surgery, LAC+USC Medical Center, California, USA.
700    1_
$a Kim, Dennis $u 27Department of Surgery, Harbor-UCLA Medical Center, Torrance, USA.
700    1_
$a Kim, Jae I $u 67Department of Surgery, Inje University Ilsan Paik Hospital, Goyang, Republic of Korea.
700    1_
$a Kong, Victor $u 68Department of Surgery, Edendale Hospital, Pietermaritzburg, South Africa.
700    1_
$a Lasithiotakis, Konstantinos $u General Surgery, Scarborough, York Teaching Hospital, Scarborough, UK.
700    1_
$a Leão, Pedro $u General Surgery, Colorectal Unit, Hospital de Braga, Braga, Portugal.
700    1_
$a Leon, Miguel $u 71General and Digestive Surgery, Hospital Fundación Jimenez Diaz, Madrid, Spain.
700    1_
$a Litvin, Andrey $u Surgical Disciplines, Regional Clinical Hospital, Kaliningrad, Russia.
700    1_
$a Lohsiriwat, Varut $u 73Faculty of Medicine, Department of Surgery, Siriraj Hospital, Mahidol University, Bangkok, Thailand.
700    1_
$a López-Tomassetti Fernandez, Eudaldo $u Department of Gastrointestinal Surgery, Insular University Hospital of Gran Canaria, Las Palmas, Spain.
700    1_
$a Lostoridis, Eftychios $u 1st Department of Surgery, Kavala General Hospital, Kavala, Greece.
700    1_
$a Maciel, James $u 27Department of Surgery, Harbor-UCLA Medical Center, Torrance, USA.
700    1_
$a Major, Piotr $u 762nd Department of Surgery, Jagiellonian University Medical College, Krakow, Poland.
700    1_
$a Dimova, Ana $u 77Clinic of surgery, Department of Gastrointestinal Surgery, University Hospital Centre Zagreb, Zagreb, Croatia.
700    1_
$a Manatakis, Dimitrios $u 78Surgical Department, Konstantopouleio General Hospital, Athens, Greece.
700    1_
$a Marinis, Athanasio $u 79First Department of Surgery, Tzaneio, Piraeus, Greece.
700    1_
$a Martinez-Perez, Aleix $u 80Department of General and Digestive Surgery, Hospital Universitario Doctor Peset, Valencia, Spain.
700    1_
$a Marwah, Sanjay $u 81Department of General Surgery, Post-Graduate Institute of Medical Sciences, Rohtak, India.
700    1_
$a McFarlane, Michael $u 82Department of Surgery, Radiology, Anaesthetics and Intensive Care, University of the West Indies, Kingston, Jamaica. 83University Hospital of the West Indies, Kingston, Jamaica.
700    1_
$a Mesina, Cristian $u Department of Surgery Second Surgical Clinic, Emergency Hospital of Craiova, Craiova, Romania.
700    1_
$a Pędziwiatr, Michał $u 85Department of General Surgery and Emergency Medicine, University Hospital, Kraków, Poland.
700    1_
$a Michalopoulos, Nickos $u 863rd Department of Surgery, Ahepa University Hospital, Thessaloniki, Greece.
700    1_
$a Misiakos, Evangelos $u 873rd Department of Surgery, Attikon University Hospital, National and Kapodistrian University of Athens, Medical School, Athens, Greece.
700    1_
$a Mohamedahmed, Ali $u General Surgery, Khartoum Teaching Hospital, Khartoum, Sudan.
700    1_
$a Moldovanu, Radu $u Department of Visceral, Digestive and Oncologic Surgery, Clinique Sainte Marie, Cambrai, France.
700    1_
$a Montori, Giulia $u 6Department of Surgery, Bufalini Hospital, Cesena, Italy.
700    1_
$a Mysore Narayana, Raghuveer $u General Surgery, K R Hospital, Mysore, India.
700    1_
$a Negoi, Ionut $u General Surgery, Emergency Hospital of Bucharest, Bucharest, Romania.
700    1_
$a Nikolopoulos, Ioannis $u 92General Surgery, Lewisham and Greenwich NHS Trust, London, UK.
700    1_
$a Novelli, Giuseppe $u 93General, Emergency Surgery, Infermi Hospital, Rimini, Italy.
700    1_
$a Novikovs, Viktors $u 39General and Emergency Surgery, Riga East University Hospital "Gailezers", Riga, Latvia.
700    1_
$a Olaoye, Iyiade $u 94Surgery, University of Ilorin Teaching Hospital, Ilorin, Nigeria.
700    1_
$a Omari, Abdelkarim $u 95General Surgery, King Abdullah University Hospital, Irbid, Jordan.
700    1_
$a Ordoñez, Carlos A $u 96Division of Trauma and Acute Care Surgery, Department of Surgery, Fundación Valle del Lili and Universidad del Valle, Cali, Colombia.
700    1_
$a Ouadii, Mouaqit $u Surgery Departement, Medical School of Fezm, Sidi Mohamed Benabdellah University, Fez, Morocco.
700    1_
$a Ozkan, Zeynep $u General Surgery, Elazig Training and Research Hospital, Elazig, Turkey.
700    1_
$a Pal, Ajay $u 99General Surgery, King George's Medical University, Lucknow, India.
700    1_
$a Palini, Gian M $u 93General, Emergency Surgery, Infermi Hospital, Rimini, Italy.
700    1_
$a Partecke, Lars I $u Surgery, University Hospital, Greifswald, Germany.
700    1_
$a Pata, Francesco $u Department of General Surgery, Sant'Antonio Abate Hospital, Gallarate, Italy.
700    1_
$a Pędziwiatr, Michał $u 102Department of Emergency Surgery and Trauma Centre, University Hospital, Kraków, Poland.
700    1_
$a Pereira Júnior, Gerson A $u 103Surgery and Anatomy, Clinics Hospital, Ribeirão Preto, Brazil.
700    1_
$a Pintar, Tadeja $u 104Abdominal surgery, UMC Ljubljana, Ljubljana, Slovenia.
700    1_
$a Pisarska, Magdalena $u 105Department of Endoscopic, Metabolic and Soft Tissue Tumors Surgery, The University Hospital in Krakow, Kraków, Poland.
700    1_
$a Ploneda-Valencia, Cesar F $u 106General Surgery, Hospital Civil de Guadalajara "Dr. Juan I. Menchaca", Guadalajara, Mexico.
700    1_
$a Pouggouras, Konstantinos $u 1st Department of Surgery, Kavala General Hospital, Kavala, Greece.
700    1_
$a Prabhu, Vinod $u 107Surgery, Bharati Vidyapeeth Deemed University Medical College & Hospital, Sangli, Maharashtra India.
700    1_
$a Ramakrishnapillai, Padmakumar $u Laparoscopic and Metabolic Surgery, KIMS Hospital, Cochin, India.
700    1_
$a Regimbeau, Jean-Marc $u 109Digestive Surgery, CHU Amiens-Picardie, Amiens, France.
700    1_
$a Reitz, Marianne $u General Surgery, Hospital Municipal Dr. Jose de Carvalho Florence, Sao Jose Dos Campos, Brazil.
700    1_
$a Rios-Cruz, Daniel $u General Surgery, Hospital General Regional # 1 I.M.S.S, Cuernavaca, Mexico.
700    1_
$a Saar, Sten $u Acute Care Surgery, North Estonia Medical Center, Tallinn, Estonia.
700    1_
$a Sakakushev, Boris $u General Surgery, University Hospital St George, Plovdiv, Bulgaria.
700    1_
$a Seretis, Charalampos $u 114General Surgery, Russells Hall Hospital, Birmingham, UK.
700    1_
$a Sazhin, Alexander $u General Surgery, City Hospital #1, Moscow, Russia.
700    1_
$a Shelat, Vishal $u 115General Surgery, Tan Tock Seng Hospital, Singapore, Singapore.
700    1_
$a Skrovina, Matej $u Surgery, Hospital & Oncological Centre Novy Jicin, Novy Jicin, Czech Republic.
700    1_
$a Smirnov, Dmitry $u General Surgery, Clinical Hospital at Chelyabinsk Station OJSC "Russian Railways", Chelyabinsk, Russian Federation.
700    1_
$a Spyropoulos, Charalampos $u 1183rd Department of Surgery, IASO General Hospital, Athens, Greece.
700    1_
$a Strzałka, Marcin $u 119General Surgery and Polytrauma, University Hospital, Medical College, Jagiellonian University, Kraków, Poland.
700    1_
$a Talving, Peep $u Acute Care Surgery, North Estonia Medical Center, Tallinn, Estonia.
700    1_
$a Teixeira Gonsaga, Ricardo A $u Cirurgia do Trauma, Hospital Escola Padre Albino, Catanduva, Brazil.
700    1_
$a Theobald, George $u 7General Surgery, University Hospitals Birmingham NHS Foundation Trust, Birmingham, UK.
700    1_
$a Tomadze, Gia $u 121Surgery Department #2, Tbilisi State Medical University, Tbilisi, Georgia.
700    1_
$a Torba, Myftar $u General Surgery, Trauma University Hospital, Tirana, Albania.
700    1_
$a Tranà, Cristian $u Department of Surgery, Macerata Hospital, Macerata, Italy.
700    1_
$a Ulrych, Jan $u 1231st Department of Surgery-Department of Abdominal Thoracic Surgery and Traumatology, General University Hospital, Prague, Czech Republic.
700    1_
$a Uzunoğlu, Mustafa Y $u 14General Surgery, Training and Research Hospital of Mustafa Kemal University, Hatay, Turkey.
700    1_
$a Vasilescu, Alin $u First Surgical Clinic, St. Spiridon University Hospital, Iasi, Romania.
700    1_
$a Occhionorelli, Savino $u Emergency Surgery, S. Anna Teaching Hospital, Ferrara, Italy.
700    1_
$a Venara, Aurélien $u 126Digestive and Endocrinal Surgery, University Hospital, Angers, France.
700    1_
$a Vereczkei, Andras $u 127Department of Surgery, Medical School University of Pécs, Pécs, Hungary.
700    1_
$a Vettoretto, Nereo $u Surgery, ASTS Spedali Civili Brescia, Montichiari, Italy.
700    1_
$a Vlad, Nutu $u First Surgical Clinic, St. Spiridon University Hospital, Iasi, Romania.
700    1_
$a Walędziak, Maciej $u 129Department of General, Oncological, Metabolic and Thoracic Surgery, Military Institute of Medicine in Warsaw, Warsaw, Poland.
700    1_
$a Yilmaz, Tonguç U $u 130Department of General Surgery, Kocaeli University, Kocaeli, Turkey.
700    1_
$a Yuan, Kuo-Ching $u Trauma and Emergency Surgery, Chang Gung Memorial Hospital, Taoyuan, Taiwan.
700    1_
$a Yunfeng, Cui $u 132Department of Surgery, Tianjin Nankai Hospital, Tianjin, China.
700    1_
$a Zilinskas, Justas $u 60Department of Surgery, Hospital of Lithuanian University of Health Sciences Kaunas Clinics, Kaunas, Lithuania.
700    1_
$a Grelpois, Gérard $u 109Digestive Surgery, CHU Amiens-Picardie, Amiens, France.
700    1_
$a Catena, Fausto $u 8Emergency Surgery, Mansoura University Hospital, Mansoura, Egypt.
773    0_
$w MED00165852 $t World journal of emergency surgery WJES $x 1749-7922 $g Roč. 13, č. - (2018), s. 19
856    41
$u https://pubmed.ncbi.nlm.nih.gov/29686725 $y Pubmed
910    __
$a ABA008 $b sig $c sign $y a $z 0
990    __
$a 20190107 $b ABA008
991    __
$a 20190110111734 $b ABA008
999    __
$a ok $b bmc $g 1364793 $s 1038910
BAS    __
$a 3
BAS    __
$a PreBMC
BMC    __
$a 2018 $b 13 $c - $d 19 $e 20180416 $i 1749-7922 $m World journal of emergency surgery $n World J Emerg Surg $x MED00165852
LZP    __
$a Pubmed-20190107

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