The Experts below are selected from a list of 132 Experts worldwide ranked by ideXlab platform

Rosario Oriana - One of the best experts on this subject based on the ideXlab platform.

  • Laparoscopic repair of full-thickness Stomach Injury
    Surgical Endoscopy, 1991
    Co-Authors: Pasquale Spinelli, Gianfranco Felice, Paolo Pizzetti, Rosario Oriana
    Abstract:

    A case of laparoscopic repair of gastric perforation caused by a trocar is reported. Suturing was carried out by the apposition of clips. The potential advantages of this approach are that the treatment is performed at the time of the complication, the duration of the operation is reduced, and the discharge of the patient from hospital is accelerated.

Ludovica Carbonari - One of the best experts on this subject based on the ideXlab platform.

  • Injury patterns and causes of death in 953 patients with penetrating abdominal war wounds in a civilian independent non governmental organization hospital in lashkargah afghanistan
    World Journal of Emergency Surgery, 2019
    Co-Authors: Maurizio Cardi, Khushal Ibrahim, Shah Wali Alizai, Hamayoun Mohammad, Marco Garatti, Antonio Rainone, Francesco Di Marzo, Giuseppe La Torre, Michela Paschetto, Ludovica Carbonari
    Abstract:

    Management of penetrating abdominal war injuries centers upon triage, echeloned care, and damage control. A civilian hospital based in a war zone can rarely rely upon these principles because it normally has limited resources and lacks rapid medical evacuation. We designed this study to describe organ Injury patterns and factors related to mortality in patients with penetrating abdominal war injuries in a civilian hospital in an active war zone in Afghanistan, examine how these findings differ from those in a typical military setting, and evaluate how they might improve patients’ care. We reviewed the records of all patients admitted at the Lashkargah “Emergency” hospital with penetrating abdominal injuries treated from January 2006 to December 2016. Demographic and clinical data were recorded; univariate and multivariate analyses were used to identify variables significantly associated with death. We treated 953 patients for penetrating abdominal Injury. The population was mainly civilian (12.1% women and 21% under 14). Mean age was 23 years, and patients with blast injuries were younger than in the other groups. The mechanism of Injury was bullet Injury in 589 patients, shell Injury in 246, stab wound in 97, and mine Injury in 21. The most frequent abdominal lesion was small bowel Injury (46.3%). Small and large bowel injuries were the most frequent in the blast groups, Stomach Injury in stab wounds. Overall mortality was 12.8%. Variables significantly associated with death were age > 34 years, mine and bullet Injury, length of stay, time since Injury > 5 h, Injury severity score > 17, and associated injuries. Epidemiology and patterns of Injury in a civilian hospital differ from those reported in a typical military setting. Our population is mainly civilian with a significant number of women and patients under 14 years. BI are more frequent than blast injuries, and gastrointestinal injuries are more common than injuries to solid organs. In this austere setting, surgeons need to acquire a wide range of skills from multiple surgical specialties. These findings might guide trauma and general surgeons treating penetrating abdominal war wounds to achieve better care and outcome.

  • Injury patterns and causes of death in 953 patients with penetrating abdominal war wounds in a civilian independent non governmental organization hospital in lashkargah afghanistan
    World Journal of Emergency Surgery, 2019
    Co-Authors: Maurizio Cardi, Khushal Ibrahim, Shah Wali Alizai, Hamayoun Mohammad, Marco Garatti, Antonio Rainone, Francesco Di Marzo, Giuseppe La Torre, Michela Paschetto, Ludovica Carbonari
    Abstract:

    Management of penetrating abdominal war injuries centers upon triage, echeloned care, and damage control. A civilian hospital based in a war zone can rarely rely upon these principles because it normally has limited resources and lacks rapid medical evacuation. We designed this study to describe organ Injury patterns and factors related to mortality in patients with penetrating abdominal war injuries in a civilian hospital in an active war zone in Afghanistan, examine how these findings differ from those in a typical military setting, and evaluate how they might improve patients’ care. We reviewed the records of all patients admitted at the Lashkargah “Emergency” hospital with penetrating abdominal injuries treated from January 2006 to December 2016. Demographic and clinical data were recorded; univariate and multivariate analyses were used to identify variables significantly associated with death. We treated 953 patients for penetrating abdominal Injury. The population was mainly civilian (12.1% women and 21% under 14). Mean age was 23 years, and patients with blast injuries were younger than in the other groups. The mechanism of Injury was bullet Injury in 589 patients, shell Injury in 246, stab wound in 97, and mine Injury in 21. The most frequent abdominal lesion was small bowel Injury (46.3%). Small and large bowel injuries were the most frequent in the blast groups, Stomach Injury in stab wounds. Overall mortality was 12.8%. Variables significantly associated with death were age > 34 years, mine and bullet Injury, length of stay, time since Injury > 5 h, Injury severity score > 17, and associated injuries. Epidemiology and patterns of Injury in a civilian hospital differ from those reported in a typical military setting. Our population is mainly civilian with a significant number of women and patients under 14 years. BI are more frequent than blast injuries, and gastrointestinal injuries are more common than injuries to solid organs. In this austere setting, surgeons need to acquire a wide range of skills from multiple surgical specialties. These findings might guide trauma and general surgeons treating penetrating abdominal war wounds to achieve better care and outcome.

Bruce V. Macfadyen - One of the best experts on this subject based on the ideXlab platform.

  • Laparoscopic repair of duodenal ulcer and gastroesophageal reflux.
    The Surgical clinics of North America, 1992
    Co-Authors: John Barry Mckernan, Bruce M. Wolfe, Bruce V. Macfadyen
    Abstract:

    The low morbidity and early recovery associated with laparoscopic procedures have heralded a new era for many types of surgery. In addition to the initial promising reports for duodenal ulcer disease and gastroesophageal reflux discussed above, there is a growing body of reports of gastric procedures performed laparoscopically, including omentopexy for perforated duodenal ulcer and laparoscopic repair of full-thickness Stomach Injury. Laws et al recently described the use of transthoracic vagotomy in recurrent peptic ulcer disease for four patients who had previously undergone a gastric drainage procedure. As with any new procedure, laparoscopic techniques for duodenal ulcer and Nissen fundoplication reviewed in this section need to be evaluated further for long-term effectiveness and comparability to existing therapy. At least one controlled multicenter trial is ongoing to compare the long-term results and cost-effectiveness of laparoscopic surgery for duodenal ulcer with those of standard medical therapy, and as surgeons gain more experience with these laparoscopic procedures, it is likely that other similar trials will be initiated.

Pasquale Spinelli - One of the best experts on this subject based on the ideXlab platform.

  • Laparoscopic repair of full-thickness Stomach Injury
    Surgical Endoscopy, 1991
    Co-Authors: Pasquale Spinelli, Gianfranco Felice, Paolo Pizzetti, Rosario Oriana
    Abstract:

    A case of laparoscopic repair of gastric perforation caused by a trocar is reported. Suturing was carried out by the apposition of clips. The potential advantages of this approach are that the treatment is performed at the time of the complication, the duration of the operation is reduced, and the discharge of the patient from hospital is accelerated.

Shah Wali Alizai - One of the best experts on this subject based on the ideXlab platform.

  • Injury patterns and causes of death in 953 patients with penetrating abdominal war wounds in a civilian independent non governmental organization hospital in lashkargah afghanistan
    World Journal of Emergency Surgery, 2019
    Co-Authors: Maurizio Cardi, Khushal Ibrahim, Shah Wali Alizai, Hamayoun Mohammad, Marco Garatti, Antonio Rainone, Francesco Di Marzo, Giuseppe La Torre, Michela Paschetto, Ludovica Carbonari
    Abstract:

    Management of penetrating abdominal war injuries centers upon triage, echeloned care, and damage control. A civilian hospital based in a war zone can rarely rely upon these principles because it normally has limited resources and lacks rapid medical evacuation. We designed this study to describe organ Injury patterns and factors related to mortality in patients with penetrating abdominal war injuries in a civilian hospital in an active war zone in Afghanistan, examine how these findings differ from those in a typical military setting, and evaluate how they might improve patients’ care. We reviewed the records of all patients admitted at the Lashkargah “Emergency” hospital with penetrating abdominal injuries treated from January 2006 to December 2016. Demographic and clinical data were recorded; univariate and multivariate analyses were used to identify variables significantly associated with death. We treated 953 patients for penetrating abdominal Injury. The population was mainly civilian (12.1% women and 21% under 14). Mean age was 23 years, and patients with blast injuries were younger than in the other groups. The mechanism of Injury was bullet Injury in 589 patients, shell Injury in 246, stab wound in 97, and mine Injury in 21. The most frequent abdominal lesion was small bowel Injury (46.3%). Small and large bowel injuries were the most frequent in the blast groups, Stomach Injury in stab wounds. Overall mortality was 12.8%. Variables significantly associated with death were age > 34 years, mine and bullet Injury, length of stay, time since Injury > 5 h, Injury severity score > 17, and associated injuries. Epidemiology and patterns of Injury in a civilian hospital differ from those reported in a typical military setting. Our population is mainly civilian with a significant number of women and patients under 14 years. BI are more frequent than blast injuries, and gastrointestinal injuries are more common than injuries to solid organs. In this austere setting, surgeons need to acquire a wide range of skills from multiple surgical specialties. These findings might guide trauma and general surgeons treating penetrating abdominal war wounds to achieve better care and outcome.

  • Injury patterns and causes of death in 953 patients with penetrating abdominal war wounds in a civilian independent non governmental organization hospital in lashkargah afghanistan
    World Journal of Emergency Surgery, 2019
    Co-Authors: Maurizio Cardi, Khushal Ibrahim, Shah Wali Alizai, Hamayoun Mohammad, Marco Garatti, Antonio Rainone, Francesco Di Marzo, Giuseppe La Torre, Michela Paschetto, Ludovica Carbonari
    Abstract:

    Management of penetrating abdominal war injuries centers upon triage, echeloned care, and damage control. A civilian hospital based in a war zone can rarely rely upon these principles because it normally has limited resources and lacks rapid medical evacuation. We designed this study to describe organ Injury patterns and factors related to mortality in patients with penetrating abdominal war injuries in a civilian hospital in an active war zone in Afghanistan, examine how these findings differ from those in a typical military setting, and evaluate how they might improve patients’ care. We reviewed the records of all patients admitted at the Lashkargah “Emergency” hospital with penetrating abdominal injuries treated from January 2006 to December 2016. Demographic and clinical data were recorded; univariate and multivariate analyses were used to identify variables significantly associated with death. We treated 953 patients for penetrating abdominal Injury. The population was mainly civilian (12.1% women and 21% under 14). Mean age was 23 years, and patients with blast injuries were younger than in the other groups. The mechanism of Injury was bullet Injury in 589 patients, shell Injury in 246, stab wound in 97, and mine Injury in 21. The most frequent abdominal lesion was small bowel Injury (46.3%). Small and large bowel injuries were the most frequent in the blast groups, Stomach Injury in stab wounds. Overall mortality was 12.8%. Variables significantly associated with death were age > 34 years, mine and bullet Injury, length of stay, time since Injury > 5 h, Injury severity score > 17, and associated injuries. Epidemiology and patterns of Injury in a civilian hospital differ from those reported in a typical military setting. Our population is mainly civilian with a significant number of women and patients under 14 years. BI are more frequent than blast injuries, and gastrointestinal injuries are more common than injuries to solid organs. In this austere setting, surgeons need to acquire a wide range of skills from multiple surgical specialties. These findings might guide trauma and general surgeons treating penetrating abdominal war wounds to achieve better care and outcome.

  • Injury patterns and causes of death in 953 patients with penetrating abdominal war wounds in a civilian independent non-governmental organization hospital in Lashkargah, Afghanistan
    BMC, 2019
    Co-Authors: Cardi M, Shah Wali Alizai, Ibrahim K, Mohammad H, Garatti M, Rainone A, Di Marzo F, La Torre G, Paschetto M, Carbonari L
    Abstract:

    Background Management of penetrating abdominal war injuries centers upon triage, echeloned care, and damage control. A civilian hospital based in a war zone can rarely rely upon these principles because it normally has limited resources and lacks rapid medical evacuation. We designed this study to describe organ Injury patterns and factors related to mortality in patients with penetrating abdominal war injuries in a civilian hospital in an active war zone in Afghanistan, examine how these findings differ from those in a typical military setting, and evaluate how they might improve patients' care. Methods We reviewed the records of all patients admitted at the Lashkargah "Emergency" hospital with penetrating abdominal injuries treated from January 2006 to December 2016. Demographic and clinical data were recorded; univariate and multivariate analyses were used to identify variables significantly associated with death. Results We treated 953 patients for penetrating abdominal Injury. The population was mainly civilian (12.1% women and 21% under 14). Mean age was 23 years, and patients with blast injuries were younger than in the other groups. The mechanism of Injury was bullet Injury in 589 patients, shell Injury in 246, stab wound in 97, and mine Injury in 21. The most frequent abdominal lesion was small bowel Injury (46.3%). Small and large bowel injuries were the most frequent in the blast groups, Stomach Injury in stab wounds. Overall mortality was 12.8%. Variables significantly associated with death were age > 34 years, mine and bullet Injury, length of stay, time since Injury > 5 h, Injury severity score > 17, and associated injuries. Conclusions Epidemiology and patterns of Injury in a civilian hospital differ from those reported in a typical military setting. Our population is mainly civilian with a significant number of women and patients under 14 years. BI are more frequent than blast injuries, and gastrointestinal injuries are more common than injuries to solid organs. In this austere setting, surgeons need to acquire a wide range of skills from multiple surgical specialties. These findings might guide trauma and general surgeons treating penetrating abdominal war wounds to achieve better care and outcome