Journal of Peritoneum (and other serosal surfaces) 2018-06-21T04:32:31+02:00 Paola Granata Open Journal Systems <p>The <strong>Journal of Peritoneum (<em>and other serosal surfaces</em>)</strong> (JoPER) is a quarterly open access, peer-reviewed online journal that covers all aspects of clinical and basic research related to either healthy, either diseased peritoneum (and other serosal surfaces, like pericardium and pleura) and its allied subjects. Peritoneum is a word derived from Greek (peritonaion) via Latin (peritonaeum), that results from the merging of peri- "around" (lat. peri-) + teinein "to stretch" (lat. tenet), meaning thus “stretched around” or “stretched over”. Although peritoneum is present in some invertebrates, such as annelids, typically is the serous membrane that forms the internal covering of the abdominal cavity or coelom in amniotes, wrapping most of the intra-abdominal (or coelomic) organs. Although the peritoneum is composed only of a layer of mesothelium supported by a thin stratum of connective tissue, it is involved in many intrabdominal disorders and is an important way of treatment (like, for example, intraperitoneal chemotherapy and peritoneal dialysis). Thus peritoneum spans a wide range of disciplines and interests, including either surgical and medical specialties, but even anatomy, embryology, histology, physiology and basic sciences. The same can be told for other serosal surfaces of human body, like pericardium and pleura. As such JoPER aims to provide a platform for surgeons and physicians to publish their researches and rapidly exchange ideas and findings with the common topic of the peritoneum (and the other serosal surfaces). Areas of interest include, but are not limited to: oncology, inflammatory diseases and adhesions, septic diseases, gynecological diseases and endometriosis. The online presence of JoPER, as well as it's open access policy ensures that the articles published in the journal are highly visible and reach a wide audience, whilst immediate publication on acceptance ensures all findings are disseminated as quickly as possible.</p> An innovative duodenal perforation surgical repair technique: the BIOPATCH technique 2018-06-21T04:32:28+02:00 Federico Coccolini Stefano Raimondo Giulia Montori Fausto Catena Massimo Sartelli Fabrizio Palamara Matteo Tomasoni Paola Fugazzola Marco Ceresoli Luca Ansaloni <p>The treatment of duodenal perforations has scarce options and it is very difficult with an high failure rate. The aim of this work is to describe a new surgical technique that was used to treat ten patients suffering from duodenal perforation. The procedure based on the concept to enforce the duodenal suture with remodeling material allowing to the inflamed and oedematous tissues to heal without to be cut by the repairing stitches themselves, is performed with biological prosthesis patches. 90% of patients treated with this innovative technique experienced a complete healing of the duodenal perforation. This unique surgical technique not only proved to be safe, but it also solved the 90% of duodenal perforations in patients at risk to die.</p> 2018-04-13T15:31:21+02:00 ##submission.copyrightStatement## WARNING in Surgery 2018-06-21T04:32:31+02:00 Massimo Sartelli Federico Coccolini Giulia Montori Cristian Tranà Luca Ansaloni Matteo Tomasoni Paola Fugazzola Fausto Catena <p>Surgeons prescribing antibiotics have two potentially conflicting responsibilities. First, they should offer optimal therapy for all patients under their care by offering antibiotics. Second, they should preserve the efficacy of antibiotics and minimize the development of antimicrobial resistance (AMR). The Global Alliance for Infections in Surgery and the World Society of Emergency Surgery have promoted a coalition that should call for increased awareness and action across all surgical departments worldwide in order to combat AMR. The project has been named <em>W</em>orld <em>A</em>ntimicrobial <em>R</em>esistance <em>N</em>ationally <em>I</em>nternationally <em>N</em>etworking <em>G</em>lobally in <em>S</em>urgery (WARNING in Surgery).</p> 2018-02-15T12:16:21+01:00 ##submission.copyrightStatement## Trauma Pélvico: Classificação e Diretrizes da Sociedade Mundial de Cirurgia de Urgência [Translation of Pelvic trauma: WSES classification and guidelines] 2018-01-17T17:40:30+01:00 Translated by Carlos Augusto Gomes Matheus Castelo Prudente Gabriel Lunardi Aranha <p><strong>Trauma Pélvico: Classificação e Diretrizes da Sociedade Mundial de Cirurgia de Urgência</strong></p> <p>As lesões pélvicas complexas estão entre as situações mais letais relacionados ao trauma. Existem diferentes classificações com base no mecanismo da lesão, algumas com referência a padrões anatômicos e outras com foco na instabilidade resultante do trauma, requerendo fixação cirúrgica. A estratégia de tratamento ideal, no entanto, deve considerar o estado hemodinâmico, o dano funcional do anel pélvico e as lesões associadas. O tratamento de pacientes com trauma pélvico, portanto, visa restaurar de maneira definitiva, a homeostase e a fisiopatologia condicionada à estabilidade mecânica do anel pélvico. Assim, a condução do trauma pélvico deve ser multidisciplinar, com destaque para fisiologia do paciente, avaliação anatômica das lesões e medidas terapêuticas, em consonância com atuais diretrizes. Este documento apresenta a classificação e as recomendações de tratamento do trauma pélvico, segundo a Sociedade Mundial de Cirurgia de Emergência.</p> <p>&nbsp;</p> <p><strong>Source:</strong> this paper is an abridged translation of: Ansaloni L, Pisano M, Coccolini F, <em>et al</em>. Pelvic trauma: WSES classification and guidelines. World J Emerg Surg 2017;12:5, DOI <a href="">10.1186/s13017-017-0117-6</a>.</p> 2018-01-17T17:39:56+01:00 ##submission.copyrightStatement## Trauma Esplênico: Classificação de acordo com WSES e Diretrizes para Pacientes Adultos e Pediátricos [Translation of Splenic trauma: WSES classification and guidelines for adult and pediatric patients] 2018-01-17T17:40:29+01:00 Translated by Carlos Augusto Gomes Patrick Araújo Porcino da Silva <p><strong>Trauma Esplênico: Classificação de acordo com WSES e Diretrizes para Pacientes Adultos e Pediátricos</strong></p> <p>As lesões esplênicas estão entre as mais frequentes relacionadas ao trauma. Atualmente, a classificação leva em conta a anatomia da lesão. A estratégia de tratamento ideal, no entanto, deveria levar em consideração, o perfil hemodinâmico, as alterações anatômicas e as lesões associadas. O tratamento de pacientes com trauma esplênico visa restaurar a homeostasia e a fisiologia dos indivíduos, em especial, considerando os modernos métodos de abordagem do sangramento. Assim, o tratamento do trauma esplênico deve ser, em última instância, multidisciplinar e com base na fisiologia do paciente, na anatomia da lesão e nas lesões associadas. Finalmente, como o tratamento de adultos e crianças deve ser diferenciado, as crianças devem sempre, ser tratadas em centros especializados ao trauma pediátrico. Na verdade, a grande maioria dos pacientes pediátricos com trauma esplênico contusos, pode ser tratada por abordagem não operatória. Este artigo apresenta a classificação da World Society of Emergency Surgery (WSES) do trauma esplênico e as diretrizes do tratamento.</p> <p>&nbsp;</p> <p><strong>Source:</strong> this paper is an abridged translation of: Coccolini F, Montori G, Catena F, et al. Splenic trauma: WSES classification and guidelines for adult and pediatric patients. World J Emerg Surg 2017;12:40, DOI <a href="">10.1186/s13017-017-0151-4</a>.</p> 2018-01-17T17:37:32+01:00 ##submission.copyrightStatement##