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Publication
Featured researches published by Marcelo A. Beltrán.
World Journal of Emergency Surgery | 2015
Massimo Sartelli; Fikri M. Abu-Zidan; Luca Ansaloni; Miklosh Bala; Marcelo A. Beltrán; Walter L. Biffl; Fausto Catena; Osvaldo Chiara; Federico Coccolini; Raul Coimbra; Zaza Demetrashvili; Demetrios Demetriades; Jose J. Diaz; Salomone Di Saverio; Gustavo Pereira Fraga; Wagih Ghnnam; Ewen A. Griffiths; Sanjay Gupta; Andreas Hecker; Aleksandar Karamarkovic; Victor Kong; Reinhold Kafka-Ritsch; Yoram Kluger; Rifat Latifi; Ari Leppäniemi; Jae Gil Lee; Michael McFarlane; Sanjay Marwah; Frederick A. Moore; Carlos A. Ordoñez
The open abdomen (OA) procedure is a significant surgical advance, as part of damage control techniques in severe abdominal trauma. Its application can be adapted to the advantage of patients with severe abdominal sepsis, however its precise role in these patients is still not clear.In severe abdominal sepsis the OA may allow early identification and draining of any residual infection, control any persistent source of infection, and remove more effectively infected or cytokine-loaded peritoneal fluid, preventing abdominal compartment syndrome and deferring definitive intervention and anastomosis until the patient is appropriately resuscitated and hemodynamically stable and thus better able to heal.However, the OA may require multiple returns to the operating room and may be associated with significant complications, including enteroatmospheric fistulas, loss of abdominal wall domain and large hernias.Surgeons should be aware of the pathophysiology of severe intra-abdominal sepsis and always keep in mind the option of using open abdomen to be able to use it in the right patient at the right time.
World Journal of Emergency Surgery | 2017
Massimo Sartelli; Alain Chichom-Mefire; Francesco M. Labricciosa; Timothy Craig Hardcastle; Fikri M. Abu-Zidan; Abdulrashid K. Adesunkanmi; Luca Ansaloni; Miklosh Bala; Zsolt J. Balogh; Marcelo A. Beltrán; Offir Ben-Ishay; Walter L. Biffl; Arianna Birindelli; Miguel Caínzos; G. Catalini; Marco Ceresoli; A. Che Jusoh; Osvaldo Chiara; F. Coccolini; Raul Coimbra; Francesco Cortese; Zaza Demetrashvili; S. Di Saverio; Jose J. Diaz; V. N. Egiev; Paula Ferrada; Gustavo Pereira Fraga; Wagih Ghnnam; J. G. Lee; Carlos Augusto Gomes
Intra-abdominal infections (IAIs) are common surgical emergencies and have been reported as major contributors to non-trauma deaths in the emergency departments worldwide.The cornerstones of effective treatment of IAIs are early recognition, adequate source control, and appropriate antimicrobial therapy. Prompt resuscitation of patients with ongoing sepsis is of utmost important.In hospitals worldwide, non-acceptance of, or lack of access to, accessible evidence-based practices and guidelines result in overall poorer outcome of patients suffering IAIs.The aim of this paper is to promote global standards of care in IAIs and update the 2013 WSES guidelines for management of intra-abdominal infections.
World Journal of Emergency Surgery | 2018
Massimo Sartelli; Yoram Kluger; Luca Ansaloni; Timothy Craig Hardcastle; Jordi Rello; Richard R. Watkins; Matteo Bassetti; Eleni Giamarellou; Federico Coccolini; Fikri M. Abu-Zidan; Abdulrashid K. Adesunkanmi; Goran Augustin; Gian Luca Baiocchi; Miklosh Bala; Oussema Baraket; Marcelo A. Beltrán; Asri Che Jusoh; Zaza Demetrashvili; Belinda De Simone; Hamilton Petry de Souza; Yunfeng Cui; R. Justin Davies; Sameer Dhingra; Jose J. Diaz; Salomone Di Saverio; Agron Dogjani; Mutasim M. Elmangory; Mushira Abdulaziz Enani; Paula Ferrada; Gustavo Pereira Fraga
The Global Alliance for Infections in Surgery appreciates the great effort of the task force who derived and validated the Sepsis-3 definitions and considers the new definitions an important step forward in the evolution of our understanding of sepsis. Nevertheless, more than a year after their publication, we have a few concerns regarding the use of the Sepsis-3 definitions.
World Journal of Emergency Surgery | 2017
Massimo Sartelli; Alain Chichom-Mefire; Francesco M. Labricciosa; Timothy Craig Hardcastle; Fikri M. Abu-Zidan; Abdulrashid Kayode Adesunkanmi; Luca Ansaloni; Miklosh Bala; Zsolt J. Balogh; Marcelo A. Beltrán; Offir Ben-Ishay; Walter L. Biffl; Arianna Birindelli; Miguel Caínzos; G. Catalini; Marco Ceresoli; A. Che Jusoh; Osvaldo Chiara; F. Coccolini; Raul Coimbra; Francesco Cortese; Zaza Demetrashvili; S. Di Saverio; Jose J. Diaz; V. N. Egiev; Paula Ferrada; Gustavo Pereira Fraga; Wagih Ghnnam; J. G. Lee; Carlos Augusto Gomes
[This corrects the article DOI: 10.1186/s13017-017-0141-6.].
Archive | 2015
Massimo Sartelli; Fikri M. Abu-Zidan; Luca Ansaloni; Miklosh Bala; Marcelo A. Beltrán; Walter L. Biffl; Fausto Catena; Osvaldo Chiara; Federico Coccolini; Raul Coimbra; Zaza Demetrashvili; Demetrios Demetriades; Jose J. Diaz; Salomone Di Saverio; Gustavo Pereira Fraga; Wagih Ghnnam; Ewen A. Griffiths; Sanjay Gupta; Andreas Hecker; Aleksandar Karamarkovic; Victor Kong; Reinhold Kafka-Ritsch; Yoram Kluger; Rifat Latifi; Ari Leppäniemi; Jae Gil Lee; Michael McFarlane; Sanjay Marwah; Frederick A. Moore; Carlos A. Ordoñez
The open abdomen (OA) procedure is a significant surgical advance, as part of damage control techniques in severe abdominal trauma. Its application can be adapted to the advantage of patients with severe abdominal sepsis, however its precise role in these patients is still not clear.In severe abdominal sepsis the OA may allow early identification and draining of any residual infection, control any persistent source of infection, and remove more effectively infected or cytokine-loaded peritoneal fluid, preventing abdominal compartment syndrome and deferring definitive intervention and anastomosis until the patient is appropriately resuscitated and hemodynamically stable and thus better able to heal.However, the OA may require multiple returns to the operating room and may be associated with significant complications, including enteroatmospheric fistulas, loss of abdominal wall domain and large hernias.Surgeons should be aware of the pathophysiology of severe intra-abdominal sepsis and always keep in mind the option of using open abdomen to be able to use it in the right patient at the right time.