Background: Emergency surgery is an independent factor among the postoperative morbidity risks. The most frequent complications after emergency abdominal surgical procedures occur in the case of digestive tract surgery and they manifest themselves as intestinal dehiscence or abdominal sepsis. Delay on recognition of one of these conditions is an important variable in the outcome. Moreover, a general agreement in this field is currently lacking, thus SICUT society designed a consensus study aimed to define their optimal workout. Material and methods: The electronic search was performed using the following databases Medline, PubMed, Scopus, Embase and Cochrane Library. Inclusion criteria were date of publication after 2006, and type of work randomized clinical trials and prospective, prospective observational studies, systematic reviews and meta-analysis. Papers were reviewed and selected by two experts with the help of a third in the role of tutor per the PRISMA methodology. Experts have indicated levels of evidence and grades of recommendations using the method of " Grading of Recommendations Assessment, Development, and Evaluation" (GRADE). Results: The only method of reducing the morbidity rate is to follow the septic complications of postoperative surgery, including the early diagnosis and the individual treatment following precise criteria. Conclusions: This consensus is in line with current international strategies and guidelines, and it could be a useful tool in the management of these postoperative complications after emergency abdominal surgery. Early recognition and multidisciplinary management of these septic complications is recommended.
SEPTIC COMPLICATIONS AFTER EMERGENCY SURGICAL PROCEDURES CONSENSUS OF ITALIAN SOCIETY ON TRAUMA AND EMERGENCY SURGERY
Cirocchi Roberto;
2017
Abstract
Background: Emergency surgery is an independent factor among the postoperative morbidity risks. The most frequent complications after emergency abdominal surgical procedures occur in the case of digestive tract surgery and they manifest themselves as intestinal dehiscence or abdominal sepsis. Delay on recognition of one of these conditions is an important variable in the outcome. Moreover, a general agreement in this field is currently lacking, thus SICUT society designed a consensus study aimed to define their optimal workout. Material and methods: The electronic search was performed using the following databases Medline, PubMed, Scopus, Embase and Cochrane Library. Inclusion criteria were date of publication after 2006, and type of work randomized clinical trials and prospective, prospective observational studies, systematic reviews and meta-analysis. Papers were reviewed and selected by two experts with the help of a third in the role of tutor per the PRISMA methodology. Experts have indicated levels of evidence and grades of recommendations using the method of " Grading of Recommendations Assessment, Development, and Evaluation" (GRADE). Results: The only method of reducing the morbidity rate is to follow the septic complications of postoperative surgery, including the early diagnosis and the individual treatment following precise criteria. Conclusions: This consensus is in line with current international strategies and guidelines, and it could be a useful tool in the management of these postoperative complications after emergency abdominal surgery. Early recognition and multidisciplinary management of these septic complications is recommended.I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.
