2017 update of the WSES guidelines for emergency repair of complicated abdominal wall hernias

Emergency repair of complicated abdominal wall hernias may be associated with worsen outcome and a significant rate of postoperative complications. There is no consensus on management of complicated abdominal hernias. The main matter of debate is about the use of mesh in case of intestinal resection and the type of mesh to be used. Wound infection is the most common complication encountered and represents an immense burden especially in the presence of a mesh. The recurrence rate is an important topic that influences the final outcome. A World Society of Emergency Surgery (WSES) Consensus Conference was held in Bergamo in July 2013 with the aim to define recommendations for emergency repair of abdominal wall hernias in adults. This document represents the executive summary of the consensus conference approved by a WSES expert panel. In 2016, the guidelines have been revised and updated according to the most recent available literature.Peer reviewe

WSES guidelines for emergency repair of complicated abdominal wall hernias

Emergency repair of complicated abdominal hernias is associated with poor prognosis and a high rate of post-operative complications. A World Society of Emergency Surgery (WSES) Consensus Conference was held in Bergamo in July 2013, during the 2nd Congress of the World Society of Emergency Surgery with the goal of defining recommendations for emergency repair of abdominal wall hernias in adults. This document represents the executive summary of the consensus conference approved by a WSES expert panel

WSES guidelines for emergency repair of complicated abdominal wall hernias

Peer reviewe

Current concept of abdominal sepsis : WSES position paper

Peer reviewe

World Society of Emergency Surgery (WSES) guidelines for management of skin and soft tissue infections

Peer reviewe

QUINOA AS A SUBSTITUTE FOR SEMOLINA: SOME ASPECTS AND PROBLEMS OF INTRODUCTION

Semolina is one of the most widely used kinds of finely ground cereals, which is easy to digest and assimilate. However, it consists of significant amount of heavy gluten which is not suited for people suffering from celiac diseases. Besides, the content of proteins, vitamins and microelements in semolina is comparatively poor. Quinoa is a pseudo-grain crop imported mostly from South America. Quinoa can be considered as a substitute for semolina since it is rich in vitamins, proteins, amino acids and microelements, and targeted especially to the customers suffering from celiac disease, allergic to gluten or having special dietary requirements. It is important to investigate and compare some rheological properties of quinoa and semolina in order to ensure safe and effective interchanges in the technology of cereals production. It has been found that swelling of the quinoa mixtures is higher than that of the semolina mixtures. A rise in temperature causes initial increase in volume of the dispersed phase particles followed by fast destruction of the cereal disperse systems. Viscosity of the quinoa mixtures shows a sharp rise when mass percent of the cereal exceeds 13 % while in case of semolina mixtures, the same phenomenon occurs after 16 %. A rise in viscosity is unwanted since it lowers the quality of the material used. It can be avoided to some extent by partial substitution of semolina with quinoa as 1:0.8

Giant right groin lipoma mimicking inguinal hernia

Introduction: Groin lipoma is a rare condition. Such localization may lead to erroneous interpretation of inguinal hernia diagnosis. In case of incorrect diagnosis, there is clinically high risk for development of intraoperative complications. Methods: The medical history of 70-year old female patient P., who has been hospitalized at Surgical Department No.1 of Danylo Halytsky Lviv National Medical University (Surgical Department of Lviv Regional Clinical Hospital), was processed retrospectively. Result: Medical case history totals approximately 20 years. Examination in the right groin revealed a tumor falling to the right labia lip: soft, elastic, moderately painful, passive and active reduction into the abdominal cavity was impossible, and the “cough impulse” symptom was negative. CT correctly diagnosed giant right groin lipoma, which was intraoperatively confirmed. Conclusion: Lipoma in the groin may be treated as inguinal hernia. Thus, for the accurate verification of correct diagnosis, it is necessary to perform a follow-up examination involving computer tomography (CT) and nuclear magnetic resonance imaging (NMRI)