Adsorption and wettability study of methyl ester sulphonate on precipitated asphaltene

Asphaltene precipitation from crude oil and its subsequent aggregation forms solid, which preferentially deposit on rock surfaces causing formation damage and wettability changes leading to loss of crude oil production. To resolve this problem, asphaltene inhibitor has been injected into the formation to prevent the precipitation of asphaltene. Asphaltene inhibitors that are usually employed are generally toxic and non-biodegradable. This paper presents a new environmentally friendly asphaltene inhibitor (methyl ester sulphonate), an anionic surfactant, which has excellent sorption on formation rock surfaces. Result from adsorption study validated by Langmuir and Freundlich models indicate a favourable adsorption. At low volumes injected, methyl ester sulphonate is capable of reverting oil-wet sandstone surface to water-wet surface. Biodegradability test profile shows that for concentrations of 100-5000ppm it is biodegradable by 65-80%

Elective Cancer Surgery in COVID-19-Free Surgical Pathways During the SARS-CoV-2 Pandemic: An International, Multicenter, Comparative Cohort Study.

PURPOSE: As cancer surgery restarts after the first COVID-19 wave, health care providers urgently require data to determine where elective surgery is best performed. This study aimed to determine whether COVID-19-free surgical pathways were associated with lower postoperative pulmonary complication rates compared with hospitals with no defined pathway. PATIENTS AND METHODS: This international, multicenter cohort study included patients who underwent elective surgery for 10 solid cancer types without preoperative suspicion of SARS-CoV-2. Participating hospitals included patients from local emergence of SARS-CoV-2 until April 19, 2020. At the time of surgery, hospitals were defined as having a COVID-19-free surgical pathway (complete segregation of the operating theater, critical care, and inpatient ward areas) or no defined pathway (incomplete or no segregation, areas shared with patients with COVID-19). The primary outcome was 30-day postoperative pulmonary complications (pneumonia, acute respiratory distress syndrome, unexpected ventilation). RESULTS: Of 9,171 patients from 447 hospitals in 55 countries, 2,481 were operated on in COVID-19-free surgical pathways. Patients who underwent surgery within COVID-19-free surgical pathways were younger with fewer comorbidities than those in hospitals with no defined pathway but with similar proportions of major surgery. After adjustment, pulmonary complication rates were lower with COVID-19-free surgical pathways (2.2% v 4.9%; adjusted odds ratio [aOR], 0.62; 95% CI, 0.44 to 0.86). This was consistent in sensitivity analyses for low-risk patients (American Society of Anesthesiologists grade 1/2), propensity score-matched models, and patients with negative SARS-CoV-2 preoperative tests. The postoperative SARS-CoV-2 infection rate was also lower in COVID-19-free surgical pathways (2.1% v 3.6%; aOR, 0.53; 95% CI, 0.36 to 0.76). CONCLUSION: Within available resources, dedicated COVID-19-free surgical pathways should be established to provide safe elective cancer surgery during current and before future SARS-CoV-2 outbreaks

Elective cancer surgery in COVID-19-free surgical pathways during the SARS-CoV-2 pandemic: An international, multicenter, comparative cohort study

PURPOSE As cancer surgery restarts after the first COVID-19 wave, health care providers urgently require data to determine where elective surgery is best performed. This study aimed to determine whether COVID-19–free surgical pathways were associated with lower postoperative pulmonary complication rates compared with hospitals with no defined pathway. PATIENTS AND METHODS This international, multicenter cohort study included patients who underwent elective surgery for 10 solid cancer types without preoperative suspicion of SARS-CoV-2. Participating hospitals included patients from local emergence of SARS-CoV-2 until April 19, 2020. At the time of surgery, hospitals were defined as having a COVID-19–free surgical pathway (complete segregation of the operating theater, critical care, and inpatient ward areas) or no defined pathway (incomplete or no segregation, areas shared with patients with COVID-19). The primary outcome was 30-day postoperative pulmonary complications (pneumonia, acute respiratory distress syndrome, unexpected ventilation). RESULTS Of 9,171 patients from 447 hospitals in 55 countries, 2,481 were operated on in COVID-19–free surgical pathways. Patients who underwent surgery within COVID-19–free surgical pathways were younger with fewer comorbidities than those in hospitals with no defined pathway but with similar proportions of major surgery. After adjustment, pulmonary complication rates were lower with COVID-19–free surgical pathways (2.2% v 4.9%; adjusted odds ratio [aOR], 0.62; 95% CI, 0.44 to 0.86). This was consistent in sensitivity analyses for low-risk patients (American Society of Anesthesiologists grade 1/2), propensity score–matched models, and patients with negative SARS-CoV-2 preoperative tests. The postoperative SARS-CoV-2 infection rate was also lower in COVID-19–free surgical pathways (2.1% v 3.6%; aOR, 0.53; 95% CI, 0.36 to 0.76). CONCLUSION Within available resources, dedicated COVID-19–free surgical pathways should be established to provide safe elective cancer surgery during current and before future SARS-CoV-2 outbreaks

Correction to: Two years later: Is the SARS-CoV-2 pandemic still having an impact on emergency surgery? An international cross-sectional survey among WSES members

Background: The SARS-CoV-2 pandemic is still ongoing and a major challenge for health care services worldwide. In the first WSES COVID-19 emergency surgery survey, a strong negative impact on emergency surgery (ES) had been described already early in the pandemic situation. However, the knowledge is limited about current effects of the pandemic on patient flow through emergency rooms, daily routine and decision making in ES as well as their changes over time during the last two pandemic years. This second WSES COVID-19 emergency surgery survey investigates the impact of the SARS-CoV-2 pandemic on ES during the course of the pandemic. Methods: A web survey had been distributed to medical specialists in ES during a four-week period from January 2022, investigating the impact of the pandemic on patients and septic diseases both requiring ES, structural problems due to the pandemic and time-to-intervention in ES routine. Results: 367 collaborators from 59 countries responded to the survey. The majority indicated that the pandemic still significantly impacts on treatment and outcome of surgical emergency patients (83.1% and 78.5%, respectively). As reasons, the collaborators reported decreased case load in ES (44.7%), but patients presenting with more prolonged and severe diseases, especially concerning perforated appendicitis (62.1%) and diverticulitis (57.5%). Otherwise, approximately 50% of the participants still observe a delay in time-to-intervention in ES compared with the situation before the pandemic. Relevant causes leading to enlarged time-to-intervention in ES during the pandemic are persistent problems with in-hospital logistics, lacks in medical staff as well as operating room and intensive care capacities during the pandemic. This leads not only to the need for triage or transferring of ES patients to other hospitals, reported by 64.0% and 48.8% of the collaborators, respectively, but also to paradigm shifts in treatment modalities to non-operative approaches reported by 67.3% of the participants, especially in uncomplicated appendicitis, cholecystitis and multiple-recurrent diverticulitis. Conclusions: The SARS-CoV-2 pandemic still significantly impacts on care and outcome of patients in ES. Well-known problems with in-hospital logistics are not sufficiently resolved by now; however, medical staff shortages and reduced capacities have been dramatically aggravated over last two pandemic years

Formation Flow Impairment in Carbonate Reservoirs Due to Asphaltene Precipitation and Deposition during Hydrocarbon Gas Flooding

Hydrocarbon gas injection has proven to be one of the most efficient Enhanced Oil Recovery (EOR) methods, especially for tight and heterogeneous reservoirs with light to medium API oil, where water flooding is expected to be inefficient. Asphaltene precipitation and deposition, however, might occur due to pressure and fluids compositional changes with the gas injection. This complex phenomenon requires experimental and numerical investigation to understand the conditions at which flow impairment due to asphaltene formation damage may occur, resulting in lowering well flow capacity and in turn lower ultimate oil recovery. In this experimental study, low permeability carbonate rock core samples were flooded with hydrocarbon gas under reservoir conditions. The floods were conducted on core samples of two different lengths representing two different rock types based on average rock permeability and Pore Throat Size Distribution (PTSD). Additionally, these core samples were flooded at two different operating conditions to mimic the average reservoir and the wellbore flowing pressure conditions. As a prelude to these experiments, Asphaltene Onset Pressure (AOP) and Asphaltene Onset Concentration (AOC) of the oil under study with the injection gas were established through NIR, SARA and Titration analysis. Flow impairment due to formation damage by asphaltene precipitation and deposition was analyzed through permeability measurements before and after gas flooding. In all cases permeability reduction was observed. Permeability reduction was found to be function of rock types, reservoir pressure, and length of composite core samples. We assume that pore throat bridging by the larger size asphaltene particles caused higher permeability reduction in the samples of poorer rock types. Experiments conducted at lower pressures showed more damage. This is consistent with the lower AOC at lower pressure. Longer core samples give more time for asphaltene flocculation resulting in more asphaltene formation damage and more permeability reduction. Scanning Electron Microscopic (SEM) images of core plugs before and after the gas flooding process were found to be not conclusive with respect to direct detection of asphaltene deposition in the core samples and further work is planned to positively identify asphaltene deposition in the rock samples. Copyright 2012. Society of Petroleum Engineers

Correction: Evolving Trends in the Management of Acute Appendicitis During COVID-19 Waves: The ACIE Appy II Study (World Journal of Surgery, (2022), 46, 9, (2021-2035), 10.1007/s00268-022-06649-z)

In the original online version of this article Oreste Claudio Buonomo’s family name was misspelled. The original article was corrected