Minimally Invasive Emergency Surgery

A special issue of Journal of Clinical Medicine (ISSN 2077-0383). This special issue belongs to the section "General Surgery".

Deadline for manuscript submissions: 1 September 2024 | Viewed by 1938

Special Issue Editors


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Guest Editor
1. Department of General and Oncological Surgery, Guastalla Hospital, AUSL Reggio Emilia, 42016 Guastalla, Italy
2. Department of General and Bariatric Surgery, Clinique St Louis, 78300 Poissy, France
Interests: minimally invasive surgery; emergency surgery; colorectal surgery; geriatric surgery

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Guest Editor
Department of General Surgery, Level I Trauma Center, Bufalini Hospital, AUSL Romagna, 47521 Cesena, Italy
Interests: general surgery; colorectal surgery; surgical education; emergency surgery, minimally invasive surgery
Special Issues, Collections and Topics in MDPI journals

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Guest Editor
ASUR Marche, AV5, Hospital of San Benedetto del Tronto, 63074 San Benedetto del Tronto, Italy
Interests: laparoscopic surgery; minimally invasive surgery; abdominal surgery; surgical oncology

Special Issue Information

Dear Colleagues,

Laparotomy has long been a standard procedure in emergency and trauma surgical settings. While it can be effective in treating certain conditions, it is associated with higher morbidity and mortality rates above all in frail and high-risk patients and longer recovery times.

Minimally invasive surgery, robotic surgery, and other new technologies have revolutionized the field of surgery in recent years, allowing for less invasive procedures, faster recovery times, and reduced complications for patients. In emergency surgical situations, these technologies can provide even greater benefits, making small incisions and using specialized instruments and cameras to access the intra-abdominal cavity, minimizing pain, scarring, and recovery time.

Robotic surgery, which utilizes advanced robotic systems to assist surgeons in performing complex procedures with greater precision and control, has also become increasingly common in emergency surgical settings. This technology can be particularly helpful in cases where the surgical site is difficult to access or where a high degree of accuracy is required.

Research and contributions in the field of minimally invasive emergency surgery are essential to advancing the field and improving patient outcomes. There is a growing body of evidence supporting the use of minimally invasive techniques in emergency surgical settings, but there is still much to learn about how to best apply these techniques and optimize their use, improving the education, training, and implementation of new technologies for emergency and trauma surgeons.

Some potential areas for research and contribution in this field could include:

  • Comparative effectiveness studies: research that compares the outcomes of different surgical approaches for specific emergency conditions.
  • Developing new techniques and technologies: Advancements in surgical techniques and technologies, such as robotics and virtual reality, can help to further reduce the invasiveness of emergency surgical procedures and improve patient outcomes.
  • Standardization of protocols: Developing standardized protocols for the use of minimally invasive techniques in emergency surgical settings, including patient selection criteria, preoperative preparation, and postoperative care.
  • Patient-reported outcomes: Collecting and analyzing patient-reported outcomes, such as pain, quality of life, and satisfaction with care, can provide valuable insights into the effectiveness and impact of minimally invasive emergency surgery.

Overall, there is a great need for ongoing research and contributions in the field of minimally invasive emergency surgery, with the ultimate goal of improving patient outcomes in the emergency setting.

Thank you for joining our Special Issue.

Dr. Belinda De Simone
Prof. Dr. Fausto Catena
Prof. Dr. Salomone Di Saverio
Guest Editors

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 100 words) can be sent to the Editorial Office for announcement on this website.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. Journal of Clinical Medicine is an international peer-reviewed open access semimonthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2600 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • laparoscopy
  • single-incision laparoscopic approach (SILS)
  • robotic surgery
  • emergency surgery
  • endoscopy
  • 3D system of vision
  • virtual reality
  • intra-abdominal infections
  • trauma surgery

Published Papers (2 papers)

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Review

9 pages, 205 KiB  
Review
Bedside Laparoscopy in the Critically Ill: A Review of the Literature
by Alessandro Palladino, Carlo Vallicelli, Daniele Perrina, Girolamo Convertini, Federico Coccolini, Luca Ansaloni, Massimo Sartelli and Fausto Catena
J. Clin. Med. 2024, 13(6), 1530; https://doi.org/10.3390/jcm13061530 - 07 Mar 2024
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Abstract
Critically ill patients treated in the intensive care unit (ICU) can present with many abdominal conditions that need a prompt diagnosis and timely treatment because of their general frailty. Clinical evaluation and diagnostic tools like ultrasound or CT scans are not reliable or [...] Read more.
Critically ill patients treated in the intensive care unit (ICU) can present with many abdominal conditions that need a prompt diagnosis and timely treatment because of their general frailty. Clinical evaluation and diagnostic tools like ultrasound or CT scans are not reliable or feasible in these patients. Bedside laparoscopy (BSL) is a minimally invasive procedure that allows surgeons to assess the abdominal cavity directly in the ICU, thus avoiding unnecessary exploratory laparotomy or incidents related to intra-hospital transfer. We conducted a review of the literature to summarize the state-of-the-art of BSL. The Medline, Cochrane Central Register of Controlled Trials (CENTRAL), and Scopus databases were utilized to identify all relevant publications. Indications, contraindications, technical aspects, and outcomes are discussed. The procedure is safe, feasible, and effective. When other diagnostic tools fail to diagnose or exclude an intra-abdominal condition in ICU patients, BSL should be preferred over exploratory laparotomy. Full article
(This article belongs to the Special Issue Minimally Invasive Emergency Surgery)
22 pages, 3682 KiB  
Review
Entero-Cutaneous and Entero-Atmospheric Fistulas: Insights into Management Using Negative Pressure Wound Therapy
by Gilda Pepe, Maria Michela Chiarello, Valentina Bianchi, Valeria Fico, Gaia Altieri, Silvia Tedesco, Giuseppe Tropeano, Perla Molica, Marta Di Grezia and Giuseppe Brisinda
J. Clin. Med. 2024, 13(5), 1279; https://doi.org/10.3390/jcm13051279 - 23 Feb 2024
Viewed by 658
Abstract
Enteric fistulas are a common problem in gastrointestinal tract surgery and remain associated with significant mortality rates, due to complications such as sepsis, malnutrition, and electrolyte imbalance. The increasingly widespread use of open abdomen techniques for the initial treatment of abdominal sepsis and [...] Read more.
Enteric fistulas are a common problem in gastrointestinal tract surgery and remain associated with significant mortality rates, due to complications such as sepsis, malnutrition, and electrolyte imbalance. The increasingly widespread use of open abdomen techniques for the initial treatment of abdominal sepsis and trauma has led to the observation of so-called entero-atmospheric fistulas. Because of their clinical complexity, the proper management of enteric fistula requires a multidisciplinary team. The main goal of the treatment is the closure of enteric fistula, but also mortality reduction and improvement of patients’ quality of life are fundamental. Successful management of patients with enteric fistula requires the establishment of controlled drainage, management of sepsis, prevention of fluid and electrolyte depletion, protection of the skin, and provision of adequate nutrition. Many of these fistulas will heal spontaneously within 4 to 6 weeks of conservative management. If closure is not accomplished after this time point, surgery is indicated. Despite advances in perioperative care and nutritional support, the mortality remains in the range of 15 to 30%. In more recent years, the use of negative pressure wound therapy for the resolution of enteric fistulas improved the outcomes, so patients can be successfully treated with a non-operative approach. In this review, our intent is to highlight the most important aspects of negative pressure wound therapy in the treatment of patients with enterocutaneous or entero-atmospheric fistulas. Full article
(This article belongs to the Special Issue Minimally Invasive Emergency Surgery)
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