Comparative efficacy of intraoperative wound irrigation with aqueous chlorhexidine versus normal saline to prevent surgical site infections: a double-blind randomized controlled trial [0.03%]
氯己定溶液与生理盐水冲洗手术切口预防手术部位感染的疗效比较：一项双盲随机对照试验
Metasist Kultanaruangnonth,Lalita Chatrung,Amarit Tansawet et al.
Metasist Kultanaruangnonth et al.
Background: Surgical site infections (SSIs) remain a major concern after abdominal surgery, with incidences of 15-22%. Intraoperative wound irrigation (IOWI) before closure is routinely performed to reduce bacterial conta...
Machine learning models for early mortality prediction in trauma patients using public data: a nationwide retrospective study [0.03%]
基于公共数据的创伤患者早期死亡预测模型的全国范围回顾性研究
Seung Min Baik,Jae Gil Lee,Hongjin Shim et al.
Seung Min Baik et al.
Background: Trauma is a leading cause of morbidity and mortality worldwide, particularly in younger populations. Early identification of high-risk trauma patients is critical for timely interventions and improved outcomes...
An open access trauma registry for developing countries: a tested selected minimal dataset with its free database program [0.03%]
面向发展中国家的开放式创伤登记册：一个测试完备、字段精简的数据集及其免费数据库程序
Sami Shaban,Hani O Eid,Fikri M Abu-Zidan
Sami Shaban
Background: Injury is a global health problem, especially in low- and middle-income countries (LMICs). Sustainable trauma registries in these settings require concise, locally relevant, and low-cost solutions. This method...
Methodological limitations of NOM in the WSES acute appendicitis guidelines [0.03%]
WSES急性阑尾炎指南中NOM方法学的局限性
Pedro Henrique Grosso,João Vitor Grosso,Francisco Alcides Dias Filho
Pedro Henrique Grosso
The 2025 WSES Guidelines endorse nonoperative management (NOM) for uncomplicated acute appendicitis. However, the oncologic risks and methodological limitations of this approach require strict scrutiny. Applying the GRADE framework, admissi...
Percutaneous sigmoid fixation for management of recurrent sigmoid volvulus: a randomized controlled clinical trial [0.03%]
内镜下结肠夹治疗乙状结肠扭转的复发：随机对照临床试验
Said Negm,Ahmed Khaled AboZeid,Ahmed Shafiq et al.
Said Negm et al.
Background: Sigmoid volvulus stands out as a frequent surgical emergency, particularly in older adults. Initial management centers on prompt detorsion of the affected colon segment, coupled with strategies to avoid future...
Randomized Controlled Trial
World journal of emergency surgery : WJES. 2026 May 20;21(1):34. DOI:10.1186/s13017-026-00701-2 2026
Non-elective colectomy for diverticulitis in the U.S.: a retrospective comparison of robotic, laparoscopic, and open approaches [0.03%]
美国结肠憩室炎非选择性结肠切除术：机器人、腹腔镜和开放手术的回顾性比较研究
Leon Naar,Prajakta H Waghmare,I-Fan Shih et al.
Leon Naar et al.
Background: Minimally invasive techniques are increasingly used in emergency surgery, including in acute diverticulitis. While studies have shown that laparoscopic colectomy in the emergent/urgent management of acute dive...
Severity-guided management of esophageal perforation: a retrospective cohort study supporting a pragmatic treatment algorithm [0.03%]
基于严重程度的食管穿孔管理：一项回顾性队列研究支持实用治疗路径
Clara Poon,Urs Giger-Pabst,Isaure Breteau et al.
Clara Poon et al.
Background: Esophageal perforation is a rare but life-threatening condition associated with high morbidity and mortality. Optimal management remains controversial, particularly regarding the indications for conservative, ...
Robotic surgery in colorectal emergencies: a systematic review of current evidence [0.03%]
机器人手术在结直肠急症中应用的系统评价
Serena Curia,Christophe Taoum,Guglielmo Niccolò Piozzi et al.
Serena Curia et al.
Background: Although laparoscopy continues to be the predominant minimally invasive approach in most emergency settings, the advantages of robotics, well established in elective surgery, are currently being explored in se...
Impact of transportation methods on pediatric and adolescent severely injured vehicle occupants [0.03%]
不同运输方式对严重受伤的儿科和青少年车辆乘员的影响
Fikri M Abu-Zidan,David O Alao
Fikri M Abu-Zidan
Background: Road traffic collisions (RTCs) are the leading cause of death globally. Reducing the transportation time to definitive care and training bystanders in trauma management may impact clinical outcome. We aimed to...
Role of prophylactic mesh in emergency midline laparotomy: a systematic review and meta-analysis [0.03%]
急诊中线开腹术中预防性网片应用的系统评价和Meta分析
Mahmoud Diaa Hindawi,Abdel-Fattah Kalmoush,Mohamed Gamal Mohamed et al.
Mahmoud Diaa Hindawi et al.
Purpose: The role of prophylactic mesh reinforcement in emergency laparotomy closure remains controversial. While prophylactic mesh may reduce incisional hernia, its use in unstable and contaminated settings raises concer...