Pelvic trauma: WSES classification and guidelines
WSES grades pelvic ring injuries I-IV by combining Young-Burgess anatomy with haemodynamic status. GRADE-rated recommendations across the whole pathway: pelvic X-ray and E-FAST versus CT, pelvic binders, REBOA, pre-peritoneal pelvic packing, external fixation and C-clamp, angioembolisation, and the timing of definitive internal fixation.
WSES classification and guidelines for liver trauma
Severity classification of liver injury combining AAST anatomical grade with the patient's haemodynamic status, plus recommendations on when non-operative management with angioembolisation is appropriate versus operative and damage-control surgery.
WSES Guidelines for the management of acute left sided colonic diverticulitis in the emergency setting
Evidence-based emergency management of acute left colonic diverticulitis: role of CT, severity staging, antibiotic use, percutaneous drainage of abscess, and surgical options including laparoscopic lavage and Hartmann's versus primary anastomosis.
WSES guidelines for management of intraabdominal infections
2017 global-perspective guidelines on intra-abdominal infections: risk stratification, timing and adequacy of source control, and empirical and targeted antimicrobial therapy for community-acquired and healthcare-associated infection, with emphasis on stewardship and resistance.
WSES guidelines for management of intraabdominal infections (PDF)
WSES guidelines for emergency repair of complicated abdominal wall hernias
Management of incarcerated and strangulated abdominal wall and groin hernias: assessing bowel viability and the need for resection, whether to use mesh in clean-contaminated and contaminated fields, choice of prosthesis, and open versus laparoscopic repair.
WSES guidelines for emergency repair of complicated abdominal wall hernias (PDF)
Acute mesenteric ischemia: guidelines of the World Society of Emergency Surgery
Stresses that abdominal pain out of proportion to examination is mesenteric ischaemia until disproven; CT angiography as the diagnostic test of choice; immediate resuscitation, broad-spectrum antibiotics and heparin; laparotomy for peritonitis, revascularisation and resection of necrotic bowel; damage control with a planned second look; separate guidance for non-occlusive ischaemia and mesenteric venous thrombosis.
Acute mesenteric ischemia: guidelines of the World Society of Emergency Surgery (PDF)
Splenic trauma: WSES classification and guidelines for adult and pediatric patients
Classification combining AAST grade with haemodynamic status for both adults and children, with recommendations on non-operative management, angioembolisation, splenic repair versus splenectomy, and post-splenectomy follow-up and immunisation.
Splenic trauma: WSES classification and guidelines for adult and pediatric patients (PDF)
The open abdomen in trauma and non-trauma patients: WSES guidelines
Indications for leaving the abdomen open (damage control, abdominal compartment syndrome, severe peritonitis), temporary closure techniques such as negative-pressure therapy and mesh-mediated fascial traction, ICU management and nutrition, and strategies for early definitive fascial closure and avoiding entero-atmospheric fistula.
The open abdomen in trauma and non-trauma patients: WSES guidelines (PDF)
Bologna guidelines for diagnosis and management of adhesive small bowel obstruction (ASBO)
2017 revision of the Bologna guidelines: water-soluble contrast as both a diagnostic and therapeutic tool, selection criteria for a trial of non-operative management versus surgery, timing of operation, role of laparoscopy, and adhesion prevention.
Bologna guidelines for diagnosis and management of adhesive small bowel obstruction (ASBO) (PDF)