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Open Access 01-12-2024 | Diverticulitis | Research

Goodbye Hartmann trial: a prospective, international, multicenter, observational study on the current use of a surgical procedure developed a century ago

Authors: Gennaro Perrone, Mario Giuffrida, Fikri Abu-Zidan, Vitor F. Kruger, Marco Livrini, Gabriele Luciano Petracca, Giorgio Rossi, Antonio Tarasconi, Brian W. C. A. Tian, Elena Bonati, Ricardo Mentz, Federico N. Mazzini, Juan P. Campana, Elisabeth Gasser, Reinhold Kafka-Ritsch, Daniel M. Felsenreich, Christopher Dawoud, Stefan Riss, Carlos Augusto Gomes, Felipe Couto Gomes, Ricardo Alessandro Teixeira Gonzaga, Cassio Alfred Brattig Canton, Bruno Monteiro Pereira, Gustavo P. Fraga, Leticia Gonçalves Zem, Vinicius Cordeiro-Fonseca, Renato de Mesquita Tauil, Boyko Atanasov, Nikolay Belev, Nikola Kovachev, L. Juan José Meléndez, Ana Dimova, Stefan Dimov, Zdravko Zelić, Goran Augustin, Branko Bogdanić, Trpimir Morić, Elie Chouillard, Melinda Bajul, Belinda De Simone, Yves Panis, Francesco Esposito, Margherita Notarnicola, Lelde Lauka, Anna Fabbri, Hassen Hentati, Iskander Fnaiech, Venara Aurélien, Marie Bougard, Maxime Roulet, Zaza Demetrashvili, Irakli Pipia, Giorgi Merabishvili, Konstantinos Bouliaris, Georgios Koukoulis, Christos Doudakmanis, Sofia Xenaki, Emmanuel Chrysos, Stamatios Kokkinakis, Panteleimon Vassiliu, Nikolaos Michalopoulos, Ioannis Margaris, Aristotelis Kechagias, Konstantinos Avgerinos, Jevgeni Katunin, Eftychios Lostoridis, Eleni-Aikaterini Nagorni, Antonio Pujante, Francesk Mulita, Ioannis Maroulis, Michail Vailas, Athanasios Marinis, Ioannis Siannis, Eirini Bourbouteli, Dimitrios K. Manatakis, Nikolaos Tasis, Vasileios Acheimastos, Sotiropoulou Maria, Kapiris Stylianos, Harilaos Kuzeridis, Dimitrios Korkolis, Evangelos Fradelos, George Kavalieratos, Thalia Petropoulou, Andreas Polydorou, Ioannis Papacostantinou, Tania Triantafyllou, Despina Kimpizi, Dimitrios Theodorou, Konstantinos Toutouzas, Alexandros Chamzin, Maximos Frountzas, Dimitrios Schizas, Ioannis Karavokyros, Athanasios Syllaios, Alexandros Charalabopoulos, Maria Boura, Efstratia Baili, Orestis Ioannidis, Lydia Loutzidou, Elissavet Anestiadou, Ioannis Tsouknidas, Georgios Petrakis, Eleni Polenta, Lovenish Bains, Rahul Gupta, Sudhir K. Singh, Archana Khanduri, Miklosh Bala, Asaf Kedar, Marcello Pisano, Mauro Podda, Adolfo Pisanu, Gennaro Martines, Giuseppe Trigiante, Giuliano Lantone, Antonino Agrusa, Giuseppe Di Buono, Salvatore Buscemi, Massimiliano Veroux, Rossella Gioco, Gastone Veroux, Luigi Oragano, Sandro Zonta, Federico Lovisetto, Carlo V. Feo, Antonio Pesce, Nicolò Fabbri, Giulio Lantone, Fabio Marino, Fabrizio Perrone, Leonardo Vincenti, Vincenzo Papagni, Arcangelo Picciariello, Stefano Rossi, Biagio Picardi, Simone Rossi Del Monte, Diego Visconti, Giulia Osella, Luca Petruzzelli, Giusto Pignata, Jacopo Andreuccetti, Rossella D’Alessio, Massimo Buonfantino, Eleonora Guaitoli, Stefano Spinelli, Gianluca Matteo Sampietro, Carlo Corbellini, Leonardo Lorusso, Alice Frontali, Isabella Pezzoli, Alessandro Bonomi, Andrea Chierici, Christian Cotsoglou, Giuseppe Manca, Antonella Delvecchio, Nicola Musa, Massimiliano Casati, Laface Letizia, Emmanuele Abate, Giorgio Ercolani, Fabrizio D’Acapito, Leonardo Solaini, Gianluca Guercioni, Simone Cicconi, Diego Sasia, Felice Borghi, Giorgio Giraudo, Giuseppe Sena, Pasquale Castaldo, Eugenia Cardamone, Giuseppe Portale, Matteo Zuin, Ylenia Spolverato, Marialusia Esposito, Roberta Maria Isernia, Maria Di Salvo, Romina Manunza, Giuseppe Esposito, Marcello Agus, Emanuele Luigi Giuseppe Asti, Daniele Tiziano Bernardi, Tommaso Panici Tonucci, Davide Luppi, Massimiliano Casadei, Stefano Bonilauri, Angela Pezzolla, Annunziata Panebianco, Rita Laforgia, Maurizio De Luca, Monica Zese, Dario Parini, Elio Jovine, Giuseppina De Sario, Raffaele Lombardi, Giovanni Aprea, Giuseppe Palomba, Marianna Capuano, Giulio Argenio, Gianluca Orio, Mariano Fortunato Armellino, Marina Troian, Martina Guerra, Carlo Nagliati, Alan Biloslavo, Paola Germani, Giada Aizza, Igor Monsellato, Ali Chaouki Chahrour, Gabriele Anania, Cristina Bombardini, Francesco Bagolini, Gabriele Sganga, Pietro Fransvea, Valentina Bianchi, Paolo Boati, Francesco Ferrara, Francesco Palmieri, Pasquale Cianci, Domenico Gattulli, Enrico Restini, Nicola Cillara, Alessandro Cannavera, Gabriela Elisa Nita, Jlenia Sarnari, Francesco Roscio, Federico Clerici, Ildo Scandroglio, Stefano Berti, Alessandro Cadeo, Alice Filippelli, Luigi Conti, Carmine Grassi, Gaetano Maria Cattaneo, Marina Pighin, Davide Papis, Giovanni Gambino, Vanessa Bertino, Domenico Schifano, Daniela Prando, Luisella Fogato, Fabio Cavallo, Luca Ansaloni, Roberto Picheo, Nicholas Pontarolo, Norma Depalma, Marcello Spampinato, Stefano D’Ugo, Luca Lepre, Michela Giulii Capponi, Rossella Domenica Campa, Giuliano Sarro, Vincenza Paola Dinuzzi, Stefano Olmi, Matteo Uccelli, Davide Ferrari, Marco Inama, Gianluigi Moretto, Michele Fontana, Francesco Favi, Erika Picariello, Alessia Rampini, Andrea Barberis, Antonio Azzinnaro, Alba Oliva, Luigi Totaro, Ilaria Benzoni, Valerio Ranieri, Gabriella Teresa Capolupo, Filippo Carannante, Marco Caricato, Maurizio Ronconi, Silvia Casiraghi, Giovanni Casole, Desire Pantalone, Giovanni Alemanno, Maximilian Scheiterle, Marco Ceresoli, Marco Cereda, Chiara Fumagalli, Federico Zanzi, Stefano Bolzon, Enrico Guerra, Francesca Lecchi, Paola Cellerino, Antonella Ardito, Rosa Scaramuzzo, Andrea Balla, Pasquale Lepiane, Nicola Tartaglia, Antonio Ambrosi, Giovanna Pavone, Gian Marco Palini, Simone Veneroni, Gianluca Garulli, Claudio Ricci, Beatrice Torre, Iris Shari Russo, Matteo Rottoli, Marta Tanzanu, Angela Belvedere, Marco Milone, Michele Manigrasso, Giovanni Domenico De Palma, Micaela Piccoli, Gianmaria Casoni Pattacini, Stefano Magnone, Paolo Bertoli, Michele Pisano, Paolo Massucco, Marco Palisi, Andrea-Pierre Luzzi, Francesco Fleres, Guglielmo Clarizia, Alessandro Spolini, Yoshiro Kobe, Takayuki Toma, Fumihiko Shimamura, Robert Parker, Sinkeet Ranketi, Mercy Mitei, Saulius Svagzdys, Henrikas Pauzas, Justas Zilinskas, Tomas Poskus, Marius Kryzauskas, Matas Jakubauskas, Andee Dzulkarnaen Zakaria, Zaidi Zakaria, Michael Pak-Kai Wong, Asri Che Jusoh, Muhammad Nazreen Zakaria, Daniel Rios Cruz, Aurea Barbara Rodriguez Elizalde, Alejandro Bañon Reynaud, Edgard Efren Lozada Hernandez, Jose maria Victor Palomo Monroy, Diego Hinojosa-Ugarte, Martha Quiodettis, María Esther Du Bois, José Latorraca, Piotr Major, Michał Pędziwiatr, Magdalena Pisarska-Adamczyk, Maciej Walędziak, Andrzej Kwiatkowski, Łukasz Czyżykowski, Silvia Dantas da Costa, Bela Pereira, Ana Rita Oliveira Ferreira, Filipe Almeida, Ricardo Rocha, Carla Carneiro, Diego Pita Perez, João Carvas, Catarina Rocha, Cátia Ferreira, Rita Marques, Urânia Fernandes, Pedro Leao, André Goulart, Rita Gonçalves Pereira, Sara Daniela Direito Patrocínio, Nuno Gonçalo Gonçalves de Mendonça, Maria Isabel Cerqueira Manso, Henrique Manuel Cardoso Morais, Paulo Sebastião Cardoso, Valentin Calu, Adrian Miron, Elena Adelina Toma, Mahir Gachabayov, Abakar Abdullaev, Andrey Litvin, Taras Nechay, Alexander Tyagunov, Anvar Yuldashev, Alison Bradley, Michael Wilson, Arpád Panyko, Zuzana Látečková, Vladimír Lacko, Dusan Lesko, Marek Soltes, Jozef Radonak, Victor Turrado-Rodriguez, Roser Termes-Serra, Xavier Morales-Sevillano, Pierfrancesco Lapolla, Andrea Mingoli, Gioia Brachini, Maurizio Degiuli, Silvia Sofia, Rossella Reddavid, Andrea de Manzoni Garberini, Angelica Buffone, Eduardo Perea del Pozo, Daniel Aparicio-Sánchez, Sandra Dos Barbeito, Mercedes Estaire-Gómez, Rebeca Vitón-Herrero, Mª de los Ángeles Gil Olarte-Marquez, José Gil-Martínez, Felipe Alconchel, Tatiana Nicolás-López, Aida Cristina Rahy-Martin, María Pelloni, Raquel Bañolas-Suarez, Fernando Mendoza-Moreno, Francisca García-Moreno Nisa, Manuel Díez-Alonso, María Elisa Valle Rodas, María Carmona Agundez, María Inmaculada Pérez Andrés, Claudia Cristina Lopes Moreira, Aintzane Lizarazu Perez, Iñigo Augusto Ponce, Ana María González-Castillo, Estela Membrilla-Fernández, Silvia Salvans, Mario Serradilla-Martín, Pablo Sancho Pardo, Daniel Rivera-Alonso, Jana Dziakova, Jose Mugüerza Huguet, Naila Pagès Valle, Enrique Colás Ruiz, Cristina Rey Valcárcel, Cristina Ruiz Moreno, Yeniffer Tatiana Moreno Salazar, Juan Jesús Rubio García, Silvia Sevila Micó, Joaquín Ruiz López, Silvia Pérez Farré, Maite Santamaria Gomez, Nuria Mestres Petit, Alberto Titos-García, Jose Manuel Aranda-Narváez, Laura Romacho-López, Luis Sánchez-Guillén, Veronica Aranaz-Ostariz, Marina Bosch-Ramírez, Aleix Martínez-Pérez, Elías Martínez-López, Juan Carlos Sebastián-Tomás, Granada Jimenez-Riera, Javier Jimenez-Vega, Jose Aurelio Navas Cuellar, Andrea Campos-Serra, Anna Muñoz-Campaña, Raquel Gràcia-Roman, Javier Martínez Alegre, Francisca Lima Pinto, Sara Nuñez O’Sullivan, Francisco Blanco Antona, Beatriz Muñoz Jiménez, Jaime López-Sánchez, Zahira Gómez Carmona, Rocio Torres Fernández, Isabel Blesa Sierra, Laura Román García de León, Verónica Polaino Moreno, Eva Iglesias, Paola Lora Cumplido, Altea Arango Bravo, Ignacio Rey Simó, Carlota López Domínguez, Aloia Guerreiro Caamaño, Rafael Calleja Lozano, Manuel Durán Martínez, Álvaro Naranjo Torres, Javier Tomas Morales Bernaldo de Quiros, Gianluca Pellino, Miriam Moratal Cloquell, Elsa García Moller, Sami Jalal-Eldin, Ahmed K. Abdoun, Hytham K. S. Hamid, Varut Lohsiriwat, Aitsariya Mongkhonsupphawan, Oussama Baraket, Karim Ayed, Imed Abbassi, Ali Ben Ali, Houssem Ammar, Ali Kchaou, Ahmed Tlili, Imen Zribi, Elif Colak, Suleyman Polat, Zehra Alan Koylu, Ali Guner, Mehmet Arif Usta, Murat Emre Reis, Baris Mantoglu, Emre Gonullu, Emrah Akin, Fatih Altintoprak, Zulfu Bayhan, Necattin Firat, Arda Isik, Ufuk Memis, Mehmet Bayrak, Yasemin Altıntaş, Yasin Kara, Mehmet Abdussamet Bozkurt, Ali Kocataş, Koray Das, Ahmet Seker, Nazmi Ozer, Semra Demirli Atici, Korhan Tuncer, Tayfun Kaya, Zeynep Ozkan, Onur Ilhan, Ibrahim Agackiran, Mustafa Yener Uzunoglu, Eren Demirbas, Yuksel Altinel, Serhat Meric, Nadir Adnan Hacım, Derya Salim Uymaz, Nail Omarov, Emre Balık, Giovanni D. Tebala, Hany Khalil, Mridul Rana, Mansoor Khan, Charlotte Florence, Christie Swaminathan, Cosimo Alex Leo, Lampros Liasis, Josef Watfah, Ivan Trostchansky, Edward Delgado, Marcelo Pontillo, Rifat Latifi, Raul Coimbra, Sara Edwards, Ana Lopez, George Velmahos, Ander Dorken, Anthony Gebran, Amanda Palmer, Jeffrey Oury, James M. Bardes, Sirivan Suon Seng, Lauren S. Coffua, Asanthi Ratnasekera, Tanya Egodage, Karla Echeverria-Rosario, Isabella Armento, Lena M. Napolitano, Naveen F. Sangji, Mark Hemmila, Jacob A. Quick, Tyler R. Austin, Theodore S. Hyman, William Curtiss, Amanda McClure, Nicholas Cairl, Walter L. Biffl, Hung P. Truong, Kathryn Schaffer, Summer Reames, Filippo Banchini, Patrizio Capelli, Federico Coccolini, Massimo Sartelli, Francesca Bravi, Carlo Vallicelli, Vanni Agnoletti, Gian Luca Baiocchi, Fausto Catena

Published in: World Journal of Emergency Surgery | Issue 1/2024

Abstract

Background

Literature suggests colonic resection and primary anastomosis (RPA) instead of Hartmann’s procedure (HP) for the treatment of left-sided colonic emergencies. We aim to evaluate the surgical options globally used to treat patients with acute left-sided colonic emergencies and the factors that leading to the choice of treatment, comparing HP and RPA.

Methods

This is a prospective, international, multicenter, observational study registered on ClinicalTrials.gov. A total 1215 patients with left-sided colonic emergencies who required surgery were included from 204 centers during the period of March 1, 2020, to May 31, 2020. with a 1-year follow-up.

Results

564 patients (43.1%) were females. The mean age was 65.9 ± 15.6 years. HP was performed in 697 (57.3%) patients and RPA in 384 (31.6%) cases. Complicated acute diverticulitis was the most common cause of left-sided colonic emergencies (40.2%), followed by colorectal malignancy (36.6%). Severe complications (Clavien-Dindo ≥ 3b) were higher in the HP group (P < 0.001). 30-day mortality was higher in HP patients (13.7%), especially in case of bowel perforation and diffused peritonitis. 1-year follow-up showed no differences on ostomy reversal rate between HP and RPA. (P = 0.127). A backward likelihood logistic regression model showed that RPA was preferred in younger patients, having low ASA score (≤ 3), in case of large bowel obstruction, absence of colonic ischemia, longer time from admission to surgery, operating early at the day working hours, by a surgeon who performed more than 50 colorectal resections.

Conclusions

After 100 years since the first Hartmann’s procedure, HP remains the most common treatment for left-sided colorectal emergencies. Treatment’s choice depends on patient characteristics, the time of surgery and the experience of the surgeon. RPA should be considered as the gold standard for surgery, with HP being an exception.

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Title: Goodbye Hartmann trial: a prospective, international, multicenter, observational study on the current use of a surgical procedure developed a century ago
Authors: Gennaro Perrone
Mario Giuffrida
Fikri Abu-Zidan
Vitor F. Kruger
Marco Livrini
Gabriele Luciano Petracca
Giorgio Rossi
Antonio Tarasconi
Brian W. C. A. Tian
Elena Bonati
Ricardo Mentz
Federico N. Mazzini
Juan P. Campana
Elisabeth Gasser
Reinhold Kafka-Ritsch
Daniel M. Felsenreich
Christopher Dawoud
Stefan Riss
Carlos Augusto Gomes
Felipe Couto Gomes
Ricardo Alessandro Teixeira Gonzaga
Cassio Alfred Brattig Canton
Bruno Monteiro Pereira
Gustavo P. Fraga
Leticia Gonçalves Zem
Vinicius Cordeiro-Fonseca
Renato de Mesquita Tauil
Boyko Atanasov
Nikolay Belev
Nikola Kovachev
L. Juan José Meléndez
Ana Dimova
Stefan Dimov
Zdravko Zelić
Goran Augustin
Branko Bogdanić
Trpimir Morić
Elie Chouillard
Melinda Bajul
Belinda De Simone
Yves Panis
Francesco Esposito
Margherita Notarnicola
Lelde Lauka
Anna Fabbri
Hassen Hentati
Iskander Fnaiech
Venara Aurélien
Marie Bougard
Maxime Roulet
Zaza Demetrashvili
Irakli Pipia
Giorgi Merabishvili
Konstantinos Bouliaris
Georgios Koukoulis
Christos Doudakmanis
Sofia Xenaki
Emmanuel Chrysos
Stamatios Kokkinakis
Panteleimon Vassiliu
Nikolaos Michalopoulos
Ioannis Margaris
Aristotelis Kechagias
Konstantinos Avgerinos
Jevgeni Katunin
Eftychios Lostoridis
Eleni-Aikaterini Nagorni
Antonio Pujante
Francesk Mulita
Ioannis Maroulis
Michail Vailas
Athanasios Marinis
Ioannis Siannis
Eirini Bourbouteli
Dimitrios K. Manatakis
Nikolaos Tasis
Vasileios Acheimastos
Sotiropoulou Maria
Kapiris Stylianos
Harilaos Kuzeridis
Dimitrios Korkolis
Evangelos Fradelos
George Kavalieratos
Thalia Petropoulou
Andreas Polydorou
Ioannis Papacostantinou
Tania Triantafyllou
Despina Kimpizi
Dimitrios Theodorou
Konstantinos Toutouzas
Alexandros Chamzin
Maximos Frountzas
Dimitrios Schizas
Ioannis Karavokyros
Athanasios Syllaios
Alexandros Charalabopoulos
Maria Boura
Efstratia Baili
Orestis Ioannidis
Lydia Loutzidou
Elissavet Anestiadou
Ioannis Tsouknidas
Georgios Petrakis
Eleni Polenta
Lovenish Bains
Rahul Gupta
Sudhir K. Singh
Archana Khanduri
Miklosh Bala
Asaf Kedar
Marcello Pisano
Mauro Podda
Adolfo Pisanu
Gennaro Martines
Giuseppe Trigiante
Giuliano Lantone
Antonino Agrusa
Giuseppe Di Buono
Salvatore Buscemi
Massimiliano Veroux
Rossella Gioco
Gastone Veroux
Luigi Oragano
Sandro Zonta
Federico Lovisetto
Carlo V. Feo
Antonio Pesce
Nicolò Fabbri
Giulio Lantone
Fabio Marino
Fabrizio Perrone
Leonardo Vincenti
Vincenzo Papagni
Arcangelo Picciariello
Stefano Rossi
Biagio Picardi
Simone Rossi Del Monte
Diego Visconti
Giulia Osella
Luca Petruzzelli
Giusto Pignata
Jacopo Andreuccetti
Rossella D’Alessio
Massimo Buonfantino
Eleonora Guaitoli
Stefano Spinelli
Gianluca Matteo Sampietro
Carlo Corbellini
Leonardo Lorusso
Alice Frontali
Isabella Pezzoli
Alessandro Bonomi
Andrea Chierici
Christian Cotsoglou
Giuseppe Manca
Antonella Delvecchio
Nicola Musa
Massimiliano Casati
Laface Letizia
Emmanuele Abate
Giorgio Ercolani
Fabrizio D’Acapito
Leonardo Solaini
Gianluca Guercioni
Simone Cicconi
Diego Sasia
Felice Borghi
Giorgio Giraudo
Giuseppe Sena
Pasquale Castaldo
Eugenia Cardamone
Giuseppe Portale
Matteo Zuin
Ylenia Spolverato
Marialusia Esposito
Roberta Maria Isernia
Maria Di Salvo
Romina Manunza
Giuseppe Esposito
Marcello Agus
Emanuele Luigi Giuseppe Asti
Daniele Tiziano Bernardi
Tommaso Panici Tonucci
Davide Luppi
Massimiliano Casadei
Stefano Bonilauri
Angela Pezzolla
Annunziata Panebianco
Rita Laforgia
Maurizio De Luca
Monica Zese
Dario Parini
Elio Jovine
Giuseppina De Sario
Raffaele Lombardi
Giovanni Aprea
Giuseppe Palomba
Marianna Capuano
Giulio Argenio
Gianluca Orio
Mariano Fortunato Armellino
Marina Troian
Martina Guerra
Carlo Nagliati
Alan Biloslavo
Paola Germani
Giada Aizza
Igor Monsellato
Ali Chaouki Chahrour
Gabriele Anania
Cristina Bombardini
Francesco Bagolini
Gabriele Sganga
Pietro Fransvea
Valentina Bianchi
Paolo Boati
Francesco Ferrara
Francesco Palmieri
Pasquale Cianci
Domenico Gattulli
Enrico Restini
Nicola Cillara
Alessandro Cannavera
Gabriela Elisa Nita
Jlenia Sarnari
Francesco Roscio
Federico Clerici
Ildo Scandroglio
Stefano Berti
Alessandro Cadeo
Alice Filippelli
Luigi Conti
Carmine Grassi
Gaetano Maria Cattaneo
Marina Pighin
Davide Papis
Giovanni Gambino
Vanessa Bertino
Domenico Schifano
Daniela Prando
Luisella Fogato
Fabio Cavallo
Luca Ansaloni
Roberto Picheo
Nicholas Pontarolo
Norma Depalma
Marcello Spampinato
Stefano D’Ugo
Luca Lepre
Michela Giulii Capponi
Rossella Domenica Campa
Giuliano Sarro
Vincenza Paola Dinuzzi
Stefano Olmi
Matteo Uccelli
Davide Ferrari
Marco Inama
Gianluigi Moretto
Michele Fontana
Francesco Favi
Erika Picariello
Alessia Rampini
Andrea Barberis
Antonio Azzinnaro
Alba Oliva
Luigi Totaro
Ilaria Benzoni
Valerio Ranieri
Gabriella Teresa Capolupo
Filippo Carannante
Marco Caricato
Maurizio Ronconi
Silvia Casiraghi
Giovanni Casole
Desire Pantalone
Giovanni Alemanno
Maximilian Scheiterle
Marco Ceresoli
Marco Cereda
Chiara Fumagalli
Federico Zanzi
Stefano Bolzon
Enrico Guerra
Francesca Lecchi
Paola Cellerino
Antonella Ardito
Rosa Scaramuzzo
Andrea Balla
Pasquale Lepiane
Nicola Tartaglia
Antonio Ambrosi
Giovanna Pavone
Gian Marco Palini
Simone Veneroni
Gianluca Garulli
Claudio Ricci
Beatrice Torre
Iris Shari Russo
Matteo Rottoli
Marta Tanzanu
Angela Belvedere
Marco Milone
Michele Manigrasso
Giovanni Domenico De Palma
Micaela Piccoli
Gianmaria Casoni Pattacini
Stefano Magnone
Paolo Bertoli
Michele Pisano
Paolo Massucco
Marco Palisi
Andrea-Pierre Luzzi
Francesco Fleres
Guglielmo Clarizia
Alessandro Spolini
Yoshiro Kobe
Takayuki Toma
Fumihiko Shimamura
Robert Parker
Sinkeet Ranketi
Mercy Mitei
Saulius Svagzdys
Henrikas Pauzas
Justas Zilinskas
Tomas Poskus
Marius Kryzauskas
Matas Jakubauskas
Andee Dzulkarnaen Zakaria
Zaidi Zakaria
Michael Pak-Kai Wong
Asri Che Jusoh
Muhammad Nazreen Zakaria
Daniel Rios Cruz
Aurea Barbara Rodriguez Elizalde
Alejandro Bañon Reynaud
Edgard Efren Lozada Hernandez
Jose maria Victor Palomo Monroy
Diego Hinojosa-Ugarte
Martha Quiodettis
María Esther Du Bois
José Latorraca
Piotr Major
Michał Pędziwiatr
Magdalena Pisarska-Adamczyk
Maciej Walędziak
Andrzej Kwiatkowski
Łukasz Czyżykowski
Silvia Dantas da Costa
Bela Pereira
Ana Rita Oliveira Ferreira
Filipe Almeida
Ricardo Rocha
Carla Carneiro
Diego Pita Perez
João Carvas
Catarina Rocha
Cátia Ferreira
Rita Marques
Urânia Fernandes
Pedro Leao
André Goulart
Rita Gonçalves Pereira
Sara Daniela Direito Patrocínio
Nuno Gonçalo Gonçalves de Mendonça
Maria Isabel Cerqueira Manso
Henrique Manuel Cardoso Morais
Paulo Sebastião Cardoso
Valentin Calu
Adrian Miron
Elena Adelina Toma
Mahir Gachabayov
Abakar Abdullaev
Andrey Litvin
Taras Nechay
Alexander Tyagunov
Anvar Yuldashev
Alison Bradley
Michael Wilson
Arpád Panyko
Zuzana Látečková
Vladimír Lacko
Dusan Lesko
Marek Soltes
Jozef Radonak
Victor Turrado-Rodriguez
Roser Termes-Serra
Xavier Morales-Sevillano
Pierfrancesco Lapolla
Andrea Mingoli
Gioia Brachini
Maurizio Degiuli
Silvia Sofia
Rossella Reddavid
Andrea de Manzoni Garberini
Angelica Buffone
Eduardo Perea del Pozo
Daniel Aparicio-Sánchez
Sandra Dos Barbeito
Mercedes Estaire-Gómez
Rebeca Vitón-Herrero
Mª de los Ángeles Gil Olarte-Marquez
José Gil-Martínez
Felipe Alconchel
Tatiana Nicolás-López
Aida Cristina Rahy-Martin
María Pelloni
Raquel Bañolas-Suarez
Fernando Mendoza-Moreno
Francisca García-Moreno Nisa
Manuel Díez-Alonso
María Elisa Valle Rodas
María Carmona Agundez
María Inmaculada Pérez Andrés
Claudia Cristina Lopes Moreira
Aintzane Lizarazu Perez
Iñigo Augusto Ponce
Ana María González-Castillo
Estela Membrilla-Fernández
Silvia Salvans
Mario Serradilla-Martín
Pablo Sancho Pardo
Daniel Rivera-Alonso
Jana Dziakova
Jose Mugüerza Huguet
Naila Pagès Valle
Enrique Colás Ruiz
Cristina Rey Valcárcel
Cristina Ruiz Moreno
Yeniffer Tatiana Moreno Salazar
Juan Jesús Rubio García
Silvia Sevila Micó
Joaquín Ruiz López
Silvia Pérez Farré
Maite Santamaria Gomez
Nuria Mestres Petit
Alberto Titos-García
Jose Manuel Aranda-Narváez
Laura Romacho-López
Luis Sánchez-Guillén
Veronica Aranaz-Ostariz
Marina Bosch-Ramírez
Aleix Martínez-Pérez
Elías Martínez-López
Juan Carlos Sebastián-Tomás
Granada Jimenez-Riera
Javier Jimenez-Vega
Jose Aurelio Navas Cuellar
Andrea Campos-Serra
Anna Muñoz-Campaña
Raquel Gràcia-Roman
Javier Martínez Alegre
Francisca Lima Pinto
Sara Nuñez O’Sullivan
Francisco Blanco Antona
Beatriz Muñoz Jiménez
Jaime López-Sánchez
Zahira Gómez Carmona
Rocio Torres Fernández
Isabel Blesa Sierra
Laura Román García de León
Verónica Polaino Moreno
Eva Iglesias
Paola Lora Cumplido
Altea Arango Bravo
Ignacio Rey Simó
Carlota López Domínguez
Aloia Guerreiro Caamaño
Rafael Calleja Lozano
Manuel Durán Martínez
Álvaro Naranjo Torres
Javier Tomas Morales Bernaldo de Quiros
Gianluca Pellino
Miriam Moratal Cloquell
Elsa García Moller
Sami Jalal-Eldin
Ahmed K. Abdoun
Hytham K. S. Hamid
Varut Lohsiriwat
Aitsariya Mongkhonsupphawan
Oussama Baraket
Karim Ayed
Imed Abbassi
Ali Ben Ali
Houssem Ammar
Ali Kchaou
Ahmed Tlili
Imen Zribi
Elif Colak
Suleyman Polat
Zehra Alan Koylu
Ali Guner
Mehmet Arif Usta
Murat Emre Reis
Baris Mantoglu
Emre Gonullu
Emrah Akin
Fatih Altintoprak
Zulfu Bayhan
Necattin Firat
Arda Isik
Ufuk Memis
Mehmet Bayrak
Yasemin Altıntaş
Yasin Kara
Mehmet Abdussamet Bozkurt
Ali Kocataş
Koray Das
Ahmet Seker
Nazmi Ozer
Semra Demirli Atici
Korhan Tuncer
Tayfun Kaya
Zeynep Ozkan
Onur Ilhan
Ibrahim Agackiran
Mustafa Yener Uzunoglu
Eren Demirbas
Yuksel Altinel
Serhat Meric
Nadir Adnan Hacım
Derya Salim Uymaz
Nail Omarov
Emre Balık
Giovanni D. Tebala
Hany Khalil
Mridul Rana
Mansoor Khan
Charlotte Florence
Christie Swaminathan
Cosimo Alex Leo
Lampros Liasis
Josef Watfah
Ivan Trostchansky
Edward Delgado
Marcelo Pontillo
Rifat Latifi
Raul Coimbra
Sara Edwards
Ana Lopez
George Velmahos
Ander Dorken
Anthony Gebran
Amanda Palmer
Jeffrey Oury
James M. Bardes
Sirivan Suon Seng
Lauren S. Coffua
Asanthi Ratnasekera
Tanya Egodage
Karla Echeverria-Rosario
Isabella Armento
Lena M. Napolitano
Naveen F. Sangji
Mark Hemmila
Jacob A. Quick
Tyler R. Austin
Theodore S. Hyman
William Curtiss
Amanda McClure
Nicholas Cairl
Walter L. Biffl
Hung P. Truong
Kathryn Schaffer
Summer Reames
Filippo Banchini
Patrizio Capelli
Federico Coccolini
Massimo Sartelli
Francesca Bravi
Carlo Vallicelli
Vanni Agnoletti
Gian Luca Baiocchi
Fausto Catena
Publication date: 01-12-2024
Publisher: BioMed Central
Keywords: Diverticulitis
Colorectal Cancer
Colorectal Cancer
Peritonitis
Published in: World Journal of Emergency Surgery / Issue 1/2024
Electronic ISSN: 1749-7922
DOI: https://doi.org/10.1186/s13017-024-00543-w

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Goodbye Hartmann trial: a prospective, international, multicenter, observational study on the current use of a surgical procedure developed a century ago

Abstract

Background

Methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Methods

Results

Conclusions

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