EMERGE Copenhagen

We've enjoyed the summer and the products of our investments has appeared meanwhile. Many good people spent many long hours for these results. May we proudly present the ***EMERGE SUMMER MANUSCRIPT SHORTLIST*** (and a couple of other studies we've been involved in). 1/x

And it shows in these data. But it further raises A LOT of questions: - where should we go next? - can we battle these rates of complications? - how do we bring down these readmissions rates? Would really love to see data from other comparable countries.

20 years of major emergency abdominal surgery in Denmark. Mortality ⬇️, MIS ⬆️, complications ➡️ and readmissions ⬆️⬆️⬆️. Emergency surgery in DK been revolutionized last 15 years, inspired by ElpQuic studies, the NELA-database and the Danish AHA-trial by @LineTengberg et al.

"Prevalence and Impact of Postoperative Sexual Dysfunction After Major Emergency Abdominal Surgery: A Prospective Cohort Study" onlinelibrary.wiley.com/share/author/R…

"Preventative interventions for postoperative delirium after intraabdominal surgery – A systematic review and meta-analysis of randomized trials" @AmJSurgery sciencedirect.com/science/articl…

"Impact of a transition of care bundle on health-related quality of life after major emergency abdominal surgery: before-and-after study" BJS Open Multimodal and multidisciplinary education of patients after Emergency surgery increases QOL. Open source. academic.oup.com/bjsopen/articl…

***Quality of Life after Emergency Laparotomy*** Soylu LÍ et al. WJS. We interviewed 215 patients at admittance and 30, 90 and 180 after surgery. pubmed.ncbi.nlm.nih.gov/39853378

Data are short-term. Patients are *very* heterogenous. Our experience: you *can* do onlay mesh in these patients but it is not for everyone. Major complications are rare but theese wounds are, in general, of a high-risk character @hgok @eurohernias @safesurg @me4_so

Incisional hernia prophylaxis in midline burst abdomen? "Short-term outcomes in mesh versus suture-only treatment of burst abdomen: a case-series from a university hospital" pubmed.ncbi.nlm.nih.gov/39966188/ Here we present a case series of 67 patients treated with or without mesh.

We've enjoyed the summer and the products of our investments has appeared meanwhile. Many good people spent many long hours for these results. May we proudly present the ***EMERGE SUMMER MANUSCRIPT SHORTLIST*** (and a couple of other studies we've been involved in). 1/x

@DissanaikeMD We couldn't agree more. Close the abdomen if you do not plan to come back and you deem it safe. Every department must have a stringent approach to DCS and Open Abdomen. We do not believe it is 'a free ride' to put in a VAC.

@acute_care_doc @EricKnauerMD @EzraTeitelbaum @ahmadnassar @rbarbosa91 @mj_pucci @cutitoutPODCAS1 The above mentioned + Postoperative regimens and follow-up (NG-tube for how long? When start to eat? Endoscopic follow-up when? And so on)

Folks, what are the controversies/main questions around perforated peptic ulcers? I'm giving a talk to non-ACS surgeons who may see this infrequently and want to make sure I capture the spectrum @EricKnauerMD @EzraTeitelbaum @ahmadnassar @rbarbosa91 @mj_pucci @cutitoutPODCAS1

***THE END*** Also 🖖to @apskovsen @ThomasKorgaard @DunjaKokotovic @JakobBurcharth @IsmailGogenur @S_ekeloef @JawadHButt and many, many more.

#8 perioperative atrial fibrillation & risk of stroke and/or rehospitalization due to atrial fibrillation after Major Em Abd Surgery. Comment: 42.000 ptt through surgery. 1000 patients with POAF matched to 5000 ptt without. Kudos Amine Tas et al. academic.oup.com/ehjqcco/advanc…