PubMed 3. Boey J, Wong J, Ong JB: A prospective study of operative risk factor in perforated duodenal ulcers. Ann Surg 1982, 195:265–269.CrossRefPubMed 4. Sanabria AE, Morales CH, Villegas MI: Laparoscopic repair for perforated peptic BTK signaling inhibitor ulcer disease. Cochrane Database Syst Rev 2005., (4): 5. Lunevicius R, Morkevicius M: Systematic review comparing laparoscopic and open repair for perforated peptic ulcer. Br J Surg 2005, 92:1195–1207.CrossRefPubMed 6. Katkhouda N, Mavor E, Mason RJ, Campos GMR, Soroushyari A, Berne TV: Laparoscopic repair of perforated duodenal ulcers: outcome and efficacy in 30 consecutive patients. Arch surg 1999, 134:845–850.CrossRefPubMed 7. Siu WT, Leong HT, Law BKB, Chau
CH, Li ACN, Fung KH, Tai YP,
Li MKW: Laparoscopic repair for perforated peptic ulcer: a randomized controlled trial. Ann Surg 2002, 235:313–319.CrossRefPubMed 8. Matsuda M, Nishiyama M, Hanai T, Saeki S, Watanabe T: Laparoscopic omental patch repair for perforated peptic ulcer. Ann Surg 1995, 221:236–240.CrossRefPubMed 9. Pappas T, Lagoo SA: Laparoscopic repair for perforated peptic ulcer. Ann Surg 2002, 235:320–321.CrossRefPubMed 10. Valusek PA, Spilde TL, Tsao K, St Peter SD, Holcomb GW III, Ostlie DJ: Laparoscopic duodenal atresia repair using surgical U-Clips ® : a novel technique. Surg Endosc 2007, 21:1023–1024.CrossRefPubMed Competing interests The authors declare that they have no competing interests. Authors’ ARRY-438162 research buy contributions GP: Conceived the study, and SB202190 ic50 participated in its design. BR: Co-conceived the study and participated in its coordination. FD: Acquisition and interpretation of data. LR: Revision of manuscript and participate in its design. All Authors read and approved the final manuscript.”
“Commentary
In the January L-gulonolactone oxidase issue of your journal there was an editorial [1] denouncing the grave problem regarding many surgeons’ insufficient preparation when faced with emergency surgeries. Emergency surgery has become a neglected specialization in Europe and in many other parts of the world. In certain medical fields, emergency surgery isn’t even considered an autonomous specialization. The flawed logic behind this idea is that every surgeon, skilled and proficient in his or her specific field of expertise, should also be capable of operating normally in the high stress environment of emergency surgery. However, this assertion is incontrovertibly false; this problem must be addressed, beginning with the restructuring of training programs for young surgeons. Both general surgery training and emergency surgery specialization must be crafted to better prepare surgeons for emergency interventions. Furthermore, every emergency surgeon should have substantial experience in general surgery before specializing. The stark disparities between different European surgical formative systems are becoming increasingly distinct and recognizable.