Alan Biloslavo
A5041807851- Appendicitis Diagnosis and Management
- Gallbladder and Bile Duct Disorders
- Diverticular Disease and Complications
- Pancreatitis Pathology and Treatment
- Gastrointestinal disorders and treatments
- Abdominal Surgery and Complications
- Abdominal Trauma and Injuries
- Pancreatic and Hepatic Oncology Research
- Cardiac, Anesthesia and Surgical Outcomes
- Intraperitoneal and Appendiceal Malignancies
- Abdominal vascular conditions and treatments
- COVID-19 and healthcare impacts
- Anorectal Disease Treatments and Outcomes
- Trauma and Emergency Care Studies
- Intestinal and Peritoneal Adhesions
- Hip and Femur Fractures
- Ultrasound in Clinical Applications
- Surgical Simulation and Training
- Esophageal and GI Pathology
- Biliary and Gastrointestinal Fistulas
- Colorectal Cancer Surgical Treatments
- Congenital Diaphragmatic Hernia Studies
- Trauma Management and Diagnosis
- Intestinal Malrotation and Obstruction Disorders
- Gastrointestinal Bleeding Diagnosis and Treatment
University of Trieste
2020-2025
Ospedale di Cattinara
2018-2025
Azienda Sanitaria Universitaria Integrata di Trieste
2025
Nara University
2023-2024
Royal College of Surgeons of England
2023
Royal College of Surgeons in Ireland - Bahrain
2023
Centro Hospitalar Tondela-Viseu
2023
Ospedale San Pietro Fatebenefratelli
2023
University of Pennsylvania
2023
Collaborative Group (United States)
2023
Abstract Background The aim of this multicentre prospective observational study was to identify the incidence, patient characteristics, diagnostic pathway, management and outcome acute mesenteric ischaemia (AMI). Methods All adult patients with clinical suspicion AMI admitted or transferred 32 participating hospitals from 06.06.2022 05.04.2023 were included. Participants who subsequently shown not have had localized intestinal gangrene due strangulating bowel obstruction only baseline data...
Mild acute biliary pancreatitis (MABP) presents significant clinical and economic challenges due to its potential for relapse. Current guidelines advocate early cholecystectomy (EC) during the same hospital admission prevent recurrent (RAP). Despite these recommendations, implementation in practice varies, highlighting need reliable accessible predictive tools. The MINERVA study aims develop validate a machine learning (ML) model predict risk of RAP (at 30, 60, 90 days, at 1-year) MABP...
Acute mesenteric ischaemia (AMI) is a condition with high mortality. This survey assesses current attitudes and practices to manage AMI worldwide.A questionnaire about the of diagnosing managing AMI, endorsed by several specialist societies, was sent different medical specialists hospitals worldwide. Data from individual health care professionals teams were collected.We collected 493 forms 71 countries 94 team 34 countries. Almost half respondents surgeons, most responding (70%) led...
The COVID-19 pandemic is having a deep impact on emergency surgical services, with significant reduction of patients admitted into units world widely. Reliable figures this have not been produced yet. Our international audit aimed at giving precise snapshot the absolute and relative changes admissions outbreak pandemic.Datasets as general emergencies 45 internationally distributed during months March April 2020 (Covid-19 outbreak) were collected compared those same 2019 (pre-Covid-19)....
Acute appendicitis is a common surgical emergency, and the standard approach to diagnosis management has been codified in several practice guidelines. Adherence these guidelines provides insight into independent patterns institutional resource constraints as impediments best practice. We explored data from recent ESTES SnapAppy observational cohort study determine guideline compliance contemporary identify opportunities close evidence-to-practice gaps.We undertook preplanned analysis of...
ERAS pathway has been proposed as the standard of care in elective abdominal surgery. Guidelines on emergency surgery have recently published; however, few evidences are still available literature. The aim this study was to evaluate feasibility an enhanced recovery protocol a large cohort patients undergoing and identify possible factors impacting postoperative compliance.This is prospective multicenter observational including who underwent major general for either intra-abdominal infection...
Abstract Background Acute mesenteric ischaemia (AMI) is a life-threatening disease where early diagnosis critical to avoid morbidity and mortality from extensive irreversible bowel necrosis. Appropriate prediction of presence necrosis currently not available but would help choose the optimal method treatment. The study aims identify combinations biomarkers that can reliably AMI distinguish between potentially reversible ischaemia. Methods This prospective multicentre study. Adult patients...
Abstract Background Laparoscopic procedures have nowadays become the gold standard in multiple abdominal diseases, but emergency setting, especially major surgery, laparoscopy still represents an obstacle for most surgeons. This multicentric study aims to define surgical approach resective surgery left colonic perforation peritonitis, determine factors influencing choice between MIS and open identify associated with laparotomic conversion. Methods Retrospective data from 516 patients treated...
Abstract Background Intra-abdominal infections (IAIs) are common and severe surgical emergencies associated with high morbidity mortality. In recent years, there has been a worldwide increase in antimicrobial resistance intra-abdominal infections, responsible for significant mortality rates. To improve the quality of treatment, it is crucial to understand underlying local epidemiology, clinical implications, proper management resistance, both community- hospital-acquired infections. The IRIS...
Abstract Background The ACS‐NSQIP surgical risk calculator (SRC) is an open‐access online tool that estimates the chance for adverse postoperative outcomes. estimated based on 21 patient‐related variables and customized specific procedures. purpose of this monocentric retrospective study to validate its predictive value in Italian emergency setting. Methods From January December 2018, 317 patients underwent procedures acute cholecystitis ( n = 103), appendicitis 83), gastrointestinal...
Background and purpose Early diagnosis risk stratification of sigmoid diverticulitis rely heavily on timely imaging. Computerized tomography (CT), the gold standard diagnostic test, may be delayed due to resource constraints or patient comorbidity. Point-of-care ultrasound (POCUS) has an established role in trauma evaluation, could potentially diagnose stage acute diverticulitis, thus shortening time definitive treatment. Aims This study aimed benchmark accuracy surgeon-performed POCUS...
There is increasing recognition that point-of-care ultrasound (POCUS), performed by the clinician at bedside, can be a natural extension of clinical examination-the modern abdominal "stethoscope" and provides an opportunity to expedite care pathway for patients with acute gallbladder disease. The primary aims this study were benchmark accuracy surgeon-performed POCUS in suspected disease against standard radiology or pathology reports compare time diagnosis definitive imaging. This...
Surgically managed appendicitis exhibits great heterogeneity in techniques for mesoappendix transection and appendix amputation from its base. It is unclear whether a particular surgical technique provides outcome benefit or reduces complications.We undertook pre-specified subgroup analysis of all patients who underwent laparoscopic appendectomy at index admission during SnapAppy (ClinicalTrials.gov Registration: NCT04365491). We collected routine, anonymized observational data regarding...
Abstract Introduction The COVID-19 (SARS-CoV-2) pandemic drove acute care surgeons to pivot from long established practice patterns. Early safety concerns regarding increased postoperative complication risk in those with active COVID infection promoted antibiotic-driven non-operative therapy for select conditions ahead of an evidence-base. Our study assesses whether or recent SARS-CoV-2 positivity increases hospital length stay (LOS) complications following appendectomy. Methods Data were...
ABSTRACT BACKGROUND Acute left-sided colonic diverticulitis is one of the most common clinical conditions encountered by surgeons in acute setting. Currently, popular classifications, based on radiological findings, are modified Hinchey, AAST, and WSES classifications. We hypothesize that all classifications equivalent predicting outcomes. METHODS This a retrospective study 597 patients from four medical centers between 2014 2021. Based clinical, radiological, intraoperative were graded...