Surgical Pizza https://surgicalpizza.org/ The Italian Blog of Acute Care Surgery Tue, 27 Oct 2026 14:11:22 +0000 en hourly 1 https://wordpress.org/?v=7.1.4 https://surgicalpizza.org/wp-content/uploads/2020/05/cropped-SP-Icon-1-32x32.png Surgical Pizza https://surgicalpizza.org/ 32 32 Big Tubes, Small Thinking https://surgicalpizza.org/trauma/big-tubes-small-thinking/?utm_source=rss&utm_medium=rss&utm_campaign=big-tubes-small-thinking https://surgicalpizza.org/trauma/big-tubes-small-thinking/#respond Tue, 27 Oct 2026 14:11:20 +0000 https://surgicalpizza.org/?p=2446 In the management of stable trauma patients, the automatic choice of large-bore chest tubes is driven more by habit, training, and perceived safety than by proven clinical superiority. Although larger tubes cause significantly more pain, current evidence suggests smaller tubes offer comparable outcomes without increasing complications, making default maximal invasiveness unnecessary in non-emergency cases.

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]]> https://surgicalpizza.org/trauma/big-tubes-small-thinking/feed/ 0 How to See like Bats https://surgicalpizza.org/imaging/how-to-see-like-bats/?utm_source=rss&utm_medium=rss&utm_campaign=how-to-see-like-bats https://surgicalpizza.org/imaging/how-to-see-like-bats/#respond Sun, 08 Feb 2026 15:48:50 +0000 https://surgicalpizza.org/?p=2400 Ultrasound is a simple and useful tool that allows improving the management of patients. Let's find out the basis and how it works.

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]]> https://surgicalpizza.org/imaging/how-to-see-like-bats/feed/ 0 Straightening the Roller Coaster https://surgicalpizza.org/emergency-surgery/straightening-the-roller-coaster/?utm_source=rss&utm_medium=rss&utm_campaign=straightening-the-roller-coaster https://surgicalpizza.org/emergency-surgery/straightening-the-roller-coaster/#respond Sun, 09 Nov 2025 10:58:56 +0000 https://surgicalpizza.org/?p=2384 Sigmoid volvulus is quite a frequent event in elderly patients. However, its management is not always clear, and sometimes acting without a clear plan may lead to avoidable complications. Here, we try to retrace the management of a frail patient presenting with a sigmoid volvulus.

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]]> https://surgicalpizza.org/emergency-surgery/straightening-the-roller-coaster/feed/ 0 The Feeling of Having Another Pit in the Stomach – Part 2 https://surgicalpizza.org/emergency-surgery/the-feeling-of-having-another-pit-in-the-stomach-part-2/?utm_source=rss&utm_medium=rss&utm_campaign=the-feeling-of-having-another-pit-in-the-stomach-part-2 https://surgicalpizza.org/emergency-surgery/the-feeling-of-having-another-pit-in-the-stomach-part-2/#respond Sat, 26 Jul 2025 11:35:02 +0000 https://surgicalpizza.org/?p=2342 Surgery is usually required in the case of duodenal perforations. Many different surgical techniques and approaches have been described along the years... Let's analyze them...

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]]> https://surgicalpizza.org/emergency-surgery/the-feeling-of-having-another-pit-in-the-stomach-part-2/feed/ 0 The Feeling of Having Another Pit in the Stomach – Part 1 https://surgicalpizza.org/emergency-surgery/the-feeling-of-having-another-pit-in-the-stomach-part-1/?utm_source=rss&utm_medium=rss&utm_campaign=the-feeling-of-having-another-pit-in-the-stomach-part-1 https://surgicalpizza.org/emergency-surgery/the-feeling-of-having-another-pit-in-the-stomach-part-1/#respond Sun, 22 Jun 2025 15:16:12 +0000 https://surgicalpizza.org/?p=2317 Duodenal perforations may happen because various possible causes, and they are encountered quite often in the life of an acute care surgeon. Knowing how to correctly manage them improve significantly the patients' outcomes.

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