There is lack of definitive evidence to prove the superiority of OSR over EVAR regarding renal function in the post-operative follow up period. It appears that renal impairment may occur after both interventions. Further prospective research is needed to clarify the issue.

Venous thromboembolism (VTE) is a multifactorial disease that can possibly affect any part of venous circulation. The risk of VTE increases by about 2 fold in pregnant women and VTE is one of the major causes of maternal morbidity and mortality. For decades superficial vein thrombosis (SVT) has been considered as benign, self-limiting condition, primarily local event consequently being out of scope of well conducted epidemiological and clinical studies. Recently, the approach on SVT has significantly changed considering that prevalence of lower limb SVT is twice higher than both deep vein thrombosis (DVT) and pulmonary embolism (PE). The clinical severity of SVT largely depends on the localization of thrombosis, when it concerns the major superficial vein vessels of the lower limb and particularly the great saphenous vein. If untreated or inadequately treated, SVT can potentially cause DVT or PE. The purpose of this review is to discuss the complex interconnection between SVT and risk factors in pregnancy and to provide evidence-based considerations, suggestions, and recommendations for the diagnosis and treatment of this precarious and delicate clinical entity.

Superficial vein thrombosis (SVT) is less well-studied than deep vein thrombosis (DVT) because it has been considered less serious and is easily diagnosed following clinical symptomatology, and therefore requires mainly conservative treatment.1 The condition is common and is usually accompanied by clear inflammatory skin changes, and should be denoted as interchangeable with superficial vein thrombophlebitis.2

An abdominal aortic aneurism (AAA) is an enlargement of the lower part of the aorta that extends through the abdominal area.The diameter of the aneurismatic vessel is represented by 3 cm or more in either anterior – posterior , or transverse planes. The developpement of Abdominal aortic aneurysm (AAA) is a complex, multifactorial process involving destructive remodeling of aortic wall connective tissue. Four interrelated factors involved in this process include: (1) chronic inflammation associated with neovascularization and increased proinflammatory cytokine production, (2) increased and dysregulated production of matrix-degrading proteinases, (3) destruction of structural matrix proteins, and (4) decreased medial smooth muscle cell (SMC) presence, resulting in impaired connective tissue repair. This understanding has developed from a characterization of human AAA tissue, as well as the use of different animal models that replicate human disease. The  mortality of ruptured AAA is set between 40 – 70% in patients that manage to arrive alive in the emergency room,  and that of 90% in overall patients confirmed with rAAA in the autopsy results. A ruptured abdominal aortic aneurysm (rAAA) represents a disruption of a dilated aortic wall that leads to blood outside the aortic wall.

The spread of the Corona virus, first identified in China in December 2019, spread to Europe and was recognized as a pandemic by the World Health Organization (WHO) on March 11th.Measures to achieve social distancing have been implemented in different periods and rates of time around the World.The traumatic and non-traumatic emergency patient needs timely and competent care throughout the treatment chain, relying on broad-based competence, multidisciplinary teamwork and communication. In a medical field that is moving towards increasing subspecialization, it is easy to see how the quality of care of these groups of patients can be improvedACTES throughout its topic focuses on these important groups of patients, patients with critical illness and surgical impairment, during the development of ACTES as an online event will try to bring together groups of health professionals to improve, optimize, inspire, and to provide the opportunity for networking and learning from each other.While of course there is a major focus on managing Covid-19 patients at the moment and for a longer period thereafter, the greatest impact on mortality and morbidity is likely to be in those patients who may not have access to care specialized due to lack of resources or due to less attention. We want to take this opportunity to remind everyone that we as traumatic and non-traumatic emergency surgeons have a duty to insure the sick and seriously injured during this period as well.