Emergency Surgery

The Emergency Surgery Service provides comprehensive care from the moment patients arrive at the emergency department, ensuring a swift and efficient response to various serious medical conditions. Our dedication and expertise are demonstrated by the performance of 274 surgeries annually, ensuring high-quality and efficient medical care.

Profesional Team


Estela Membrilla-Fernández

Associate Surgeons

Ana María González-Castillo, Amalia Pelegrina-Manzano, Simone Cremona, Elena Manzo, Alberto Picazo García

Medical-Surgical Assistants

Juan Guzmán Ahumada

Operating Room Nursing Team

Miriam Redondo Grande, Pablo José Ruiz Hipólito, Rosendo Sánchez Suárez

Anesthesia Team

Juan Carlos Álvarez García

Service Portfolio

  • Attention from the moment of arrival at the emergency department for every patient with abdominal pain without diarrhea.
  • Attention from the moment of arrival at the emergency department for every polytraumatized patient:
  • Priorities 0 and 1 (Alongside Intensive Care Medicine, acting as Intensive Care Medicine's leader)
  • Priorities 2 and 3 (Exclusively General Surgery as the leader)
  • Care for patients with contusions and/or incised wounds on the trunk and head, including pediatric incised wounds.
  • Care for patients with cranioencephalic trauma less than 24 hours old.
  • Attention from the outset upon arrival at the emergency department for patients with proctologic pathology.
  • Assessment of patient severity upon arrival and therefore prioritization of their visit.
  • Early detection of complications in patients in immediate postoperative care.
  • Diagnosis through "point of care" of abdominal pain.
  • Diagnosis and conservative treatment of acute diverticulitis.
  • Diagnosis and conservative treatment of subocclusions and intestinal obstructions.
  • Initial care for patients in Otolaryngology, Maxillofacial Surgery, Plastic Surgery, and Thoracic Surgery specialties.
  • Placement of chest drains and central lines.
  • Detection and coordination of definitive treatment for soft tissue infections.
  • Early detection of patients at risk of intestinal ischemia and activation and coordination of rapid response team.
  • Emergency definitive airway management in extreme situations.
  • Emergency thoracotomy in extreme situations.
  • Responsibility as a Unit for patients admitted to the General Surgery Conventional Unit post-appendectomy, soft tissue infections, and closed open abdomen, admitted as polytraumatized with or without surgery performed, and for all patients awaiting urgent surgery.
  • Resuscitation care for patients with intervened soft tissue infections, open abdomen, and any urgent consultation occurring from 08:00 to 15:00.
  • Direct discharges from ZARPA of patients operated on for appendectomy, cholecystectomy, and scheduled hernioplasties, operated on by the Emergency team.
  • Handling urgent consultations from other service patients.
  • Emergency surgical interventions, 274 surgeries performed annually between 08:00 and 15:00.
  • Acute appendicitis: Laparoscopic appendectomy and McBurney's approach.
  • Acute cholecystitis: Laparoscopic cholecystectomy and right subcostal approach.
  • Meckel's diverticulum (Laparoscopic resection).
  • Exploratory laparoscopy.
  • Emergency laparotomy for closed trauma: Packing, emergency splenectomy.
  • Laparoscopic closure of the diaphragm in polytraumatized patients.
  • Open abdomen, urgent hernia pathology (non-reducible) with intestinal resection and without intestinal resection.
  • Perforated ulcer, laparoscopic closure.
  • Surgical treatment of intestinal obstructions due to adhesions.
  • Surgical treatment of intestinal obstructions due to neoplasia.
  • Colectomies.
  • Surgical debridement of severe soft tissue infections.

Highlighted Activities

  • Surgical Approach in Trauma Patients
  • Surgical Approach in Critically Ill Surgical Patients
  • National Coordination and Continuous Updates in Open Abdomen Techniques
  • Application of Negative Pressure Therapies with New Indications and Improvements
  • Weekly Literature Update Sessions
  • Maintenance of Bibliographic Activity within the Team
  • Implementation of Clinical Simulation Foundations and Knowledge
  • Performing Ultrasound for Emergency Patients as Needed


Research Involvement of the Emergency Team

  • Multiple participations in national and international conferences. 21 oral presentations this year.
  • Analysis of the registry of emergency patients treated, emergency surgeries performed, and reoperations by the General Surgery Service, focusing on complications necessitating readmission, reoperation, or serious complications.
  • Participation in various national and international multicenter registries.
  • Leadership in several multicenter studies.
  • Publications: 35 in the last 5 years.