Emergency Repair of Complicated Abdominal Wall Hernias: WSES Guidelines

Overview

Journal Hernia

Publisher Springer

Date 2019 Aug 14

PMID 31407109

Citations 18

Authors

B De Simone

A Birindelli

L Ansaloni

M Sartelli

F Coccolini

S Di Saverio

V Annessi

F Amico

F Catena

Affiliations

Soon will be listed here.

Abstract

Purpose: In July 2013, the World Society of Emergency Surgery (WSES) held the first Consensus Conference on emergency repair of abdominal wall hernias in adult patients with the intention of producing evidence-based guidelines to assist surgeons in the management of complicated abdominal wall hernias. Guidelines were updated in 2017 in keeping with varying clinical practice: benefits resulting from the increased use of biological prosthesis in the emergency setting were highlighted, as previously published in the World Journal of Emergency Surgery. This executive summary is intended to consolidate knowledge on the emergency management of complicated hernias by providing the broad readership with a practical and concise version of the original guidelines.

Methods: This executive manuscript summarizes the WSES guidelines reporting on the emergency management of complicated abdominal wall hernias; statements are highlighted focusing the readers' attention on the main concepts presented in the original guidelines.

Conclusions: Emergency repair of complicated abdominal hernias remains one of the most common and challenging surgical emergencies worldwide. WSES aims to provide an essential version of the evidence-based guidelines focusing on the timing of intervention, laparoscopic approach, surgical repair following the Centers for Disease Control and Prevention (CDC) wound classification, antimicrobial prophylaxis and anesthesia in the emergency setting.

Citing Articles

Mapping the therapeutic landscape in emergency incisional hernia: a scoping review.

Quiroga-Centeno A, Schaaf S, Morante-Perea A, Antoniou S, Bougard H, Bracale U Hernia. 2025; 29(1):102.

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Acute Parastomal Hernia Presentations: A 10-Year Review of Management and Outcomes.

Ramli R, Ng Z, Diab J, Gilmore A J Abdom Wall Surg. 2024; 3:13364.

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Bilateral rectus muscle turning-over for complicated and eventrated abdominal wall hernias: results of a novel method.

Martis G, Laczik R, Nemeth N, Martis G, Damjanovich L Acta Cir Bras. 2024; 39:e393624.

PMID: 39166553 PMC: 11328894. DOI: 10.1590/acb393624.

Laparoscopic vs. Open Approach in Emergent Inguinal Hernia: Our Experience and Review of Literature.

Moreno-Suero F, Tallon-Aguilar L, Tinoco-Gonzalez J, Sanchez-Arteaga A, Suarez-Grau J, Alvarez-Aguilera M J Abdom Wall Surg. 2024; 2:11242.

PMID: 38515586 PMC: 10955576. DOI: 10.3389/jaws.2023.11242.

Management of groin hernias in emergency setting: differences in indications and outcomes between laparoscopic and open approach. A single-center retrospective experience.

Sbacco V, Petrucciani N, Lauteri G, Cossa A, Portinari M, Brescia A Langenbecks Arch Surg. 2024; 409(1):48.

PMID: 38277083 PMC: 10817833. DOI: 10.1007/s00423-024-03238-7.

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