2017 update of the WSES guidelines for emergency repair of complicated abdominal wall hernias
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2017 update of the WSES guidelines for emergency repair of complicated abdominal wall hernias Arianna Birindelli1, Massimo Sartelli2, Salomone Di Saverio3* , Federico Coccolini4, Luca Ansaloni4, Gabrielle H. van Ramshorst5, Giampiero Campanelli6, Vladimir Khokha7, Ernest E. Moore8, Andrew Peitzman9, George Velmahos10, Frederick Alan Moore11, Ari Leppaniemi12, Clay Cothren Burlew8, Walter L. Biffl13, Kaoru Koike14, Yoram Kluger15, Gustavo P. Fraga16, Carlos A. Ordonez17, Matteo Novello1, Ferdinando Agresta18, Boris Sakakushev19, Igor Gerych20, Imtiaz Wani21, Michael D. Kelly22, Carlos Augusto Gomes23,24, Mario Paulo Faro Jr25, Antonio Tarasconi26, Zaza Demetrashvili27, Jae Gil Lee28, Nereo Vettoretto29, Gianluca Guercioni30, Roberto Persiani31, Cristian Tranà2, Yunfeng Cui32, Kenneth Y. Y. Kok33, Wagih M. Ghnnam34, Ashraf El-Sayed Abbas34, Norio Sato14, Sanjay Marwah35, Muthukumaran Rangarajan36, Offir Ben-Ishay15, Abdul Rashid K Adesunkanmi37, Helmut Alfredo Segovia Lohse38, Jakub Kenig39, Stefano Mandalà40, Raul Coimbra41, Aneel Bhangu42, Nigel Suggett43, Antonio Biondi44, Nazario Portolani45, Gianluca Baiocchi45, Andrew W Kirkpatrick46, Rodolfo Scibé2, Michael Sugrue47, Osvaldo Chiara48 and Fausto Catena26
Abstract Emergency repair of complicated abdominal wall hernias may be associated with worsen outcome and a significant rate of postoperative complications. There is no consensus on management of complicated abdominal hernias. The main matter of debate is about the use of mesh in case of intestinal resection and the type of mesh to be used. Wound infection is the most common complication encountered and represents an immense burden especially in the presence of a mesh. The recurrence rate is an important topic that influences the final outcome. A World Society of Emergency Surgery (WSES) Consensus Conference was held in Bergamo in July 2013 with the aim to define recommendations for emergency repair of abdominal wall hernias in adults. This document represents the executive summary of the consensus conference approved by a WSES expert panel. In 2016, the guidelines have been revised and updated according to the most recent available literature. Keywords: Hernia repair, Emergency surgery, Incarcerated hernia, Strangulated hernia, Mesh repair, Biologic mesh, Bowel resection, Infected field, Contaminated wound, Abdominal wall hernia
Background A large number of abdominal hernias require emergency surgery. However, these procedures may be associated with poor prognosis and a significant rate of postoperative complications [1]. Abdominal hernias may be classified as groin hernias (femoral or inguinal) and ventral hernias (umbilical, epigastric, Spigelian, lumbar, and incisional). * Correspondence: [email protected]; [email protected] 3 Department of Surgery, Maggiore Hospital, Bologna, Italy Full list of author information is available at the end of the article
An incarcerated hernia is a hernia in which the content has become irreducible due to a narrow opening in the abdominal wal
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