Abstract
Background Abdominal reconstruction of large defects is a challenge, and there is an additional morbidity and mortality when it is associated with emergency laparotomy or laparostomy. This study describes the surgical management of abdominal defects and describes an algorithm for complex abdominal reconstruction. We assessed complications such as fistula formation and the development of incisional hernias following formalised introduction of laparostomy for the management of these emergency patients.
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