WSES guidelines for emergency repair of complicated abdominal wall hernias

Massimo Sartelli,Cristian Tranà,Vincenzo Mandalà,Jakub Kenig,Luca Ansaloni,Salomone Di Saverio,Fausto Catena,Gianluca Guercioni,Nereo Vettoretto,Imtiaz Wani,Ashraf El-Sayed Abbas,Clay Cothren Burlew,Helmut Alfredo Segovia Lohse,Muthukumaran Rangarajan,Stefano Mandalà,Andrew Peitzman,Zaza Demetrashvili,Igor Gerych,Andrea Patrizi,Sanjay Marwah,Offir Ben-Ishay,Carlos Augusto Gomes,Norio Sato,Ferdinando Agresta,Yoram Kluger,Rodolfo Scibé,Boris Sakakushev,A R K Adesunkanmi ,Kenneth Y Y Kok ,Mário Paulo Faro ,Gabriëlle H Van Ramshorst ,Cui Y ,George C Velmahos ,Ernest E Moore ,Walter L Biffl ,Gustavo Pereira Fraga ,G Campanelli ,Jae-Gil Lee ,Carlos A Ordóñez ,F A Moore ,Kazuhiko Koike ,Michael D Kelly ,Korhan Taviloğlu ,Wagih Ghnnam ,Ari Leppäniemi

doi:10.1186/1749-7922-8-50

Abstract

Emergency repair of complicated abdominal hernias is associated with poor prognosis and a high rate of post-operative complications.A World Society of Emergency Surgery (WSES) Consensus Conference was held in Bergamo in July 2013, during the 2nd Congress of the World Society of Emergency Surgery with the goal of defining 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.

Highlights

A large number of abdominal hernias require emergency surgery
A World Society of Emergency Surgery (WSES) Consensus Conference was held in Bergamo on July 2013, during the 2nd Congress of the World Society of Emergency Surgery with the goal of defining recommendations for emergency repair of abdominal wall hernias in adults
Abdominal hernias may be classified as groin hernias and ventral hernias

Summary

Introduction

A large number of abdominal hernias require emergency surgery. these procedures are associated with poor prognoses and a higher rate of post-operative complications [1]. Other researchers have asserted that prosthetic repair of abdominal hernias can be safely performed alongside simultaneous colonic operations Such joint procedures, they argue, exhibit acceptable rates of infectious complications and recurrence, and they maintain that there is insufficient evidence to advocate the avoidance of prosthetic mesh in potentially contaminated fields, assuming that the appropriate technique is used [54,55]. A recently published retrospective analysis of emergency repair of incarcerated incisional hernias with simultaneous bowel obstruction in potentially contaminated fields demonstrated that the use of permanent prosthetic mesh in these surgeries was associated with high rates of wound infection.

Montgomery A

Findings

23. Balthazar EJ