2017 update of the WSES guidelines for emergency repair of complicated abdominal wall hernias

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Authors: Birindelli, Arianna ; Sartelli, Massimo ; Di Saverio, Salomone ; Coccolini, Federico ; Ansaloni, Luca ; van Ramshorst, Gabrielle H. ; Campanelli, Giampiero ; Khokha, Vladimir ; Moore, Ernest E. ; Peitzman, Andrew ; Velmahos, George ; Moore, Frederick Alan ; Leppaniemi, Ari ; Burlew, Clay Cothren ; Biffl, Walter L. ; Koike, Kaoru ; Kluger, Yoram ; Fraga, Gustavo P. ; Ordonez, Carlos A. ; Novello, Matteo ; Agresta, Ferdinando ; Sakakushev, Boris ; Gerych, Igor ; Wani, Imtiaz ; Kelly, Michael D. ; Gomes, Carlos Augusto ; Faro, Mario Paulo, Jr. ; Tarasconi, Antonio ; Demetrashvili, Zaza ; Lee, Jae Gil ; Vettoretto, Nereo ; Guercioni, Gianluca ; Persiani, Roberto ; Trana, Cristian ; Cui, Yunfeng ; Kok, Kenneth Y. Y. ; Ghnnam, Wagih M. ; Abbas, Ashraf El-Sayed ; Sato, Norio ; Marwah, Sanjay ; Rangarajan, Muthukumaran ; Ben-Ishay, Offir ; Adesunkanmi, Abdul Rashid K. ; Lohse, Helmut Alfredo Segovia ; Kenig, Jakub ; Mandala, Stefano ; Coimbra, Raul ; Bhangu, Aneel ; Suggett, Nigel ; Biondi, Antonio ; Portolani, Nazario ; Baiocchi, Gianluca ; Kirkpatrick, Andrew W. ; Scibe, Rodolfo ; Sugrue, Michael ; Chiara, Osvaldo ; Catena, Fausto

Keywords: Hernia repair ; Emergency surgery ; Incarcerated hernia ; Strangulated hernia ; Mesh repair ; Biologic mesh ; Bowel resection ; Infected field ; Contaminated wound ; Abdominal wall hernia

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.

Appears in Collections:: 1. College of Medicine (의과대학) > Dept. of Surgery (외과학교실) > 1. Journal Papers

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