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Review
. 2017 Aug 7:12:37.
doi: 10.1186/s13017-017-0149-y. eCollection 2017.

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

Arianna Birindelli  1 , Massimo Sartelli  2 , Salomone Di Saverio  3 , Federico Coccolini  4 , Luca Ansaloni  4 , Gabrielle H van Ramshorst  5 , Giampiero Campanelli  6 , Vladimir Khokha  7 , Ernest E Moore  8 , Andrew Peitzman  9 , George Velmahos  10 , Frederick Alan Moore  11 , Ari Leppaniemi  12 , Clay Cothren Burlew  8 , Walter L Biffl  13 , Kaoru Koike  14 , Yoram Kluger  15 , Gustavo P Fraga  16 , Carlos A Ordonez  17 , Matteo Novello  1 , Ferdinando Agresta  18 , Boris Sakakushev  19 , Igor Gerych  20 , Imtiaz Wani  21 , Michael D Kelly  22 , Carlos Augusto Gomes  23   24 , Mario Paulo Faro Jr  25 , Antonio Tarasconi  26 , Zaza Demetrashvili  27 , Jae Gil Lee  28 , Nereo Vettoretto  29 , Gianluca Guercioni  30 , Roberto Persiani  31 , Cristian Tranà  2 , Yunfeng Cui  32 , Kenneth Y Y Kok  33 , Wagih M Ghnnam  34 , Ashraf El-Sayed Abbas  34 , Norio Sato  14 , Sanjay Marwah  35 , Muthukumaran Rangarajan  36 , Offir Ben-Ishay  15 , Abdul Rashid K Adesunkanmi  37 , Helmut Alfredo Segovia Lohse  38 , Jakub Kenig  39 , Stefano Mandalà  40 , Raul Coimbra  41 , Aneel Bhangu  42 , Nigel Suggett  43 , Antonio Biondi  44 , Nazario Portolani  45 , Gianluca Baiocchi  45 , Andrew W Kirkpatrick  46 , Rodolfo Scibé  2 , Michael Sugrue  47 , Osvaldo Chiara  48 , Fausto Catena  26
Affiliations
Review

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

Arianna Birindelli et al. World J Emerg Surg. .

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

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