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

Birindelli, Arianna; Sartelli, Massimo; Saverio, Salomone Di; Catena, Fausto; Ansaloni, Luca; Ramshorst, Gabriëlle H. van; Campanelli, G.; Khokha, Vladimir; Moore, Ernest E.; Peitzman, Andrew; Velmahos, George C.; Moore, Frederick A.; Leppäniemi, Ari; Burlew, Clay Cothren; Biffl, Walter L.; Koike, Kazuhiko; Kluger, Yoram; Fraga, Gustavo Pereira; Ordóñez, Carlos A.; Novello, Matteo; Agresta, Ferdinando; Sakakushev, Boris; Gerych, Igor; Wani, Imtiaz; Kelly, Michael D.; Gomes, Carlos Augusto; Faro, Mário Paulo; Tarasconi, Antonio; Demetrashvili, Zaza; Lee, Jae-Gil; Vettoretto, Nereo; Guercioni, Gianluca; Persiani, Roberto; Tranà, Cristian; Y, Cui; Kok, Kenneth Y.Y.; Ghnnam, Wagih; Abbas, Ashraf; Sato, Norio; Marwah, Sanjay; Rangarajan, Muthukumaran; Ben-Ishay, Offir; Adesunkanmi, A. R. K.; Lohse, Helmut Alfredo Segovia; Kenig, Jakub; Mandalà, Stefano; Coimbra, Raúl; Bhangu, Aneel; Suggett, Nigel; Biondi, Antonio; Portolani, Nazario; Baiocchi, Gian Luca; Kirkpatrick, Andrew W.; Scibé, Rodolfo; Sugrue, Michael; Chiara, Osvaldo; Catena, Fausto

doi:10.1186/s13017-017-0149-y

Cited by 142 publications

(121 citation statements)

References 135 publications

Supporting

Mentioning

104

Contrasting

Unclassified

Order By: Relevance

“…In the guidelines of the World Society of Emergency Surgery concerning emergency surgery of complicated abdominal wall hernias with potentially contaminated surgical field caused by intestinal strangulation and/or concurrent bowel resection, direct suture is recommended when the hernia defect is small [ 74 ]. Synthetic mesh repair may be performed, but with caution.…”

Section: Methodsmentioning

confidence: 99%

See 1 more Smart Citation

What is the evidence for the use of biologic or biosynthetic meshes in abdominal wall reconstruction?

Köckerling

Alam

Antoniou

et al. 2018

Hernia

128

View full text Add to dashboard Cite

IntroductionAlthough many surgeons have adopted the use of biologic and biosynthetic meshes in complex abdominal wall hernia repair, others have questioned the use of these products. Criticism is addressed in several review articles on the poor standard of studies reporting on the use of biologic meshes for different abdominal wall repairs. The aim of this consensus review is to conduct an evidence-based analysis of the efficacy of biologic and biosynthetic meshes in predefined clinical situations.MethodsA European working group, “BioMesh Study Group”, composed of invited surgeons with a special interest in surgical meshes, formulated key questions, and forwarded them for processing in subgroups. In January 2016, a workshop was held in Berlin where the findings were presented, discussed, and voted on for consensus. Findings were set out in writing by the subgroups followed by consensus being reached. For the review, 114 studies and background analyses were used.ResultsThe cumulative data regarding biologic mesh under contaminated conditions do not support the claim that it is better than synthetic mesh. Biologic mesh use should be avoided when bridging is needed. In inguinal hernia repair biologic and biosynthetic meshes do not have a clear advantage over the synthetic meshes. For prevention of incisional or parastomal hernias, there is no evidence to support the use of biologic/biosynthetic meshes. In complex abdominal wall hernia repairs (incarcerated hernia, parastomal hernia, infected mesh, open abdomen, enterocutaneous fistula, and component separation technique), biologic and biosynthetic meshes do not provide a superior alternative to synthetic meshes.ConclusionThe routine use of biologic and biosynthetic meshes cannot be recommended.

show abstract

Section: Methodsmentioning

confidence: 99%

“…Synthetic mesh repair may be performed, but with caution. Biologic meshes may be a valid option but merit detailed cost–benefit analysis [ 74 ].…”

Section: Methodsmentioning

confidence: 99%

What is the evidence for the use of biologic or biosynthetic meshes in abdominal wall reconstruction?

Köckerling

Alam

Antoniou

et al. 2018

Hernia

128

View full text Add to dashboard Cite

show abstract

“…As outlined in the guidelines for emergency repair of complicated abdominal hernias by the World Society of Emergency Surgery, 8 even when compared with a biological mesh, a nonabsorbable synthetic large-pore mesh in contaminated wounds has minimal difference in terms of infection rate, and the occurrence of hernia is less frequent. 8 Also, in rat experiments, nonabsorbable synthetic meshes did not change the infection rate. The nonabsorbable synthetic large-pore mesh does not promote infection because pores >70 μm allow the white blood cells and macrophages to reach the bacteria, which are often <1 μm.…”

Section: Discussionmentioning

confidence: 99%

The Internal Oblique Muscle Flap with Synthetic Mesh Reinforcement for a Large, Contaminated Abdominal Wall Defect

Watanabe

Sakuma

Kono

et al. 2020

Plastic and Reconstructive Surgery - Global Open

View full text Add to dashboard Cite

Summary: We report a case of a large mediocaudal abdominal defect in contaminated circumstances with no residual rectus abdominis muscle that was reconstructed using an internal oblique muscle flap with large-pore polypropylene mesh reinforcement. The internal oblique muscle flap can reconstruct the lower abdominal midline without leaving any additional conspicuous scar. Previous studies showed that large-pore polypropylene mesh in contaminated wounds has a minimal difference in terms of infection rate, and less frequent occurrence of hernia, compared even with biological meshes. We believe that this method could be a strong and cosmetically satisfying option for large mediocaudal abdominal wall reconstruction.

show abstract

“…He described anatomy, pathology, etiology anterior abdominal hernias The EHS classification is directional and the Birindelli et al [26] classification is regional and surgical. Therefore, Jorjani's priority is evident in the hernia classification.…”

Section: Resultsmentioning

confidence: 99%

“…The European Hernia Society (EHS) classified the hernias to lateral medial and femoral types and it is an easy to remember kind [25]. The new classification of Abdominal hernias is: groin hernias (femoral or inguinal) and ventral hernias (umbilical, epigastric, Spigelian, lumbar, and incisional) [26]. Jorjani in Zakhirah classified hernia into three types.…”

Section: Discussionmentioning

confidence: 99%

A Brief Review of Jorjani’s Views on Hernias

Farahani

Abbaszadeh

MahtabTeymuri

et al. 2017

MOJAP

View full text Add to dashboard Cite

Seyed Esmail Jorjani is one of the greatest Iranian physicians (1042-1136 AC), he has written a book entitled Zakhirah-I Khvarazm Shahi (known as Zachariah). This book is oldest medical encyclopedias written in Persian, it contains a complete subject about hernia. Jorjani described anatomy of anterior abdominal wall and its layers include peritoneum, process vaginalis and tunica vaginalis of testis. He argued about hernias from pathology and etiological point of view and classified abdominal hernias in thousand years ago. European Hernia Society classified the hernias into: lateral, medial and femoral (2007). Birindelli classified anterior abdominal hernias into groin hernias, ventral hernias (2017). Jorjani classified hernia into visceral, flatus, hydrocele (1130AC). The findings of this paper show the hernias subject of Zachariah has no scientific contradiction with new references.

show abstract

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

Cited by 142 publications

References 135 publications

What is the evidence for the use of biologic or biosynthetic meshes in abdominal wall reconstruction?

What is the evidence for the use of biologic or biosynthetic meshes in abdominal wall reconstruction?

The Internal Oblique Muscle Flap with Synthetic Mesh Reinforcement for a Large, Contaminated Abdominal Wall Defect

A Brief Review of Jorjani’s Views on Hernias

Contact Info

Product

Resources

About