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.

Additional Metadata
Keywords Abdominal wall hernia, Biologic mesh, Bowel resection, Contaminated wound, Emergency surgery, Hernia repair, Incarcerated hernia, Infected field, Mesh repair, Strangulated hernia
Sponsor The paper received a WSES Institutional waiver for this publication.
Persistent URL dx.doi.org/10.1186/s13017-017-0149-y, hdl.handle.net/1765/101359
Journal World Journal of Emergency Surgery
Citation
Birindelli, A. (Arianna), Sartelli, M, Di Saverio, S, Coccolini, F, Ansaloni, L, van Ramshorst, G.H, … Catena, F. (2017). 2017 update of the WSES guidelines for emergency repair of complicated abdominal wall hernias. World Journal of Emergency Surgery (Vol. 12). doi:10.1186/s13017-017-0149-y