Updated guideline for closure of abdominal wall incisions from the European and American Hernia Societies


The aim of these updated guidelines is to provide recommendations to decrease the incidence of incisional hernia. Incisional hernia is a frequent complication of abdominal wall incision in which the closure technique plays an important role for development of this complication. These updated guidelines may help surgeons in selecting the optimal strategies, in terms of access route and closure technique to minimize the occurrence of incisional hernias.

The guideline was published by the European and American Hernia Societies in 2022.

Reference: Eva B Deerenberg, Nadia A Henriksen, George A Antoniou, Stavros A Antoniou, Wichor M Bramer, John P Fischer, Rene H Fortelny, Hakan Gök, Hobart W Harris, William Hope, Charlotte M Horne, Thomas K Jensen, Ferdinand Köckerling, Alexander Kretschmer, Manuel López-Cano, Flavio Malcher, Jenny M Shao, Juliette C Slieker, Gijs H J de Smet, Cesare Stabilini, Jared Torkington, Filip E Muysoms, Updated guideline for closure of abdominal wall incisions from the European and American Hernia Societies, British Journal of Surgery, Volume 109, Issue 12, December 2022, Pages 1239–1250, https://doi.org/10.1093/bjs/znac302

Updated Guidelines

1st version

These guidelines target all surgical specialists who perform abdominal incisions in adult patients on the optimal materials and methods used to close the abdominal wall. The goal is to decrease the occurrence of both burst abdomen and incisional hernia. The guidelines refer to patients undergoing any kind of abdominal wall incision, including visceral surgery, gynaecological surgery, aortic vascular surgery, urological surgery or orthopaedic surgery. Both open and laparoscopic surgeries are included in these guidelines.

The guidelines were published by the European Hernia Society in 2015.

Reference: Muysoms FE, Antoniou SA, Bury K, Campanelli G, Conze J, Cuccurullo D et al.  European Hernia society guidelines on the closure of abdominal wall incisions. Hernia 2015;19:1–24

Link to Guidelines


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