Abdominal Wall Reconstruction

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

Introduction 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 […]

EHS clinical guidelines on the management of the abdominal wall in the context of the open or burst abdomen

Introduction These guideline targets all surgical specialists who deal with the open abdomen (OA) or the burst abdomen (BA) in adult patients, both regarding the methods used to close the musculofascial layers of the abdominal wall, and regarding possible materials to be used. The guidelines were published by the European Hernia Society in 2018. Reference: […]

Classification of primary and incisional abdominal wall hernias

Summary A classification for primary and incisional abdominal wall hernias is needed to allow comparison of publications and future studies on these hernias. It is important to know whether the populations described in different studies are comparable. Reference: Muysoms, F.E., Miserez, M., Berrevoet, F. et al. Classification of primary and incisional abdominal wall hernias. Hernia 13, 407–414 (2009). https://doi.org/10.1007/s10029-009-0518-x […]

International classification of abdominal wall planes (ICAP) to describe mesh insertion for ventral hernia repair

Summary Nomenclature for mesh insertion during ventral hernia repair is inconsistent and confusing. Several terms, including ‘inlay’, ‘sublay’ and ‘underlay’, can refer to the same anatomical planes in the indexed literature. This frustrates comparisons of surgical practice and may invalidate meta-analyses comparing surgical outcomes. The aim of this study was to establish an international classification […]