GuidelineHernia : the journal of hernias and abdominal wall surgery2018
EHS clinical guidelines on the management of the abdominal wall in the context of the open or burst abdomen.
Guideline in Hernia : the journal of hernias and abdominal wall surgery, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 45 papers, 5 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
45 citing papers in PubMed, 5 syntheses or guidelines pooled it.
- Role of prophylactic mesh in emergency midline laparotomy: a systematic review and meta-analysis.World journal of emergency surgery : WJES · 2026Pooled it
- Systematic review and meta-analysis of the incidence of incisional hernia in urological surgery.Langenbeck's archives of surgery · 2024Pooled it
- Management of abdominal wound dehiscence: update of the literature and meta-analysis.Hernia : the journal of hernias and abdominal wall surgery · 2021Pooled it
- Dynamic closure techniques for treatment of an open abdomen: an update.Hernia : the journal of hernias and abdominal wall surgery · 2020Pooled it
- Dynamic Fascial Closure With Vacuum-Assisted Wound Closure and Mesh-Mediated Fascial Traction (VAWCM) Treatment of the Open Abdomen-An Updated Systematic Review.Frontiers in surgery · 2020Pooled it
- The MESH-RTL Project for prevention of abdominal wound dehiscence (AWD) in high-risk patients: noninferiority, randomized controlled trial.Surgical endoscopy · 2024Trial
- Use of a bioabsorbable mesh in midline laparotomy closure to prevent incisional hernia: randomized controlled trial.Hernia : the journal of hernias and abdominal wall surgery · 2022Trial
- Multiple ventral hernias in a 30-year-old female with Down syndrome: a case report and review of the literature.Journal of medical case reports · 2026Review
- Early and late outcomes of component separation with transversus abdominis release with mesh augmentation versus primary suturing for the management of abdominal dehiscence: a retrospective comparative study.World journal of emergency surgery : WJES · 2026Article
- Stepwise plication of abdominal mesh technique for open abdomen closure.Acta cirurgica brasileira · 2026Article
- A Case of Abdominal Closure Using Endoscopic Anterior Component Separation Following Open Abdomen Management for Colon Perforation.Surgical case reports · 2026Article
- EHS Guidelines on the Management of Primary Ventral and Incisional Hernias Under Emergency Conditions.Journal of abdominal wall surgery : JAWS · 2026Review
- Mesh-mediated fascial traction for open abdomen management to prevent planned ventral hernias: a retrospective cohort.Langenbeck's archives of surgery · 2025Article
- Postoperative outcomes and wound events in incisional hernia repair using hybrid mesh: results from a prospective multicenter italian study.Hernia : the journal of hernias and abdominal wall surgery · 2025Article
- Short-term outcomes in mesh versus suture-only treatment of burst abdomen: a case-series from a university hospital.Hernia : the journal of hernias and abdominal wall surgery · 2025Article
- Modification of Negative Pressure Wound Therapy and Mesh-Mediated Fascial Traction for Open Abdomen Treatment.Cureus · 2025Article
- Complete Abdominal Evisceration After Open Hysterectomy: A Case Report and Evidence-Based Review.Journal of clinical medicine · 2025Article
- Narrative Review of Open Abdomen Management and Comparison of Different Temporary Abdominal Closure Techniques.Journal of abdominal wall surgery : JAWS · 2025Review
- Spontaneous Evisceration, or "Burst Abdomen," in Patient with Prior Flood Syndrome Surgical Repair.Clinical practice and cases in emergency medicine · 2025Article
- Protocol for EHS Guideline on Treatment of Ventral and Incisional Hernias in Emergency.Journal of abdominal wall surgery : JAWS · 2025Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
18 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeTo provide guidelines for all surgical specialists who deal with the open abdomen (OA) or the burst abdomen (BA) in adult patients both on the methods used to close the musculofascial layers of the abdominal wall, and regarding possible materials to be used.
methodsThe guidelines were developed using the Grading of Recommendations Assessment, Development and Evaluation (GRADE) approach including publications up to January 2017. When RCTs were available, outcomes of interest were quantitatively synthesized by means of a conventional meta-analysis. When only observational studies were available, a meta-analysis of proportions was done. The guidelines were written using the AGREE II instrument.
resultsFor many of the Key Questions that were researched, there were no high quality studies available. While some strong recommendations could be made according to GRADE, the guidelines also contain good practice statements and clinical expertise guidance which are distinct from recommendations that have been formally categorized using GRADE. RECOMMENDATIONS: When considering the OA, dynamic closure techniques should be prioritized over the use of static closure techniques (strong recommendation). However, for techniques including suture closure, mesh reinforcement, component separation techniques and skin grafting, only clinical expertise guidance was provided. Considering the BA, a clinical expertise guidance statement was advised for dynamic closure techniques. Additionally, a clinical expertise guidance statement concerning suture closure and a good practice statement concerning mesh reinforcement during fascial closure were proposed. The role of advanced techniques such as component separation or relaxing incisions is questioned. In addition, the role of the abdominal girdle seems limited to very selected patients.
Indexed as
Identifiers
30178226What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.