Evidence map›Paper›PMID 36026550›Full record

SynthesisThe British journal of surgery2022

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

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 and 12 more

Erratum issued 5 registry-linked trialsOpen access · hybridAbstract readSystematic Review
PubMed Full text at PMC Publisher
In one paragraph

Synthesis in The British journal of surgery, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. It is linked to 5 registered trials, which are not on this map. Cited by 156 papers, 23 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
156citing papers in PubMed, 23 pooled it
42.5field-weighted citation impact, top 1% of its field
1 · What the graph read from 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.

2 · The registry

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.

NCT05718999 unknown statusnot on this mapstarted 2023, after this paper: background citation

Development and Internal Validation of a Machine Learning Model to Predict the Occurrence of Incisional Hernia After a Midline Laparotomy

Typeobservational_patient_registrySponsorHospital Regional de Alta Especialidad del BajioRan2023 to 2023Enrolled1,000ConditionsIncisional HerniaArmsNot intervention
NCT06762561 recruitingnot on this mapstarted 2025, after this paper: background citation

Prophylactic Mesh Reinforcement After Open Aortic Aneurysm Repair: a Retrospective Study

TypeobservationalSponsorHôpital FribourgeoisRan2025 to 2026Enrolled20ConditionsIncisional Hernia, Aortic AneurysmArmsProphylactic retromuscular mesh reinforcement
NCT06815822 recruitingnot on this mapstarted 2025, after this paper: background citation

Prevention of Postoperative Hernias in Emergency Surgery

TypeobservationalSponsorJan Kochanowski UniversityRan2025 to 2026Enrolled500ConditionsIncarcerated Hernia, Appendicitis Acute, Cholecystitis, Acute, Ileus
NCT06864377 enrolling by invitationnot on this mapstarted 2025, after this paper: background citation

Ventral Hernia Improvement of Treatment and Life

Typeobservational_patient_registrySponsorLine MarkerRan2025 to 2027Enrolled300ConditionsIncisional Hernia, Parastomal Hernia, Ventral HerniaArmsQuality of life questionnair
NCT07753551 nanot yet recruitingnot on this mapstarted 2026, after this paper: background citation

PRophylactic mEsh Reinforcement Versus Primary Closure After Emergency Midline Laparotomy (PREEMPT): A Multicenter Randomized Clinical Trial

TypeinterventionalSponsorUniversity of Rome Tor VergataRan2026 to 2031Enrolled189ConditionsIncisional Hernia After Midline Laparotomy, Emergency Abdominal SurgeryArmsProphylactic Biosynthetic Mesh Placement, Direct suture
3 · Its place in the literature

Who cites it

156 citing papers in PubMed, 23 syntheses or guidelines pooled it, 213 citations in OpenAlex.

  1. Pooled it
  2. Clinical outcomes in abdominal wall autologous flap reconstruction: a systematic review.Hernia : the journal of hernias and abdominal wall surgery · 2026
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  12. Small-bites versus large-bites closure of midline laparotomies: A systematic review and meta-analysis.Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland · 2025
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96 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

22 authors at 19 institutions in 11 countries.

Eva B DeerenbergDepartment of Surgery, Franciscus Gasthuis en Vlietland, Rotterdam, the Netherlands.ORCID 0000-0002-1421-8567
Nadia A HenriksenDepartment of Hepatic and Digestive diseases, Herlev University Hospital, Copenhagen, Denmark.ORCID 0000-0002-1805-9866
George A AntoniouDepartment of Vascular Surgery, Manchester University NHS Foundation Trust, Manchester, UK.ORCID 0000-0001-8209-0406
Stavros A AntoniouMediterranean Hospital of Cyprus, Limassol, Cyprus.ORCID 0000-0002-4630-6748
Wichor M BramerMedical Library, Erasmus MC, Erasmus University Medical Centre, Rotterdam, the Netherlands.
John P FischerDepartment of Plastic Surgery, University of Pennsylvania Health System, Penn Presbyterian Medical Center, Philadelphia, Pennsylvania, USA.
Rene H FortelnyCertified Hernia Center, Wilhelminenspital, Veinna, Austria.
Hakan GökHernia Istanbul®, Hernia Surgery Centre, Istanbul, Turkey.ORCID 0000-0002-2925-8326
Hobart W HarrisDepartment of Surgery, University of California San Francisco, San Francisco, California, USA.
William HopeDepartment of Surgery, Novant/New Hanover Regional Medical Center, Wilmington, North Carolina, USA.
Charlotte M HorneDepartment of Surgery, Penn State Health Department, Hershey, Pennsylvania, USA.
Thomas K JensenDepartment of Hepatic and Digestive diseases, Herlev University Hospital, Copenhagen, Denmark.
Ferdinand KöckerlingHernia Center, Vivantes Humboldt-Hospital, Academic Teaching Hospital of Charité University Medicine, Berlin, Germany.ORCID 0000-0003-3470-7322
Alexander KretschmerKlinikum der Ludwig-Maximillians-Universität München, Munchen, Germany.
Manuel López-CanoAbdominal Wall Surgery Unit, Department of General Surgery, Hospital Universitari Vall d'Hebron, Unviversitat Autònoma de Barcelona, Barcelona, Spain.ORCID 0000-0003-3337-0756
Flavio MalcherDepartment of Surgery, NYU Langone Health/NYU Grossman School of Medicine, New York, New York, USA.
Jenny M ShaoDivision of Gastrointestinal Surgery, University of Pennsylvania, Philadelphia, Pennsylvania, USA.ORCID 0000-0002-9182-9548
Juliette C SliekerDepartment of Surgery, Kantonsspital Baden, Baden, Switzerland.
Gijs H J de SmetDepartment of Surgery, Erasmus University Medical Centre, Rotterdam, the Netherlands.ORCID 0000-0001-8338-7439
Cesare StabiliniDepartment of Surgery, Policlinico San Martino IRCCS and Department of Surgical Sciences, University of Genoa, Genoa, Italy.
Jared TorkingtonDepartment of Surgery, University Hospital of Wales, Cardiff, UK.
Filip E MuysomsDepartment of Surgery, Maria Middelares Hospital, Ghent, Belgium.ORCID 0000-0002-2413-1692
Herlev Hospital · DKAZ Maria Middelares · BECharité - Universitätsmedizin Berlin · DEErasmus MC · NLErasmus University Rotterdam · NLEuropean University Cyprus · CYJanssen (United States) · USKantonsspital Baden · CHManchester University NHS Foundation Trust · GBNew Hanover Regional Medical Center · USOspedale Policlinico San Martino · ITParacelsus Medical University · ATPenn Presbyterian Medical Center · USPenn State Milton S. Hershey Medical Center · USSint Franciscus Gasthuis · NLUniversitat Autònoma de Barcelona · ESUniversity Hospital of Wales · GBUniversity of California, San Francisco · USUniversity of Pennsylvania · US

Funding

EHS
6 · The paper itself

Abstract

backgroundIncisional hernia is a frequent complication of abdominal wall incision. Surgical technique is an important risk factor for the development of incisional hernia. The aim of these updated guidelines was to provide recommendations to decrease the incidence of incisional hernia.

methodsA systematic literature search of MEDLINE, Embase, and Cochrane CENTRAL was performed on 22 January 2022. The Scottish Intercollegiate Guidelines Network instrument was used to evaluate systematic reviews and meta-analyses, RCTs, and cohort studies. The GRADE approach (Grading of Recommendations, Assessment, Development and Evaluation) was used to appraise the certainty of the evidence. The guidelines group consisted of surgical specialists, a biomedical information specialist, certified guideline methodologist, and patient representative.

resultsThirty-nine papers were included covering seven key questions, and weak recommendations were made for all of these. Laparoscopic surgery and non-midline incisions are suggested to be preferred when safe and feasible. In laparoscopic surgery, suturing the fascial defect of trocar sites of 10 mm and larger is advised, especially after single-incision laparoscopic surgery and at the umbilicus. For closure of an elective midline laparotomy, a continuous small-bites suturing technique with a slowly absorbable suture is suggested. Prophylactic mesh augmentation after elective midline laparotomy can be considered to reduce the risk of incisional hernia; a permanent synthetic mesh in either the onlay or retromuscular position is advised.

conclusionThese updated guidelines may help surgeons in selecting the optimal approach and location of abdominal wall incisions.

Indexed as

Abdominal Wound Closure TechniquesIncisional HerniaAbdominal WallHumansLaparotomyPractice Guidelines as TopicSuture Techniques

Identifiers

PMID36026550
PMCPMC10364727
OpenAlexW4299534292

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.