Evidence map›Paper›PMID 37496068›Full record

ReviewWorld journal of emergency surgery : WJES2023

ECLAPTE: Effective Closure of LAParoTomy in Emergency-2023 World Society of Emergency Surgery guidelines for the closure of laparotomy in emergency settings.

Simone Frassini, Lorenzo Cobianchi, Paola Fugazzola, Walter L Biffl, Federico Coccolini, Dimitrios Damaskos, Ernest E Moore, Yoram Kluger, Marco Ceresoli, Raul Coimbra and 96 more

Erratum issued 3 registry-linked trialsAbstract readReview
In one paragraph

Review in World journal of emergency surgery : WJES, 2023. 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 3 registered trials, which are not on this map. Cited by 30 papers, 8 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed, 8 pooled it
–field-weighted citation impact
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.

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
NCT06865807 narecruitingnot on this mapstarted 2025, after this paper: background citation

Influence of Suture Type on Emergency Midline Laparotomy Closure

TypeinterventionalSponsorHospital San Juan de Dios TenerifeRan2025 to 2026Enrolled100ConditionsLinea Alba Hernia, Evisceration, Operation Wound, SutureArmsPDS 2/0 vs Monomax 2/0
NCT07451990 nacompletednot on this mapstarted 2024, after this paper: background citation

Comparison of Vicryl Versus Prolene Sutures in Closure of Midline Rectus Sheath Following Elective Laparotomy: A Randomized Controlled Trial

TypeinterventionalSponsorHayatabad Medical ComplexRan2024 to 2025Enrolled152ConditionsLaparotomy Closure After Abdominal Surgery, Suture Materials, Complications WoundsArmsVicryl (Polyglactin 910) Suture, Prolene (Polypropylene) Suture
3 · Its place in the literature

Who cites it

30 citing papers in PubMed, 8 syntheses or guidelines pooled it.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

106 authors.

Simone FrassiniUniversity of Pavia, Corso Str. Nuova, 65, 27100, Pavia, Italy. simone.frassini01@universitadipavia.it.
Lorenzo CobianchiUniversity of Pavia, Corso Str. Nuova, 65, 27100, Pavia, Italy.
Paola FugazzolaUnit of General Surgery I, Fondazione I.R.C.C.S. Policlinico San Matteo, Viale Camillo Golgi, 19, 27100, Pavia, Italy.
Walter L BifflDepartment of Emergency and Trauma Surgery, Scripps Clinic Medical Group, La Jolla, CA, USA.
Federico CoccoliniGeneral, Emergency and Trauma Surgery Department, Pisa University Hospital, Pisa, Italy.
Dimitrios DamaskosGeneral and Emergency Surgery, Royal Infirmary of Edinburgh, Edinburgh, UK.
Ernest E MooreErnest E Moore Shock Trauma Center at Denver Health, Denver, CO, USA.
Yoram KlugerDivision of General Surgery, Rambam Health Care Campus, Haifa, Israel.
Marco CeresoliGeneral Surgery, Monza University Hospital, Monza, Italy.
Raul CoimbraRiverside University Health System Medical Center, Comparative Effectiveness and Clinical Outcomes Research Center - CECORC, Claremont, CA, USA.
Justin DaviesCambridge Colorectal Unit, Addenbrooke's Hospital, Cambridge, UK.
Andrew KirkpatrickDepartments of Surgery and Critical Care Medicine, University of Calgary, Calgary, Canada.
Isidoro Di CarloDepartment of Surgical Sciences and Advanced Technologies, General Surgery Unit, Cannizzaro Hospital, Catania, Italy.
Timothy C HardcastleDepartment of Surgical Sciences, Nelson R Mandela School of Clinical Medicine, University of KwaZulu-Natal, Durban, 4001, South Africa.
Arda IsikDivision of General Surgery, School of Medicine, Istanbul Medeniyet University, Istanbul, Turkey.
Massimo ChiarugiGeneral, Emergency and Trauma Surgery Department, Pisa University Hospital, Pisa, Italy.
Kurinchi GurusamyDivision of Surgery and Interventional Science, Hampstead Campus, University College London, London, UK.
Ronald V MaierDepartment of Surgery, Harborview Medical Centre, University of Washington, Seattle, USA.
Helmut A Segovia LohseII Cátedra de Clínica Quirúrgica, Hospital de Clínicas, Universidad Nacional de Asunción, San Lorenzo, Paraguay.
Hans JeekelDepartment of Surgery, Erasmus University Medical Centre, Rotterdam, The Netherlands.
Marja A BoermeesterDepartment of Surgery, Amsterdam University Medical Center, University of Amsterdam, 1105AZ, Amsterdam, The Netherlands.
Fikri Abu-ZidanThe Research Office, College of Medicine and Health Sciences, United Arab Emirates University, Al-Ain, UAE.
Kenji InabaLos Angeles County + USC Medical Center, 2051 Marengo Street, Room C5L100, Los Angeles, CA, 90033, USA.
Dieter G WeberDepartment of General Surgery, Royal Perth Hospital, University of Western Australia, Perth, Australia.
Goran AugustinDepartment of Surgery, University Hospital Centre Zagreb, Zagreb, Croatia.
Luigi BonavinaDivision of General Surgery, Department of Biomedical Science for Health, I.R.C.C.S. Ospedale Galeazzi - Sant'Ambrogio, Milan, Italy.
George VelmahosDivision of Trauma, Emergency Surgery, and Surgical Critical Care, Massachusetts General Hospital and Harvard Medical School, Boston, MA, USA.
Massimo SartelliDepartment of Surgery, Macerata Hospital, Macerata, Italy.
Salomone Di SaverioUnit of General Surgery, San Benedetto del Tronto Hospital, av5 Asur Marche, San Benedetto del Tronto, Italy.
Richard P G Ten BroekDepartment of Surgery, Radboud University Medical Center, Nijmegen, The Netherlands.
Stefano GranieriGeneral Surgery Unit, ASST Vimercate, Via Santi Cosma E Damiano, 10, 20871, Vimercate, Italy.
Francesca Dal MasDepartment of Management, Università Ca' Foscari, Dorsoduro 3246, 30123, Venezia, Italy.
Camilla Nikita FarèUniversity of Pavia, Corso Str. Nuova, 65, 27100, Pavia, Italy.
Jacopo PeveradaUniversity of Pavia, Corso Str. Nuova, 65, 27100, Pavia, Italy.
Simone ZanghìUniversity of Pavia, Corso Str. Nuova, 65, 27100, Pavia, Italy.
Jacopo ViganòUniversity of Pavia, Corso Str. Nuova, 65, 27100, Pavia, Italy.
Matteo TomasoniUnit of General Surgery I, Fondazione I.R.C.C.S. Policlinico San Matteo, Viale Camillo Golgi, 19, 27100, Pavia, Italy.
Tommaso DominioniUnit of General Surgery I, Fondazione I.R.C.C.S. Policlinico San Matteo, Viale Camillo Golgi, 19, 27100, Pavia, Italy.
Enrico CicuttinUnit of General Surgery I, Fondazione I.R.C.C.S. Policlinico San Matteo, Viale Camillo Golgi, 19, 27100, Pavia, Italy.
Andreas HeckerDepartment of General and Thoracic Surgery, University Hospital of Giessen, Giessen, Germany.
Giovanni D TebalaDepartment of Digestive and Emergency Surgery, S. Maria Hospital Trust, Terni, Italy.
Joseph M GalanteTrauma Department, University of California, Davis, Sacramento, CA, USA.
Imtiaz WaniGovernment Gousia Hospital, Srinagar, India.
Vladimir KhokhaDepartment of Emergency Surgery, City Hospital, Mozyr, Belarus.
Michael SugrueDonegal Clinical Research Academy Emergency Surgery Outcome Project, Letterkenny University Hospital, Donegal, Ireland.
Thomas M ScaleaCowley Shock Trauma Center at the University of Maryland, Baltimore, MD, USA.
Edward TanDepartment of Surgery, Radboud University Medical Center, Nijmegen, The Netherlands.
Mark A MalangoniDepartment of Surgery, MetroHealth Medical Center Campus, Case Western Reserve University, Cleveland, OH, 44109, USA.
Nikolaos PararasThird Department of Surgery, Attikon University Hospital, 15772, Athens, Greece.
Mauro PoddaDepartment of Surgical Science, Cagliari State University, Cagliari, Italy.
Belinda De SimoneDepartment of Emergency Surgery, Centre Hospitalier Intercommunal de Villeneuve-Saint-Georges, Villeneuve-Saint-Georges, France.
Rao IvaturyVirginia Commonwealth University, Richmond, VA, USA.
Yunfeng CuiDepartment of Surgery, Tianjin Nankai Hospital, Nankai Clinical School of Medicine, Tianjin Medical University, Tianjin, China.
Jeffry KashukDepartment of Surgery, Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel.
Andrew PeitzmanDivision of Trauma and General Surgery, Department of Surgery, University of Pittsburgh Medical Center, Pittsburgh, PA, USA.
Fernando KimDenver Health Medical Center, University of Colorado Anschutz Medical Center, Aurora, CO, USA.
Emmanouil PikoulisMedical School, National and Kapodistrian University of Athens (NKUA), Athens, Greece.
Gabriele SgangaFondazione Policlinico Universitario A.Gemelli IRCCS, Università Cattolica, Rome, Italy.
Osvaldo ChiaraTrauma Center and Emergency Surgery, ASST Grande Ospedale Metropolitano Niguarda, Milan, Italy.
Michael D KellyDepartment of General Surgery, Albury Hospital, Albury, Australia.
Ingo MarziDepartment of Trauma, Hand and Reconstructive Surgery, University Hospital Frankfurt, Frankfurt, Germany.
Edoardo PicettiDepartment of Anesthesia and Intensive Care, Parma University Hospital, Parma, Italy.
Vanni AgnolettiAnesthesia and Intensive Care Unit, Ospedale M Bufalini, Cesena, Italy.
Nicola De'AngelisService de Chirurgie Digestive et Hépato-Bilio-Pancréatique, Hôpital Henri Mondor, Université Paris Est, Créteil, France.
Giampiero CampanelliDivision of General Surgery, I.R.C.C.S. Ospedale Galeazzi-Sant'Ambrogio, University of Insubria, Varese, Italy.
Marc de MoyaMedical College of Wisconsin, Milwaukee, WI, USA.
Andrey LitvinAI Medica Hospital Center / Immanuel Kant Baltic Federal University, Kaliningrad, Russia.
Aleix Martínez-PérezFaculty of Health Sciences, Valencian International University (VIU), Valencia, Spain.
Ibrahima SallDepartment of General Surgery, Military Teaching Hospital, Hôpital Principal Dakar, Dakar, Senegal.
Sandro RizoliHamad General Hospital, Doha, Qatar.
Gia TomadzeDepartment of Surgery, Tbilisi State Medical University, Tbilisi, Georgia.
Boris SakakushevRIMU/University Hospital St George, Plovdiv, Bulgaria.
Philip F StahelDepartment of Orthopedic Surgery and Neurosurgery, Denver Health Medical Center, University of Colorado School of Medicine, Denver, CO, USA.
Ian CivilTrauma Service, Auckland City Hospital, Auckland, New Zealand.
Vishal ShelatTan Tock Seng Hospital, Singapore, Singapore.
David CostaDepartment of General y Digestive Surgery, "Dr. Balmis" Alicante General University Hospital, Alicante, Spain.
Alain Chichom-MefireFaculty of Health Sciences, University of Buea, Buea, Cameroon.
Rifat LatifiCollege of Medicine, University of Arizona, Tucson, AZ, USA.
Mircea ChiricaService de Chirurgie Digestive, Centre Hospitalier Universitaire Grenoble Alpes, Grenoble, France.
Francesco AmicoDepartment of Traumatology, John Hunter Hospital, University of Newcastle, Newcastle, NSW, Australia.
Amyn PardhanBunbury Hospital, Bunbury, WA, 6230, Australia.
Vidya SeenarainAcute Surgical Unit, Department of General Surgery, Fiona Stanley Hospital, Murdoch, WA, Australia.
Nikitha BoyapatiAcute Surgical Unit, Department of General Surgery, Fiona Stanley Hospital, Murdoch, WA, Australia.
Basil HatzState Major Trauma Unit, Royal Perth Hospital, Wellington Street, Perth, Australia.
Travis AckermannGeneral Surgery, Monash Medical Centre, Monash Health, Melbourne, VIC, Australia.
Sandun AbeyasundaraDepartment of Colorectal Surgery, Logan Hospital, Meadowbrook, QLD, Australia.
Linda FentonMaitland Private Hospital, East Maitland, Newcastle, NSW, Australia.
Frank PlaniChris Hani Baragwanath Hospital, Soweto, South Africa.
Rohit SarvepalliDepartment of General Surgery, Royal Perth Hospital, University of Western Australia, Perth, Australia.
Omid RouhbakhshfarDepartment of General Surgery, Royal Perth Hospital, University of Western Australia, Perth, Australia.
Pamela CaleoNambour Selangor Private Hospital, Sunshine Coast University Private Hospital, Birtinya, QLD, Australia.
Victor Ho-Ching YauSir Charles Gairdner Hospital, Nedlands, WA, Australia.
Kristenne ClementDepartment of Surgery, Nepean Hospital, Penrith, NSW, 2751, Australia.
Erasmia ChristouDepartment of General Surgery, Royal Perth Hospital, University of Western Australia, Perth, Australia.
Ana María González CastilloDepartamento de Cirugía, Universidad Autónoma de Barcelona, Barcelona, Spain.
Preet K S GosalDepartment of General Surgery, Nepean Hospital, Sydney, NSW, Australia.
Sunder BalasubramaniamDepartment of Trauma, Westmead Hospital, The University of Sydney, Sydney, NSW, Australia.
Jeremy HsuDepartment of Trauma, Westmead Hospital, The University of Sydney, Sydney, NSW, Australia.
Kamon BanphawatanarakDivision of Trauma, Siriraj Hospital, Bangkok, Thailand.
Michele PisanoGeneral and Emergency Surgery, ASST Papa Giovanni XXIII, Bergamo, Italy.
Toro AdrianaGeneral Surgery, Augusta Hospital, Augusta, Italy.
Altomare MicheleTrauma Center and Emergency Surgery, ASST Grande Ospedale Metropolitano Niguarda, Milan, Italy.
Stefano P B CioffiTrauma Center and Emergency Surgery, ASST Grande Ospedale Metropolitano Niguarda, Milan, Italy.
Andrea SpotaTrauma Center and Emergency Surgery, ASST Grande Ospedale Metropolitano Niguarda, Milan, Italy.
Fausto CatenaAcute Care Surgery Unit, Department of Surgery and Trauma, Maurizio Bufalini Hospital, Cesena, Italy.
Luca AnsaloniUniversity of Pavia, Corso Str. Nuova, 65, 27100, Pavia, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Laparotomy incisions provide easy and rapid access to the peritoneal cavity in case of emergency surgery. Incisional hernia (IH) is a late manifestation of the failure of abdominal wall closure and represents frequent complication of any abdominal incision: IHs can cause pain and discomfort to the patients but also clinical serious sequelae like bowel obstruction, incarceration, strangulation, and necessity of reoperation. Previous guidelines and indications in the literature consider elective settings and evidence about laparotomy closure in emergency settings is lacking. This paper aims to present the World Society of Emergency Surgery (WSES) project called ECLAPTE (Effective Closure of LAParoTomy in Emergency): the final manuscript includes guidelines on the closure of emergency laparotomy.

Indexed as

Abdominal Wound Closure TechniquesIncisional HerniaHumansLaparotomyReoperationSuture TechniquesAbdominal wall incisionClosure techniqueEmergencyIncisional herniaLaparotomy closureMidline incisionWound complicationsWound dehiscence

Identifiers

PMID37496068
PMCPMC10373269

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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.