Evidence map›Paper›PMID 39966185›Full record

ArticleHernia : the journal of hernias and abdominal wall surgery2025

Mapping the therapeutic landscape in emergency incisional hernia: a scoping review.

Andrea Carolina Quiroga-Centeno, Sebastian Schaaf, Ana Pilar Morante-Perea, Stavros A Antoniou, Heather Bougard, Umberto Bracale, Sara Capoccia Giovannini, Eva Deerenberg, René H Fortelny, Christine Gaarder and 12 more

Abstract readScoping Review
In one paragraph

Article in Hernia : the journal of hernias and abdominal wall surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. FasciotensHernia : the journal of hernias and abdominal wall surgery · 2026
    Pooled it
  2. Time distribution and intraoperative workflow in complex midline incisional hernia repair.Hernia : the journal of hernias and abdominal wall surgery · 2026
    Observational
  3. Review
  4. Review
  5. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

22 authors.

Andrea Carolina Quiroga-CentenoDepartment of Surgery, Universidad Industrial de Santander, Bucaramanga, Colombia. caroline_aqc@hotmail.com.ORCID 0000-0002-1072-4200
Sebastian SchaafDepartment of General, Visceral and Thoracic Surgery, German Armed Forces Central Hospital Koblenz, Rübenacher Str. 170, 56072, Koblenz, Germany.ORCID 0000-0002-1920-7090
Ana Pilar Morante-PereaHospital Universitario Fundación Alcorcón, Madrid, Spain.ORCID 0000-0001-7608-4210
Stavros A AntoniouMedical School, European University Cyprus, Nicosia, Cyprus.ORCID 0000-0002-4630-6748
Heather BougardDepartment of Surgery, New Somerset Hospital, University of Cape Town, Cape Town, South Africa.ORCID 0000-0002-0820-4134
Umberto BracaleDepartment of Gastroenterology, Endocrinology and Endoscopic Surgery, University Hospital of Naples Federico II, Naples, 80131, Italy.ORCID 0000-0002-9868-0889
Sara Capoccia GiovanniniDepartment of Surgery, Policlinico San Martino IRCCS, Department of Surgical Sciences, University of Genoa, Genoa, Italy.
Eva DeerenbergDepartment of Surgery, Franciscus Gasthuis en Vlietland, Rotterdam, the Netherlands.ORCID 0000-0002-1421-8567
René H FortelnyMedical faculty, Sigmund Freud Private University Vienna, Vienna, Austria.ORCID 0000-0002-0066-7716
Christine GaarderInstitute of Clinical Medicine, Department of Traumatology, University of Oslo, Oslo University Hospital Ulleval, Oslo, Norway.
Miguel Ángel García-UreñaGrupo de Investigación de Pared Abdominal Compleja, Facultad de Medicina, Universidad Francisco de Vitoria. Hospital Universitario del Henares, Carretera Pozuelo-Majadahonda km. 1,800, Pozuelo de Alarcón (Madrid), 28223, Spain.ORCID 0000-0002-7356-6211
Katie GilmoreDepartment of General & Abdominal Wall Surgery, Golden Jubilee National University Hospital, Glasgow, UK.ORCID 0000-0002-6657-3587
Sergio Alejandro Gomez-OchoaHeart Failure and Transplant Clinic, Fundación Cardiovascular de Colombia, Floridablanca, Colombia.ORCID 0000-0002-1396-5042
Ferdinand KöckerlingHernia Center, Vivantes Humboldt-Hospital, Academic Teaching Hospital of Charité University Medicine, Am Nordgraben 2, 13509, Berlin, Germany.ORCID 0000-0003-3470-7322
Maciej PawlakDepartment of General & Abdominal Wall Surgery, Golden Jubilee National University Hospital, Glasgow, UK.ORCID 0000-0002-8437-0994
Francesca PecchiniDepartment of General Surgery, Emergency and New Technologies, Baggiovara General Hospital, AOU Modena, Modena, Italy.ORCID 0000-0001-6933-5368
José A Pereira-RodriguezAbdominal Wall Surgery Unit, Section of General Surgery, Department of General Surgery, Parc de Salut Mar, Hospital del Mar Medical Research Institute (IMIM), Passeig Maritim 25-29, Barcelona, 08003, Spain.
Yohann RenardDepartment of General, Digestive and Endocrine Surgery, Reims Champagne-Ardennes, Robert Debré University Hospital, Reims, France.ORCID 0000-0001-6036-0006
Benoît RomainDepartment of Digestive Surgery, Centre Hospitalier Universitaire de Strasbourg, Strasbourg, France.ORCID 0000-0002-8315-1079
Elena SchembariDepartment of Colorectal Surgery, Royal Devon and Exeter Hospital, Exeter, UK.ORCID 0000-0003-1393-2707
Alexis TheodorouDepartment of Surgery, Hippocratio Hospital, University of Athens, Athens, Greece.
Cesare StabiliniDepartment of Surgery, Policlinico San Martino IRCCS, Department of Surgical Sciences, University of Genoa, Genoa, Italy.ORCID 0000-0002-5410-0352

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeIncisional hernias (IH) represent common complications following abdominal surgeries, with emergency repair associated with increased morbidity and mortality. This scoping review aimed to map the existing literature on emergency incisional hernia repair, identify research gaps, and inform future guideline development.

methodsA comprehensive literature search was conducted in PubMed MEDLINE and SCOPUS for studies published between January 2000 and August 2024. Articles addressing any aspect of emergency incisional hernia repair in adults were included. Data extraction focused on study characteristics, patient demographics, surgical approaches, and outcomes.

resultsOf 801 unique articles identified, 73 met the inclusion criteria. Most were cohort studies (73.97%), with only one randomized trial. The primary areas of interest were repair methods (47.95%), operative outcomes (31.51%), risk assessment (16.44%), and diagnosis (5.48%). Pooled analysis revealed a predominantly female (63%), elderly (mean age 62.3 years), and comorbid patient population. The most frequent study endpoints were readmission (18%), surgical site infection (12%), reoperation (8%), and mortality (4%). Significant heterogeneity was observed in defect characterization and surgical techniques.

conclusionThis review highlights a paucity of randomized studies guiding emergency incisional hernia management. Key issues identified include inconsistent definitions of emergency presentation, limited data on hernia characteristics, and a lack of standardized outcome reporting. Future research should focus on developing a unified classification system for emergency incisional hernias, evaluating the role of imaging in decision-making, and conducting comparative studies on various treatment strategies across different clinical scenarios.

Indexed as

HerniorrhaphyIncisional HerniaEmergenciesHumansPostoperative ComplicationsEmergency repairHernia repairIncisional herniaPostoperative complicationsScoping reviewSurgical mesh

Identifiers

PMID39966185
PMCPMC11836210

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Registered trials

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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.