World Journal of Emergency Surgery (Jul 2023)
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,
- Justin Davies,
- Andrew Kirkpatrick,
- Isidoro Di Carlo,
- Timothy C. Hardcastle,
- Arda Isik,
- Massimo Chiarugi,
- Kurinchi Gurusamy,
- Ronald V. Maier,
- Helmut A. Segovia Lohse,
- Hans Jeekel,
- Marja A. Boermeester,
- Fikri Abu-Zidan,
- Kenji Inaba,
- Dieter G. Weber,
- Goran Augustin,
- Luigi Bonavina,
- George Velmahos,
- Massimo Sartelli,
- Salomone Di Saverio,
- Richard P. G. Ten Broek,
- Stefano Granieri,
- Francesca Dal Mas,
- Camilla Nikita Farè,
- Jacopo Peverada,
- Simone Zanghì,
- Jacopo Viganò,
- Matteo Tomasoni,
- Tommaso Dominioni,
- Enrico Cicuttin,
- Andreas Hecker,
- Giovanni D. Tebala,
- Joseph M. Galante,
- Imtiaz Wani,
- Vladimir Khokha,
- Michael Sugrue,
- Thomas M. Scalea,
- Edward Tan,
- Mark A. Malangoni,
- Nikolaos Pararas,
- Mauro Podda,
- Belinda De Simone,
- Rao Ivatury,
- Yunfeng Cui,
- Jeffry Kashuk,
- Andrew Peitzman,
- Fernando Kim,
- Emmanouil Pikoulis,
- Gabriele Sganga,
- Osvaldo Chiara,
- Michael D. Kelly,
- Ingo Marzi,
- Edoardo Picetti,
- Vanni Agnoletti,
- Nicola De’Angelis,
- Giampiero Campanelli,
- Marc de Moya,
- Andrey Litvin,
- Aleix Martínez-Pérez,
- Ibrahima Sall,
- Sandro Rizoli,
- Gia Tomadze,
- Boris Sakakushev,
- Philip F. Stahel,
- Ian Civil,
- Vishal Shelat,
- David Costa,
- Alain Chichom-Mefire,
- Rifat Latifi,
- Mircea Chirica,
- Francesco Amico,
- Amyn Pardhan,
- Vidya Seenarain,
- Nikitha Boyapati,
- Basil Hatz,
- Travis Ackermann,
- Sandun Abeyasundara,
- Linda Fenton,
- Frank Plani,
- Rohit Sarvepalli,
- Omid Rouhbakhshfar,
- Pamela Caleo,
- Victor Ho-Ching Yau,
- Kristenne Clement,
- Erasmia Christou,
- Ana María González Castillo,
- Preet K. S. Gosal,
- Sunder Balasubramaniam,
- Jeremy Hsu,
- Kamon Banphawatanarak,
- Michele Pisano,
- Toro Adriana,
- Altomare Michele,
- Stefano P. B. Cioffi,
- Andrea Spota,
- Fausto Catena,
- Luca Ansaloni
Affiliations
- Simone Frassini
- University of Pavia
- Lorenzo Cobianchi
- University of Pavia
- Paola Fugazzola
- Unit of General Surgery I, Fondazione I.R.C.C.S. Policlinico San Matteo
- Walter L. Biffl
- Department of Emergency and Trauma Surgery, Scripps Clinic Medical Group
- Federico Coccolini
- General, Emergency and Trauma Surgery Department, Pisa University Hospital
- Dimitrios Damaskos
- General and Emergency Surgery, Royal Infirmary of Edinburgh
- Ernest E. Moore
- Ernest E Moore Shock Trauma Center at Denver Health
- Yoram Kluger
- Division of General Surgery, Rambam Health Care Campus
- Marco Ceresoli
- General Surgery, Monza University Hospital
- Raul Coimbra
- Riverside University Health System Medical Center, Comparative Effectiveness and Clinical Outcomes Research Center - CECORC
- Justin Davies
- Cambridge Colorectal Unit, Addenbrooke’s Hospital
- Andrew Kirkpatrick
- Departments of Surgery and Critical Care Medicine, University of Calgary
- Isidoro Di Carlo
- Department of Surgical Sciences and Advanced Technologies, General Surgery Unit, Cannizzaro Hospital
- Timothy C. Hardcastle
- Department of Surgical Sciences, Nelson R Mandela School of Clinical Medicine, University of KwaZulu-Natal
- Arda Isik
- Division of General Surgery, School of Medicine, Istanbul Medeniyet University
- Massimo Chiarugi
- General, Emergency and Trauma Surgery Department, Pisa University Hospital
- Kurinchi Gurusamy
- Division of Surgery and Interventional Science, Hampstead Campus, University College London
- Ronald V. Maier
- Department of Surgery, Harborview Medical Centre, University of Washington
- Helmut A. Segovia Lohse
- II Cátedra de Clínica Quirúrgica, Hospital de Clínicas, Universidad Nacional de Asunción
- Hans Jeekel
- Department of Surgery, Erasmus University Medical Centre
- Marja A. Boermeester
- Department of Surgery, Amsterdam University Medical Center, University of Amsterdam
- Fikri Abu-Zidan
- The Research Office, College of Medicine and Health Sciences, United Arab Emirates University
- Kenji Inaba
- Los Angeles County + USC Medical Center
- Dieter G. Weber
- Department of General Surgery, Royal Perth Hospital, University of Western Australia
- Goran Augustin
- Department of Surgery, University Hospital Centre Zagreb
- Luigi Bonavina
- Division of General Surgery, Department of Biomedical Science for Health, I.R.C.C.S. Ospedale Galeazzi – Sant’Ambrogio
- George Velmahos
- Division of Trauma, Emergency Surgery, and Surgical Critical Care, Massachusetts General Hospital and Harvard Medical School
- Massimo Sartelli
- Department of Surgery, Macerata Hospital
- Salomone Di Saverio
- Unit of General Surgery, San Benedetto del Tronto Hospital
- Richard P. G. Ten Broek
- Department of Surgery, Radboud University Medical Center
- Stefano Granieri
- General Surgery Unit, ASST Vimercate
- Francesca Dal Mas
- Department of Management, Università Ca’ Foscari
- Camilla Nikita Farè
- University of Pavia
- Jacopo Peverada
- University of Pavia
- Simone Zanghì
- University of Pavia
- Jacopo Viganò
- University of Pavia
- Matteo Tomasoni
- Unit of General Surgery I, Fondazione I.R.C.C.S. Policlinico San Matteo
- Tommaso Dominioni
- Unit of General Surgery I, Fondazione I.R.C.C.S. Policlinico San Matteo
- Enrico Cicuttin
- Unit of General Surgery I, Fondazione I.R.C.C.S. Policlinico San Matteo
- Andreas Hecker
- Department of General and Thoracic Surgery, University Hospital of Giessen
- Giovanni D. Tebala
- Department of Digestive and Emergency Surgery, S. Maria Hospital Trust
- Joseph M. Galante
- Trauma Department, University of California, Davis
- Imtiaz Wani
- Government Gousia Hospital
- Vladimir Khokha
- Department of Emergency Surgery, City Hospital
- Michael Sugrue
- Donegal Clinical Research Academy Emergency Surgery Outcome Project, Letterkenny University Hospital
- Thomas M. Scalea
- Cowley Shock Trauma Center at the University of Maryland
- Edward Tan
- Department of Surgery, Radboud University Medical Center
- Mark A. Malangoni
- Department of Surgery, MetroHealth Medical Center Campus, Case Western Reserve University
- Nikolaos Pararas
- Third Department of Surgery, Attikon University Hospital
- Mauro Podda
- Department of Surgical Science, Cagliari State University
- Belinda De Simone
- Department of Emergency Surgery, Centre Hospitalier Intercommunal de Villeneuve-Saint-Georges
- Rao Ivatury
- Virginia Commonwealth University
- Yunfeng Cui
- Department of Surgery, Tianjin Nankai Hospital, Nankai Clinical School of Medicine, Tianjin Medical University
- Jeffry Kashuk
- Department of Surgery, Sackler School of Medicine, Tel Aviv University
- Andrew Peitzman
- Division of Trauma and General Surgery, Department of Surgery, University of Pittsburgh Medical Center
- Fernando Kim
- Denver Health Medical Center, University of Colorado Anschutz Medical Center
- Emmanouil Pikoulis
- Medical School, National and Kapodistrian University of Athens (NKUA)
- Gabriele Sganga
- Fondazione Policlinico Universitario A.Gemelli IRCCS, Università Cattolica
- Osvaldo Chiara
- Trauma Center and Emergency Surgery, ASST Grande Ospedale Metropolitano Niguarda
- Michael D. Kelly
- Department of General Surgery, Albury Hospital
- Ingo Marzi
- Department of Trauma, Hand and Reconstructive Surgery, University Hospital Frankfurt
- Edoardo Picetti
- Department of Anesthesia and Intensive Care, Parma University Hospital
- Vanni Agnoletti
- Anesthesia and Intensive Care Unit, Ospedale M Bufalini
- Nicola De’Angelis
- Service de Chirurgie Digestive et Hépato-Bilio-Pancréatique, Hôpital Henri Mondor, Université Paris Est
- Giampiero Campanelli
- Division of General Surgery, I.R.C.C.S. Ospedale Galeazzi-Sant’Ambrogio, University of Insubria
- Marc de Moya
- Medical College of Wisconsin
- Andrey Litvin
- AI Medica Hospital Center / Immanuel Kant Baltic Federal University
- Aleix Martínez-Pérez
- Faculty of Health Sciences, Valencian International University (VIU)
- Ibrahima Sall
- Department of General Surgery, Military Teaching Hospital, Hôpital Principal Dakar
- Sandro Rizoli
- Hamad General Hospital
- Gia Tomadze
- Department of Surgery, Tbilisi State Medical University
- Boris Sakakushev
- RIMU/University Hospital St George
- Philip F. Stahel
- Department of Orthopedic Surgery and Neurosurgery, Denver Health Medical Center, University of Colorado School of Medicine
- Ian Civil
- Trauma Service, Auckland City Hospital
- Vishal Shelat
- Tan Tock Seng Hospital
- David Costa
- Department of General y Digestive Surgery, “Dr. Balmis” Alicante General University Hospital
- Alain Chichom-Mefire
- Faculty of Health Sciences, University of Buea
- Rifat Latifi
- College of Medicine, University of Arizona
- Mircea Chirica
- Service de Chirurgie Digestive, Centre Hospitalier Universitaire Grenoble Alpes
- Francesco Amico
- Department of Traumatology, John Hunter Hospital, University of Newcastle
- Amyn Pardhan
- Bunbury Hospital
- Vidya Seenarain
- Acute Surgical Unit, Department of General Surgery, Fiona Stanley Hospital
- Nikitha Boyapati
- Acute Surgical Unit, Department of General Surgery, Fiona Stanley Hospital
- Basil Hatz
- State Major Trauma Unit, Royal Perth Hospital
- Travis Ackermann
- General Surgery, Monash Medical Centre, Monash Health
- Sandun Abeyasundara
- Department of Colorectal Surgery, Logan Hospital
- Linda Fenton
- Maitland Private Hospital
- Frank Plani
- Chris Hani Baragwanath Hospital
- Rohit Sarvepalli
- Department of General Surgery, Royal Perth Hospital, University of Western Australia
- Omid Rouhbakhshfar
- Department of General Surgery, Royal Perth Hospital, University of Western Australia
- Pamela Caleo
- Nambour Selangor Private Hospital, Sunshine Coast University Private Hospital
- Victor Ho-Ching Yau
- Sir Charles Gairdner Hospital
- Kristenne Clement
- Department of Surgery, Nepean Hospital
- Erasmia Christou
- Department of General Surgery, Royal Perth Hospital, University of Western Australia
- Ana María González Castillo
- Departamento de Cirugía, Universidad Autónoma de Barcelona
- Preet K. S. Gosal
- Department of General Surgery, Nepean Hospital
- Sunder Balasubramaniam
- Department of Trauma, Westmead Hospital, The University of Sydney
- Jeremy Hsu
- Department of Trauma, Westmead Hospital, The University of Sydney
- Kamon Banphawatanarak
- Division of Trauma, Siriraj Hospital
- Michele Pisano
- General and Emergency Surgery, ASST Papa Giovanni XXIII
- Toro Adriana
- General Surgery, Augusta Hospital
- Altomare Michele
- Trauma Center and Emergency Surgery, ASST Grande Ospedale Metropolitano Niguarda
- Stefano P. B. Cioffi
- Trauma Center and Emergency Surgery, ASST Grande Ospedale Metropolitano Niguarda
- Andrea Spota
- Trauma Center and Emergency Surgery, ASST Grande Ospedale Metropolitano Niguarda
- Fausto Catena
- Acute Care Surgery Unit, Department of Surgery and Trauma, Maurizio Bufalini Hospital
- Luca Ansaloni
- University of Pavia
- DOI
- https://doi.org/10.1186/s13017-023-00511-w
- Journal volume & issue
-
Vol. 18,
no. 1
pp. 1 – 22
Abstract
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.
Keywords
- Laparotomy closure
- Midline incision
- Emergency
- Abdominal wall incision
- Closure technique
- Incisional hernia
