Mapping the therapeutic landscape in emergency incisional hernia: a scoping review - Summary - MDSpire

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

  • By

  • 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

  • Miguel Ángel García-Ureña

  • Katie Gilmore

  • Sergio Alejandro Gomez-Ochoa

  • Ferdinand Köckerling

  • Maciej Pawlak

  • Francesca Pecchini

  • José A. Pereira-Rodriguez

  • Yohann Renard

  • Benoît Romain

  • Elena Schembari

  • Alexis Theodorou

  • Cesare Stabilini

  • February 18, 2025

  • 0 min

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Objective:

To uncover the available body of evidence on emergency incisional hernia repair and identify critical research gaps to inform future guidelines.

Key Findings:
  • Incisional hernias occur in 5-20% of laparotomies, with higher rates in specific surgeries, such as open repair of abdominal aortic aneurysms.
  • Emergency management of incisional hernias presents greater challenges and worse outcomes compared to elective repairs, particularly in frail patients.
  • Patients often present with comorbidities that complicate surgical interventions, such as anticoagulation therapy.
  • The timing of surgical intervention is critical to prevent systemic complications, emphasizing the need for rapid assessment and action.
Interpretation:

The review highlights significant gaps in evidence for managing emergency incisional hernias, emphasizing the need for tailored guidelines that address these gaps to improve patient outcomes.

Limitations:
  • Risk of bias assessment was not performed, as per scoping review methodology, which may affect the reliability of the findings.
  • Focus was limited to English-language articles, potentially excluding relevant studies published in other languages.
Conclusion:

The scoping review provides a foundation for future research and guideline development in emergency incisional hernia management, particularly in areas identified as lacking evidence.

Original Source(s)

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

  • by 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, Miguel Ángel García-Ureña, Katie Gilmore, Sergio Alejandro Gomez-Ochoa, Ferdinand Köckerling, Maciej Pawlak, Francesca Pecchini, José A. Pereira-Rodriguez, Yohann Renard, Benoît Romain, Elena Schembari, Alexis Theodorou, Cesare Stabilini

  • February 18, 2025

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