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

Frassini S 1 , Cobianchi L 2 , Fugazzola P 3 , Biffl WL 4 , Coccolini F 5 , Damaskos D 6 Show all authors , Moore EE 7 , Kluger Y 8 , Ceresoli M 9 , Coimbra R 10 , Davies J 11 , Kirkpatrick A 12 , Di Carlo I 13 , Hardcastle TC 14 , Isik A 15 , Chiarugi M 5 , Gurusamy K 16 , Maier RV 17 , Segovia Lohse HA 18 , Jeekel H 19 , Boermeester MA 20 , Abu-Zidan F 21 , Inaba K 22 , Weber DG 23 , Augustin G 24 , Bonavina L 25 , Velmahos G 26 , Sartelli M 27 , Di Saverio S 28 , Ten Broek RPG 29 , Granieri S 30 , Dal Mas F 31 , Farè CN 2 , Peverada J 2 , Zanghì S 2 , Viganò J 2 , Tomasoni M 3 , Dominioni T 3 , Cicuttin E 3 , Hecker A 32 , Tebala GD 33 , Galante JM 34 , Wani I 35 , Khokha V 36 , Sugrue M 37 , Scalea TM 38 , Tan E 29 , Malangoni MA 39 , Pararas N 40 , Podda M 41 , De Simone B 42 , Ivatury R 43 , Cui Y 44 , Kashuk J 45 , Peitzman A 46 , Kim F 47 , Pikoulis E 48 , Sganga G 49 , Chiara O 50 , Kelly MD 51 , Marzi I 52 , Picetti E 53 , Agnoletti V 54 , De'Angelis N 55 , Campanelli G 56 , de Moya M 57 , Litvin A 58 , Martínez-Pérez A 59 , Sall I 60 , Rizoli S 61 , Tomadze G 62 , Sakakushev B 63 , Stahel PF 64 , Civil I 65 , Shelat V 66 , Costa D 67 , Chichom-Mefire A 68 , Latifi R 69 , Chirica M 70 , Amico F 71 , Pardhan A 72 , Seenarain V 73 , Boyapati N 73 , Hatz B 74 , Ackermann T 75 , Abeyasundara S 76 , Fenton L 77 , Plani F 78 , Sarvepalli R 23 , Rouhbakhshfar O 23 , Caleo P 79 , Ho-Ching Yau V 80 , Clement K 81 , Christou E 23 , Castillo AMG 82 , Gosal PKS 83 , Balasubramaniam S 84 , Hsu J 84 , Banphawatanarak K 85 , Pisano M 86 , Adriana T 87 , Michele A 50 , Cioffi SPB 50 , Spota A 50 , Catena F 88 , Ansaloni L 2

Affiliations 

  • 1 University of Pavia, Corso Str. Nuova, 65, 27100, Pavia, Italy. simone.frassini01@universitadipavia.it
  • 2 University of Pavia, Corso Str. Nuova, 65, 27100, Pavia, Italy
  • 3 Unit of General Surgery I, Fondazione I.R.C.C.S. Policlinico San Matteo, Viale Camillo Golgi, 19, 27100, Pavia, Italy
  • 4 Department of Emergency and Trauma Surgery, Scripps Clinic Medical Group, La Jolla, CA, USA
  • 5 General, Emergency and Trauma Surgery Department, Pisa University Hospital, Pisa, Italy
  • 6 General and Emergency Surgery, Royal Infirmary of Edinburgh, Edinburgh, UK
  • 7 Ernest E Moore Shock Trauma Center at Denver Health, Denver, CO, USA
  • 8 Division of General Surgery, Rambam Health Care Campus, Haifa, Israel
  • 9 General Surgery, Monza University Hospital, Monza, Italy
  • 10 Riverside University Health System Medical Center, Comparative Effectiveness and Clinical Outcomes Research Center - CECORC, Claremont, CA, USA
  • 11 Cambridge Colorectal Unit, Addenbrooke's Hospital, Cambridge, UK
  • 12 Departments of Surgery and Critical Care Medicine, University of Calgary, Calgary, Canada
  • 13 Department of Surgical Sciences and Advanced Technologies, General Surgery Unit, Cannizzaro Hospital, Catania, Italy
  • 14 Department of Surgical Sciences, Nelson R Mandela School of Clinical Medicine, University of KwaZulu-Natal, Durban, 4001, South Africa
  • 15 Division of General Surgery, School of Medicine, Istanbul Medeniyet University, Istanbul, Turkey
  • 16 Division of Surgery and Interventional Science, Hampstead Campus, University College London, London, UK
  • 17 Department of Surgery, Harborview Medical Centre, University of Washington, Seattle, USA
  • 18 II Cátedra de Clínica Quirúrgica, Hospital de Clínicas, Universidad Nacional de Asunción, San Lorenzo, Paraguay
  • 19 Department of Surgery, Erasmus University Medical Centre, Rotterdam, The Netherlands
  • 20 Department of Surgery, Amsterdam University Medical Center, University of Amsterdam, 1105AZ, Amsterdam, The Netherlands
  • 21 The Research Office, College of Medicine and Health Sciences, United Arab Emirates University, Al-Ain, UAE
  • 22 Los Angeles County + USC Medical Center, 2051 Marengo Street, Room C5L100, Los Angeles, CA, 90033, USA
  • 23 Department of General Surgery, Royal Perth Hospital, University of Western Australia, Perth, Australia
  • 24 Department of Surgery, University Hospital Centre Zagreb, Zagreb, Croatia
  • 25 Division of General Surgery, Department of Biomedical Science for Health, I.R.C.C.S. Ospedale Galeazzi - Sant'Ambrogio, Milan, Italy
  • 26 Division of Trauma, Emergency Surgery, and Surgical Critical Care, Massachusetts General Hospital and Harvard Medical School, Boston, MA, USA
  • 27 Department of Surgery, Macerata Hospital, Macerata, Italy
  • 28 Unit of General Surgery, San Benedetto del Tronto Hospital, av5 Asur Marche, San Benedetto del Tronto, Italy
  • 29 Department of Surgery, Radboud University Medical Center, Nijmegen, The Netherlands
  • 30 General Surgery Unit, ASST Vimercate, Via Santi Cosma E Damiano, 10, 20871, Vimercate, Italy
  • 31 Department of Management, Università Ca' Foscari, Dorsoduro 3246, 30123, Venezia, Italy
  • 32 Department of General and Thoracic Surgery, University Hospital of Giessen, Giessen, Germany
  • 33 Department of Digestive and Emergency Surgery, S. Maria Hospital Trust, Terni, Italy
  • 34 Trauma Department, University of California, Davis, Sacramento, CA, USA
  • 35 Government Gousia Hospital, Srinagar, India
  • 36 Department of Emergency Surgery, City Hospital, Mozyr, Belarus
  • 37 Donegal Clinical Research Academy Emergency Surgery Outcome Project, Letterkenny University Hospital, Donegal, Ireland
  • 38 Cowley Shock Trauma Center at the University of Maryland, Baltimore, MD, USA
  • 39 Department of Surgery, MetroHealth Medical Center Campus, Case Western Reserve University, Cleveland, OH, 44109, USA
  • 40 Third Department of Surgery, Attikon University Hospital, 15772, Athens, Greece
  • 41 Department of Surgical Science, Cagliari State University, Cagliari, Italy
  • 42 Department of Emergency Surgery, Centre Hospitalier Intercommunal de Villeneuve-Saint-Georges, Villeneuve-Saint-Georges, France
  • 43 Virginia Commonwealth University, Richmond, VA, USA
  • 44 Department of Surgery, Tianjin Nankai Hospital, Nankai Clinical School of Medicine, Tianjin Medical University, Tianjin, China
  • 45 Department of Surgery, Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel
  • 46 Division of Trauma and General Surgery, Department of Surgery, University of Pittsburgh Medical Center, Pittsburgh, PA, USA
  • 47 Denver Health Medical Center, University of Colorado Anschutz Medical Center, Aurora, CO, USA
  • 48 Medical School, National and Kapodistrian University of Athens (NKUA), Athens, Greece
  • 49 Fondazione Policlinico Universitario A.Gemelli IRCCS, Università Cattolica, Rome, Italy
  • 50 Trauma Center and Emergency Surgery, ASST Grande Ospedale Metropolitano Niguarda, Milan, Italy
  • 51 Department of General Surgery, Albury Hospital, Albury, Australia
  • 52 Department of Trauma, Hand and Reconstructive Surgery, University Hospital Frankfurt, Frankfurt, Germany
  • 53 Department of Anesthesia and Intensive Care, Parma University Hospital, Parma, Italy
  • 54 Anesthesia and Intensive Care Unit, Ospedale M Bufalini, Cesena, Italy
  • 55 Service de Chirurgie Digestive et Hépato-Bilio-Pancréatique, Hôpital Henri Mondor, Université Paris Est, Créteil, France
  • 56 Division of General Surgery, I.R.C.C.S. Ospedale Galeazzi-Sant'Ambrogio, University of Insubria, Varese, Italy
  • 57 Medical College of Wisconsin, Milwaukee, WI, USA
  • 58 AI Medica Hospital Center / Immanuel Kant Baltic Federal University, Kaliningrad, Russia
  • 59 Faculty of Health Sciences, Valencian International University (VIU), Valencia, Spain
  • 60 Department of General Surgery, Military Teaching Hospital, Hôpital Principal Dakar, Dakar, Senegal
  • 61 Hamad General Hospital, Doha, Qatar
  • 62 Department of Surgery, Tbilisi State Medical University, Tbilisi, Georgia
  • 63 RIMU/University Hospital St George, Plovdiv, Bulgaria
  • 64 Department of Orthopedic Surgery and Neurosurgery, Denver Health Medical Center, University of Colorado School of Medicine, Denver, CO, USA
  • 65 Trauma Service, Auckland City Hospital, Auckland, New Zealand
  • 66 Tan Tock Seng Hospital, Singapore, Singapore
  • 67 Department of General y Digestive Surgery, "Dr. Balmis" Alicante General University Hospital, Alicante, Spain
  • 68 Faculty of Health Sciences, University of Buea, Buea, Cameroon
  • 69 College of Medicine, University of Arizona, Tucson, AZ, USA
  • 70 Service de Chirurgie Digestive, Centre Hospitalier Universitaire Grenoble Alpes, Grenoble, France
  • 71 Department of Traumatology, John Hunter Hospital, University of Newcastle, Newcastle, NSW, Australia
  • 72 Bunbury Hospital, Bunbury, WA, 6230, Australia
  • 73 Acute Surgical Unit, Department of General Surgery, Fiona Stanley Hospital, Murdoch, WA, Australia
  • 74 State Major Trauma Unit, Royal Perth Hospital, Wellington Street, Perth, Australia
  • 75 General Surgery, Monash Medical Centre, Monash Health, Melbourne, VIC, Australia
  • 76 Department of Colorectal Surgery, Logan Hospital, Meadowbrook, QLD, Australia
  • 77 Maitland Private Hospital, East Maitland, Newcastle, NSW, Australia
  • 78 Chris Hani Baragwanath Hospital, Soweto, South Africa
  • 79 Nambour Selangor Private Hospital, Sunshine Coast University Private Hospital, Birtinya, QLD, Australia
  • 80 Sir Charles Gairdner Hospital, Nedlands, WA, Australia
  • 81 Department of Surgery, Nepean Hospital, Penrith, NSW, 2751, Australia
  • 82 Departamento de Cirugía, Universidad Autónoma de Barcelona, Barcelona, Spain
  • 83 Department of General Surgery, Nepean Hospital, Sydney, NSW, Australia
  • 84 Department of Trauma, Westmead Hospital, The University of Sydney, Sydney, NSW, Australia
  • 85 Division of Trauma, Siriraj Hospital, Bangkok, Thailand
  • 86 General and Emergency Surgery, ASST Papa Giovanni XXIII, Bergamo, Italy
  • 87 General Surgery, Augusta Hospital, Augusta, Italy
  • 88 Acute Care Surgery Unit, Department of Surgery and Trauma, Maurizio Bufalini Hospital, Cesena, Italy
World J Emerg Surg, 2023 Jul 26;18(1):42.
PMID: 37496068 DOI: 10.1186/s13017-023-00511-w

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.

* Title and MeSH Headings from MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine.

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