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

Purpose: Incisional 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 f...

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Autores: Quiroga-Centeno, Andrea Carolina, Pereira Rodríguez, José Antonio, Stabilini, Cesare
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2025
País:España
Institución:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
Repositorio:Recercat. Dipósit de la Recerca de Catalunya
OAI Identifier:oai:dnet:recercat____::891961ee6040a913d2c28639bd60101f
Acceso en línea:https://hdl.handle.net/10230/73276
http://dx.doi.org/10.1007/s10029-025-03278-y
Access Level:acceso abierto
Palabra clave:Emergency repair
Hernia repair
Incisional hernia
Postoperative complications
Scoping review
Surgical mesh
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spelling Mapping the therapeutic landscape in emergency incisional hernia: a scoping reviewQuiroga-Centeno, Andrea CarolinaPereira Rodríguez, José AntonioStabilini, CesareEmergency repairHernia repairIncisional herniaPostoperative complicationsScoping reviewSurgical meshPurpose: Incisional 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. Methods: A 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. Results: Of 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. Conclusion: This 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.Springer2026202620252026info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfapplication/pdfhttps://hdl.handle.net/10230/73276http://dx.doi.org/10.1007/s10029-025-03278-yhttps://hdl.handle.net/10230/73276reponame:Recercat. Dipósit de la Recerca de Catalunyainstname:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)InglésHernia. 2025;29(1):102© The Author(s) 2025. Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/.http://creativecommons.org/licenses/by/4.0/info:eu-repo/semantics/openAccessoai:dnet:recercat____::891961ee6040a913d2c28639bd60101f2026-05-29T05:05:01Z
dc.title.none.fl_str_mv Mapping the therapeutic landscape in emergency incisional hernia: a scoping review
title Mapping the therapeutic landscape in emergency incisional hernia: a scoping review
spellingShingle Mapping the therapeutic landscape in emergency incisional hernia: a scoping review
Quiroga-Centeno, Andrea Carolina
Emergency repair
Hernia repair
Incisional hernia
Postoperative complications
Scoping review
Surgical mesh
title_short Mapping the therapeutic landscape in emergency incisional hernia: a scoping review
title_full Mapping the therapeutic landscape in emergency incisional hernia: a scoping review
title_fullStr Mapping the therapeutic landscape in emergency incisional hernia: a scoping review
title_full_unstemmed Mapping the therapeutic landscape in emergency incisional hernia: a scoping review
title_sort Mapping the therapeutic landscape in emergency incisional hernia: a scoping review
dc.creator.none.fl_str_mv Quiroga-Centeno, Andrea Carolina
Pereira Rodríguez, José Antonio
Stabilini, Cesare
author Quiroga-Centeno, Andrea Carolina
author_facet Quiroga-Centeno, Andrea Carolina
Pereira Rodríguez, José Antonio
Stabilini, Cesare
author_role author
author2 Pereira Rodríguez, José Antonio
Stabilini, Cesare
author2_role author
author
dc.subject.none.fl_str_mv Emergency repair
Hernia repair
Incisional hernia
Postoperative complications
Scoping review
Surgical mesh
topic Emergency repair
Hernia repair
Incisional hernia
Postoperative complications
Scoping review
Surgical mesh
description Purpose: Incisional 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. Methods: A 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. Results: Of 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. Conclusion: This 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.
publishDate 2025
dc.date.none.fl_str_mv 2025
2026
2026
2026
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv https://hdl.handle.net/10230/73276
http://dx.doi.org/10.1007/s10029-025-03278-y
https://hdl.handle.net/10230/73276
url https://hdl.handle.net/10230/73276
http://dx.doi.org/10.1007/s10029-025-03278-y
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.relation.none.fl_str_mv Hernia. 2025;29(1):102
dc.rights.none.fl_str_mv http://creativecommons.org/licenses/by/4.0/
info:eu-repo/semantics/openAccess
rights_invalid_str_mv http://creativecommons.org/licenses/by/4.0/
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
application/pdf
dc.publisher.none.fl_str_mv Springer
publisher.none.fl_str_mv Springer
dc.source.none.fl_str_mv reponame:Recercat. Dipósit de la Recerca de Catalunya
instname:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
instname_str Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
reponame_str Recercat. Dipósit de la Recerca de Catalunya
collection Recercat. Dipósit de la Recerca de Catalunya
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