The 2023 World Journal of Emergency Surgery guidelines couldn't provide a recommendation for emergency abdominal wall closure due to insufficient consensus (\>80% required). Available evidence, predominantly retrospective and heterogeneous, lacks differentiation between urgent and elective colorectal surgeries. Therefore, we advocate for a study comparing laparotomy closures in emergency colorectal surgery to contribute evidence on incisional hernia incidence and subsequent complications.
Patients diagnosed with colorectal pathology requiring urgent surgical treatment via midline laparotomy.
Patients undergoing urgent laparoscopic surgery but necessitating conversion to midline laparotomy.
Urgent surgical intervention required at the level of the colon and/or rectum, even in the presence of other abdominal pathologies.
Age over 18 years.
Severe chronic obstructive pulmonary disease (COPD) according to the GOLD classification or decompensated COPD.
BMI ≥ 35 kg/m2.
Re-laparotomies.
Patients with psychiatric illnesses, addictions, or any disorder hindering the understanding of the Informed Consent.
Fernandez Zamora
Lead sponsor
Institut d'Investigació Biomèdica de Girona Dr. Josep Trueta
Sponsor institution