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

World J Emerg Surg. 2023 Jul 26;18(1):42. doi: 10.1186/s13017-023-00511-w.


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: Abdominal wall incision; Closure technique; Emergency; Incisional hernia; Laparotomy closure; Midline incision; Wound complications; Wound dehiscence.

Publication types

  • Review

MeSH terms

  • Abdominal Wound Closure Techniques* / adverse effects
  • Humans
  • Incisional Hernia* / etiology
  • Laparotomy / adverse effects
  • Reoperation / adverse effects
  • Suture Techniques / adverse effects