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This scoping review aimed to map the existing literature on emergency incisional hernia repair, identify research gaps, and inform future guideline development.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>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.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>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.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>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.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s10029-025-03278-y","type":"journal-article","created":{"date-parts":[[2025,2,18]],"date-time":"2025-02-18T15:44:26Z","timestamp":1739893466000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["Mapping the therapeutic landscape in emergency incisional hernia: a scoping review"],"prefix":"10.1007","volume":"29","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1072-4200","authenticated-orcid":false,"given":"Andrea 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As such, it did not require ethical approval or consent. All sources referenced in this review are publicly available and appropriately cited.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethical approval statement"}},{"value":"HB has received payments for organizing workshops and lectures for Medtronic and Surgical Innovations, delivering lectures for Meril, and conducting educational activities for BD (Bard). Additionally, HB is a former president of the Hernia Interest Group in South Africa. ED has received a research grant from Ethicon Johnson & Johnson and consulting fees from Mellon Medical and Medtronic. MAG has received honoraria for delivering lectures for Gore, Ovitex, Dynamesh and Dipromed. RHF has received honoraria as a speaker for BD, B. Braun, Medtronic, and Fasciotens, and currently serves as treasurer of the Austrian Hernia Society. YR reports consulting fees from Cousin and BD, honoraria as a speaker for BD and Medtronic, and scientific support provided to the Recover Study from Medtronic. He also serves as Treasurer of the European Hernia Society. AT has received a research grant from the European Hernia Society, consulting fees from Fasciotens GmbH, and honoraria for speaking engagements with BD Inc. and DynaMesh GmbH. CS has received a research grant from Medtronic for the SOS-P trial on preventing incisional hernias in elective surgery and payments from Beckett Dickinson for organizing eTEP courses. ACQ, SS, APMP, SAA, UB, SCG, CG, KG, SAG, FK, MP, FP, JAPR, BR and ES declare no conflicts of interest.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}}],"article-number":"102"}}