{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,11]],"date-time":"2026-02-11T12:43:35Z","timestamp":1770813815933,"version":"3.50.1"},"reference-count":61,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2025,10,22]],"date-time":"2025-10-22T00:00:00Z","timestamp":1761091200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2025,10,22]],"date-time":"2025-10-22T00:00:00Z","timestamp":1761091200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/501100007069","name":"Universit\u00e0 della Calabria","doi-asserted-by":"crossref","id":[{"id":"10.13039\/501100007069","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Hernia"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>To critically appraise the evidence supporting the European and American Hernia Society (EHS\/AHS) guidelines on abdominal wall closure in colorectal and emergency surgery patients, we conducted a granular analysis focused on the representation and quality of available data.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>References that addressed key questions (KQ) and recommendations in the original guidelines were screened and included if colorectal\/emergency surgery was reported. Data extraction was performed with a standardised form and authors were contacted for missing data. Quality and risk of bias were assessed independently by two reviewers.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Out of 33 studies included: 15 systematic reviews and one literature review were rated low or critically low (AMSTAR 2); 12 randomised controlled trials had moderate to high risk of bias (Cochrane RoB-2 tool); five observational studies were of low to very low quality (GRADE) with serious risk of bias (ROBINS-I). 32 studies included colorectal (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200915,856) and 14 emergency patients (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u20094,582). To answer KQ1 on \u2018minimally invasive or open surgery\u2019 and \u2018type of incision\u2019 9\/10 studies included colorectal and no studies included emergency patients. 1\/4 and 8\/9 studies included colorectal\/emergency patients for recommendations regarding trocar sites closure (KQ2) and closure after laparotomy (KQ3). Regarding the use of mesh (KQ5), 11\/11 studies included colorectal\/emergency patients. 3\/3 and 1 studies included colorectal patients for KQ6 (abdominal binders) and one for KQ7 (restriction of activity), but none included emergency patients.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Recommendations for KQs 1, 3, 5, 6, and 7 appear\u00a0applicable to colorectal patients, whereas evidence for KQ2 remains\u00a0insufficient. For emergency patients, recommendations related to KQs 1,\u00a02, 6, and 7 should not be extrapolated. This study further highlights\u00a0critical limitations in the evidence base, including the lack of patient-centred\u00a0outcomes, and underscores the need for targeted, high-quality\u00a0research in these populations.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s10029-025-03493-7","type":"journal-article","created":{"date-parts":[[2025,10,22]],"date-time":"2025-10-22T09:04:19Z","timestamp":1761123859000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Colorectal and emergency surgical patients in the literature supporting EHS and AHS guidelines on abdominal wound closure: a granular 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