{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T23:50:48Z","timestamp":1791935448878,"version":"4.3.4"},"reference-count":45,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2023,3,31]],"date-time":"2023-03-31T00:00:00Z","timestamp":1680220800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/100009933","name":"Ethicon","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100009933","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Colorectal Disease"],"published-print":{"date-parts":[[2023,5]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aim<\/jats:title><jats:p>The burden of abdominal wound failure can be profound. Recent clinical guidelines have highlighted the heterogeneity of laparotomy closure techniques. The aim of this study was to investigate current midline closure techniques and practices for prevention of surgical site infection (SSI).<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>An online survey was distributed in 2021 among the membership of the European Society of Coloproctology and its partner societies. Surgeons were asked to provide information on how they would close the abdominal wall in three specific clinical scenarios and on SSI prevention practices.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 561 consultants and trainee surgeons participated in the survey, mainly from Europe (<jats:italic>n<\/jats:italic>\u00a0=\u2009375, 66.8%). Of these, 60.6% identified themselves as colorectal surgeons and 39.4% as general surgeons. The majority used polydioxanone for fascial closure, with small bite techniques predominating in clean\u2010contaminated cases (74.5%, <jats:italic>n<\/jats:italic>\u00a0=\u2009418). No significant differences were found between consultants and trainee surgeons. For SSI prevention, more surgeons preferred the use of mechanical bowel preparation (MBP) alone over MBP and oral antibiotics combined. Most surgeons preferred 2% alcoholic chlorhexidine (68.4%) or aqueous povidone\u2010iodine (61.1%) for skin preparation. The majority did not use triclosan\u2010coated sutures (73.3%) or preoperative warming of the wound site (78.5%), irrespective of level of training or European\/non\u2010European practice.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Abdominal wound closure technique and SSI prevention strategies vary widely between surgeons. There is little evidence of a risk\u2010stratified approach to wound closure materials or techniques, with most surgeons using the same strategy for all patient scenarios. Harmonization of practice and the limitation of outlying techniques might result in better outcomes for patients and provide a stable platform for the introduction and evaluation of further potential improvements.<\/jats:p><\/jats:sec>","DOI":"10.1111\/codi.16500","type":"journal-article","created":{"date-parts":[[2023,2,7]],"date-time":"2023-02-07T05:56:12Z","timestamp":1675749372000},"page":"1014-1025","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":12,"title":["An international assessment of surgeon practices in abdominal wound closure and surgical site infection prevention by the European Society for Coloproctology"],"prefix":"10.1111","volume":"25","author":[{"given":"Sharfuddin","family":"Chowdhury","sequence":"first","affiliation":[{"name":"King Saud Medical City  Riyadh Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alaa","family":"El\u2010Hussuna","sequence":"additional","affiliation":[{"name":"Aalborg University Hospital  Aalborg Denmark"},{"name":"Aalborg University  Aalborg Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gaetano","family":"Gallo","sequence":"additional","affiliation":[{"name":"University Sapienza di Roma  Rome Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7688-5018","authenticated-orcid":false,"given":"James","family":"Keatley","sequence":"additional","affiliation":[{"name":"University of Birmingham  Birmingham UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael E.","family":"Kelly","sequence":"additional","affiliation":[{"name":"St James Hospitale  Dublin Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ana","family":"Minaya\u2010Bravo","sequence":"additional","affiliation":[{"name":"Henares Teaching Hospital  Coslada Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Liza","family":"Ovington","sequence":"additional","affiliation":[{"name":"Ethicon  Raritan New Jersey USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2634-1199","authenticated-orcid":false,"given":"Francesco","family":"Pata","sequence":"additional","affiliation":[{"name":"Universit\u00e0 della Calabria, Azienda Ospedaliera di Cosenzae  Arcavacata Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8322-6421","authenticated-orcid":false,"given":"Gianluca","family":"Pellino","sequence":"additional","affiliation":[{"name":"Vall d'Hebron Barcelona Hospital, Universitat Aut\u00f2noma de Barcelona  Barcelona Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thomas","family":"Pinkney","sequence":"additional","affiliation":[{"name":"University of Birmingham  Birmingham UK"},{"name":"University Hospitals Birmingham NHS Foundation Trust  Aalborg Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0623-9074","authenticated-orcid":false,"given":"Luis","family":"Sanchez\u00a0Guillen","sequence":"additional","affiliation":[{"name":"Universidad Miguel Hern\u00e1ndez de Elche  Elche Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Niels\u2010Derrek","family":"Schmitz","sequence":"additional","affiliation":[{"name":"Ethicon  Raritan New Jersey USA"},{"name":"Ethicon  Norderstedt Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kerstin","family":"Spychaj","sequence":"additional","affiliation":[{"name":"Ethicon  Norderstedt Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Celine","family":"Riess","sequence":"additional","affiliation":[{"name":"Ethicon  Norderstedt Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gabrielle H.","family":"van Ramshorst","sequence":"additional","affiliation":[{"name":"Ghent University Hospital  Ghent Belgium"},{"name":"Ghent University  Ghent Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"name":"2021 European Society of Coloproctology (ESCP) collaborating group","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,3,31]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(10)61458-4"},{"key":"e_1_2_10_3_1","volume-title":"Surveillance of surgical site infections in Europe 2010\u20132011","year":"2013"},{"key":"e_1_2_10_4_1","unstructured":"World Health Organization.Report on the burden of endemic health care\u2010associated infection worldwide. 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