Modern approaches to median laparotomy closure in emergency abdominal surgery

Despite widespread laparoscopic technologies in the treatment of emergency surgical abdominal diseases, there is a large group of patients who require median laparotomy. The authors analyzed modern literature data on median laparotomy closure technique in emergency abdominal surgery. Risk factors of abdominal wall suture failure are described in detail. Characteristics of high and low risks of eventration and postoperative hernia are presented. The rules for abdominal wall closure after median laparotomy in urgent surgery are indicated. The authors emphasized the prospects of synthetic prostheses for additional abdominal wall reinforcement.