Two surgical closure methods to prevent hernias after emergency colorectal surgery

This study is testing two different surgical closure techniques for patients undergoing emergency surgery on their colon or rectum. One method uses a careful stitching technique called "small bites," while the other combines small bites stitching with a supportive mesh patch placed under the skin. The trial wants to find out which approach better prevents incisional hernias—bulges that can develop through the surgical scar—and reduces other wound complications.

After abdominal surgery, hernias (tissue bulging through the healed incision) are a common problem that can require additional surgery. Medical guidelines don't currently recommend one closure method over another for emergency colorectal surgery because there isn't enough reliable evidence comparing these techniques in urgent situations.