The Impact of Body Fat Location and Volume on Incisional Hernia Development and Outcomes

The study examined the relationship between different adipose tissue parameters and the incidence of incisional hernias (IH) after abdominal surgeries, as well as the outcomes of hernia repair. Thirteen studies were analyzed, showing that increased visceral and subcutaneous fat volume were associated with a higher likelihood of IH development. Higher fat levels also correlated with more challenging fascia closure during repair and increased recurrence rates. Conversely, body mass index (BMI) did not show a significant association. Preoperative measurement of visceral and subcutaneous fat composition can be a valuable tool for assessing IH risk.