This study identifies key predictors for bowel resection in incarcerated abdominal wall hernias, which has crucial implications for surgical decision-making.

• 12% of patients needed bowel resection due to strangulation.
• Elevated white blood cell count, C-reactive protein, and lactate levels linked to a higher risk of resection.
• Bowel obstruction and femoral hernia also significantly increase risk (OR 54.922 and OR 3.515, respectively).

Recognizing these factors can enhance patient selection and optimize preoperative assessments for improved outcomes.