Inverted L-shaped incisions in hepatectomy have high hernia rates, but the stratafix-continuous closure method shows promise.

• Incisional hernia incidence at 1 year: stratafix 8.1% vs. polydioxanone-hybrid 21.5% (p = .001).
• Stratafix method associated with 69% lower odds of hernia (odds ratio 0.31; 95% CI 0.14-0.66; p = .002).

Consider adopting the stratafix technique for better patient outcomes and reduced hernia risk.

• Most hernias occur at the intersectional corner, highlighting a need for targeted reinforcement strategies.