ArticlePlastic and reconstructive surgery2017
The Impact of Body Mass Index on Abdominal Wall Reconstruction Outcomes: A Comparative Study.
Article in Plastic and reconstructive surgery, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 41 papers, 2 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
41 citing papers in PubMed, 2 syntheses or guidelines pooled it, 87 citations in OpenAlex.
- Does BMI Impact Outcomes in Patients Undergoing Open Abdominal Wall Reconstruction? A Systematic Review and Meta-Analysis.World journal of surgery · 2025Pooled it
- Prophylactic Onlay Mesh Repair (POMR) Versus Primary Suture Repair (PSR) for Prevention of Incisional Hernia (IH) After Abdominal Wall Surgery: A Systematic Review and Meta-analysis.World journal of surgery · 2021Pooled it
- Lifestyle-related risk factors and recurrence after ventral hernia surgery: nationwide registry and survey study.BJS open · 2026Article
- Determinants of Early Quality-of-Life Improvement After Open Abdominal Wall Eventration Repair: A Large Single-Center Cohort Study Using the EuraHS-QoL Score.Journal of clinical medicine · 2026Article
- Predictors of Postoperative Complications After Retromuscular Incisional Hernia Repair: A Retrospective Cohort Study.Journal of clinical medicine · 2026Article
- Anterior to posterior preoperative risk assessment of abdominal thickness compared to BMI in ventral hernias.Hernia : the journal of hernias and abdominal wall surgery · 2026Article
- Intraoperative Fascial Traction - From Concept to Comprehensive Application.Journal of abdominal wall surgery : JAWS · 2026Review
- An Analysis of Biomechanical and Physiological Changes During Abdominal Wall Reconstruction.Journal of abdominal wall surgery : JAWS · 2026Article
- Comparing autologous breast reconstruction in highGland surgery · 2025Article
- Intraperitoneal onlay mesh repair as rescue therapy for recurrent inguinal hernia following robotic transabdominal preperitoneal repair: a case report.Journal of surgical case reports · 2025Article
- Determining a BMI threshold for ventral hernia recurrence among a predominantly underrepresented minority population.Hernia : the journal of hernias and abdominal wall surgery · 2025Observational
- Complex abdomen: a scoping review.Hernia : the journal of hernias and abdominal wall surgery · 2025Article
- The Endoscopic Optimization for Obesity in Patients Undergoing Abdominal Wall Reconstruction.Journal of abdominal wall surgery : JAWS · 2025Article
- Concurrent Panniculectomy With Abdominal Wall Reconstruction: A Propensity-scored Matched Study of Quality Improvement Outcomes.Plastic and reconstructive surgery. Global open · 2024Article
- Impact of glucagon-Like peptide-1 agonists in optimizing abdominal wall Reconstruction patients.Hernia : the journal of hernias and abdominal wall surgery · 2024Article
- The effect of clinically significant weight loss prior to open ventral hernia repair.Hernia : the journal of hernias and abdominal wall surgery · 2024Article
- Concomitant Panniculectomy in Abdominal Wall Reconstruction: A Narrative Review Focusing on Obese Patients.Clinics and practice · 2024Review
- T-line Hernia Mesh Repairs of Large Umbilical Hernias: Technique and Short-term Outcomes.Plastic and reconstructive surgery. Global open · 2024Article
- Risk factors for incisional hernia after liver transplantation in the era of mammalian target of rapamycin inhibitors use: a retrospective study of living donor liver transplantation dominant center in Korea.Annals of surgical treatment and research · 2024Article
- Association between cumulative surgeon experience and long-term outcomes in complex abdominal wall reconstruction.Hernia : the journal of hernias and abdominal wall surgery · 2023Review
Corrections and comments
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Authors and funding
5 authors at 1 institution in 1 country.
Funding
Abstract
backgroundObesity and higher body mass index may be associated with higher rates of wound healing complications and hernia recurrence rates following complex abdominal wall reconstruction. The authors hypothesized that higher body mass indexes result in higher rates of postoperative wound healing complications but similar rates of hernia recurrence in abdominal wall reconstruction patients.
methodsThe authors included 511 consecutive patients who underwent abdominal wall reconstruction with underlay mesh. Patients were divided into three groups on the basis of preoperative body mass index: less than 30 kg/m (nonobese), 30 to 34.9 kg/m (class I obesity), and 35 kg/m or greater (class II/III obesity). The authors compared postoperative outcomes among these groups.
resultsClass I and class II/III obesity patients had higher surgical-site occurrence rates than nonobese patients (26.4 percent versus 14.9 percent, p = 0.006; and 36.8 percent versus 14.9 percent, p < 0.001, respectively) and higher overall complication rates (37.9 percent versus 24.7 percent, p = 0.007; and 43.4 percent versus 24.7 percent, p < 0.001, respectively). Similarly, obese patients had significantly higher skin dehiscence (19.3 percent versus 7.2 percent, p < 0.001; and 26.5 percent versus 7.2 percent, p < 0.001, respectively) and fat necrosis rates (10.0 percent versus 2.1 percent, p = 0.001; and 11.8 percent versus 2.1 percent, p < 0.001, respectively) than nonobese patients. Obesity class II/III patients had higher infection and seroma rates than nonobese patients (9.6 percent versus 4.3 percent, p = 0.041; and 8.1 percent versus 2.1 percent, p = 0.006, respectively). However, class I and class II/III obesity patients experienced hernia recurrence rates (11.4 percent versus 7.7 percent, p = 0.204; and 10.3 percent versus 7.7 percent, p = 0.381, respectively) and freedom from hernia recurrence (overall log-rank, p = 0.41) similar to those of nonobese patients.
conclusionHernia recurrence rates do not appear to be affected by obesity on long-term follow-up in abdominal wall reconstruction. CLINICAL QUESTION/LEVEL OF EVIDENCE: Risk, II.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.