ArticleHernia : the journal of hernias and abdominal wall surgery2022
Visceral obesity is a predictor of surgical site occurrence and hernia recurrence after open abdominal wall reconstruction.
Article in Hernia : the journal of hernias and abdominal wall surgery, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
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.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
15 citing papers in PubMed, 1 synthesis or guideline pooled it, 30 citations in OpenAlex.
- Prediction models in hernia repair: a systematic review.Surgical endoscopy · 2023Pooled it
- Visceral Fat Volume and Inguinal Hernia After Robot-Assisted Radical Prostatectomy: A Three-Dimensional CT Analysis.International journal of urology : official journal of the Japanese Urological Association · 2026Article
- Standardised Pfannenstiel versus supraumbilical muscle-sparing transverse extraction sites in colon cancer surgery: An IDEAL stage 4 report.Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland · 2026Article
- The impact of a preoperative rehabilitation program on weight loss, surgical decision-making, and postoperative weight maintenance in a hernia center.Hernia : the journal of hernias and abdominal wall surgery · 2026Article
- Beyond the Operating Room: The Lasting Impact of Preoptimization in Abdominal Wall Reconstruction.Annals of surgery open : perspectives of surgical history, education, and clinical approaches · 2026Article
- Association between adjuvant chemotherapy and risk of incisional hernia after colorectal cancer resection - a single-centre cohort study.Langenbeck's archives of surgery · 2025Article
- Simultaneous Abdominal Wall Reconstruction and Panniculectomy in High-Risk Complex Patients: A Retrospective Cohort Study.Journal of abdominal wall surgery : JAWS · 2025Article
- The effect of clinically significant weight loss prior to open ventral hernia repair.Hernia : the journal of hernias and abdominal wall surgery · 2024Article
- Subcutaneous fat thickness predicts postoperative seroma following laparoscopic total extra-peritoneal hernioplasty.Hernia : the journal of hernias and abdominal wall surgery · 2024Article
- Occurrence and prevention of incisional hernia following laparoscopic colorectal surgery.World journal of gastrointestinal surgery · 2024Article
- Obesity increases the surgical complexity and risk of recurrence after midline primary ventral hernia repair: results on 2307 patients from the French Society of hernia surgery (SFCP-CH) registry database.Hernia : the journal of hernias and abdominal wall surgery · 2024Article
- Risk factors of recurrence after incisional hernia preperitoneal repair: a long-term retrospective single-center cohort study.Langenbeck's archives of surgery · 2024Article
- Optimal computed tomography-based biomarkers for prediction of incisional hernia formation.Hernia : the journal of hernias and abdominal wall surgery · 2024Article
- Outcomes of Complex Abdominal Wall Reconstruction with Biologic Mesh in Patients with 8 Years of Follow-Up.World journal of surgery · 2023Article
- Body mass index and the risk of abdominal hernia: a Mendelian randomization study.Hernia : the journal of hernias and abdominal wall surgery · 2023Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeHigh body mass index (BMI) increases the risk of postoperative complications and hernia recurrence after abdominal wall reconstruction (AWR). However, BMI does not provide specific information on the mass and distribution of adipose tissue. We hypothesized that visceral fat volume (VFV) was a better predictor than BMI for recurrence after AWR.
methodsWe included all patients undergoing AWR at our institution from November 2010 to December 2016. Data were collected from a prospective database and all patients were summoned for follow-up. VFV was calculated from preoperative CT. The primary and secondary outcomes were hernia recurrence and 30-day postoperative surgical site occurrences (SSO), respectively.
resultsWe included a total of 154 patients. At follow-up, 42 (27.3%) patients had developed recurrence. The recurrence rate was significantly higher in patients with a VFV higher than the mean compared to a VFV lower than the mean, P = 0.004. After multivariable Cox-regression, VFV remained significantly predictive of recurrence (HR 1.09 per 0.5 L increase of VFV, P = 0.018). In contrary, BMI was not associated with hernia recurrence. There was no significant difference in the rate of SSO between patients with a VFV above and below the mean. A multivariable logistic regression model showed that VFV was significantly associated with development of SSO (OR 1.12 per 0.5 L increase, P = 0.009).
conclusionVFV was significantly associated with recurrence and SSOs after AWR. This study suggests VFV as a risk assessment tool for patients undergoing AWR.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
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.