ArticleHernia : the journal of hernias and abdominal wall surgery2024
Role of sarcopenia in complex abdominal wall surgery: does it increase postoperative complications and mortality?
Article in Hernia : the journal of hernias and abdominal wall surgery, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.
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Who cites it
6 citing papers in PubMed, 1 synthesis or guideline pooled it.
- From imaging to outcomes: evaluating the predictive value of preoperative CT for intra and postoperative outcomes in ventral hernia repair - a systematic review.Hernia : the journal of hernias and abdominal wall surgery · 2025Pooled it
- Toward precision hernia surgery: integrating biomarkers, genomics, quantitative imaging, and artificial intelligence in abdominal wall repair.Hernia : the journal of hernias and abdominal wall surgery · 2026Review
- Bilateral Inguinal Hernia With Psoas Muscle Involvement: A Case Report and Literature Review.Cureus · 2026Article
- Could preoperative physical activity level predict serious complications after incisional hernia repair?Hernia : the journal of hernias and abdominal wall surgery · 2025Article
- Prevalence of sarcopenia in patients with surgical obstructive jaundice and its impact on clinical outcomes.World journal of gastrointestinal surgery · 2025Article
- Spatiotemporal trends in hernia disease burden and health workforce correlations in aging populations: a global analysis with projections to 2050.BMC gastroenterology · 2025Article
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Authors and funding
12 authors.
Funding
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Abstract
backgroundSarcopenia is defined as the loss of skeletal muscle mass and is associated with an increased risk or morbidity and mortality in complex surgical patient populations. Its role in complex abdominal wall surgery (AWS) is yet to be determined. The aim of this study is to establish if sarcopenia has an impact on postoperative complications, mortality and hernia recurrence.
methodsRetrospective study of patients undergoing elective surgery for complex incisional hernias > 10 cm (W3 of European Hernia Society classification) between 2014-2023. Sarcopenia was stablished as the skeletal muscle index (SMI), measured at L3 transversal section of a preoperative CT-scan. Previously defined literature-based SMI cutoff values were used: men ≤ 52.4 cm
results135 patients undergoing complex AWS were included. Of them, 38 were sarcopenic (28.1%). The median follow-up time was 13 months (IQR 12-25). In total, 11 patients died (8.1%). We found that sarcopenia was associated with a higher risk of mortality [HR 7.494 (95% CI 1.985-28.289); p 0.003]. There were no statistically significant differences in postoperative complications or hernia recurrence between both groups.
conclusionAlthough sarcopenia does not seem to have an influence on hernia recurrence or the development of postoperative complications, whether local or systemic, in our study sarcopenia is associated with a higher risk of mortality after complex abdominal wall surgery. Nonetheless, with the results obtained in our study, we think that prehabilitation programs before complex AWS is advisable.
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