ArticleSurgery today2026
Umbilical fat is useful for evaluating the risk of incisional hernia after laparoscopic colorectal surgery.
Article in Surgery today, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
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Who cites it
5 citing papers in PubMed.
- Accelerated use of artificial intelligence-associated vocabulary in Japanese surgical journals after 2023.Surgery today · 2026Article
- The global surgical workforce crisis: narrative review of the role of surgical educator development and technological innovations.Surgery today · 2026Review
- CT-Derived Predictors of Incisional Hernia Following Colorectal Cancer Resection: A Systematic Review.Diagnostics (Basel, Switzerland) · 2026Review
- Minimally invasive surgery for right-sided colon cancer with superior mesenteric artery rotation: clinical features and short-term outcomes.Surgery today · 2026Article
- Clinical outcomes of adjuvant nivolumab following neoadjuvant chemotherapy and esophagectomy in patients with esophageal cancer: A single-center retrospective cohort study.Surgery today · 2026Article
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Authors and funding
11 authors.
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Abstract
purposeTo investigate the risk factors for incisional hernia (IH) in colorectal cancer patients treated with laparoscopic surgery and midline laparotomy.
methodsWe retrospectively reviewed 140 patients with colorectal cancer and examined their risk factors for IH. We analyzed the clinical findings and associations between these factors and the incidence of IH using Cox proportional hazards models. In particular, we considered umbilical fat.
resultsThe cumulative incidence of IH was 33.6% (47 patients), with three symptomatic patients (2.1%). In a multivariate proportional hazard analysis, umbilical fat (p < 0.01; hazard ratio, 6.56; 95% confidence interval, 2.73-15.70) and intermittent suturing with polyglycolic acid (p < 0.01; hazard ratio, 3.56; 95% confidence interval, 1.43-8.87) were significant risk factors for IH. Additionally, long operative times and adjuvant chemotherapy were associated with a high risk of IH in patients with running sutures for abdominal midline incisions.
conclusionUmbilical fat may be a significant risk factor for IH after laparoscopic colorectal surgery. Preoperative computed tomography is useful for assessing umbilical fat and identifying high-risk patients. Short-pitch running sutures performed for abdominal closure using a slowly absorbable monofilament suture material within a controlled operative time are essential for preventing IH.
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