Evidence map›Paper›PMID 41862747›Full record

ArticleHernia : the journal of hernias and abdominal wall surgery2026

Trunk muscle strength assessment as a predictor of complications in patients undergoing incisional hernia repair.

P Bravo-Ratón, J C Santos-Sánchez, J L Gil-Delgado, A Sánchez-Arteaga, J Tinoco-González, B Sañudo Corrales, L Tallón-Aguilar

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Article in Hernia : the journal of hernias and abdominal wall surgery, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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4 · The record

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5 · Who and what money

Authors and funding

7 authors.

P Bravo-RatónDepartment of Surgery, Abdominal Wall and Hernia Surgery Unit, Virgen del Rocio University Hospital, Avda. Manuel Siurot, S/N, 41013, Seville, Spain.
J C Santos-SánchezDepartment of Surgery, Medical Student, Virgen del Rocio University Hospital, Seville, Spain.
J L Gil-DelgadoDepartment of Physical Education and Sport, University of Seville, Seville, Spain.
A Sánchez-ArteagaDepartment of Surgery, Abdominal Wall and Hernia Surgery Unit, Virgen del Rocio University Hospital, Avda. Manuel Siurot, S/N, 41013, Seville, Spain. alejandros.arteaga@gmail.com.ORCID http://orcid.org/0000-0002-0875-7185
J Tinoco-GonzálezDepartment of Surgery, Abdominal Wall and Hernia Surgery Unit, Virgen del Rocio University Hospital, Avda. Manuel Siurot, S/N, 41013, Seville, Spain.
B Sañudo CorralesDepartment of Physical Education and Sport, University of Seville, Seville, Spain.
L Tallón-AguilarDepartment of Surgery, Abdominal Wall and Hernia Surgery Unit, Virgen del Rocio University Hospital, Avda. Manuel Siurot, S/N, 41013, Seville, Spain.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeIncisional hernia is a common condition with significant complication rates. While various risk factors have been studied, the role of preoperative trunk muscle strength in predicting postoperative outcomes remains underexplored.

methodsThis is a prospective cohort study conducted with 75 patients undergoing incisional hernia repair between 1st June 2022 to 31st September 2024. Preoperative trunk muscle strength was assessed by using a strain gauge device, targeting both medial and lateral abdominal muscle groups, and recording force peak (FP) and rate force development (RFD). Patients were followed for 30 days postoperatively, and complications were classified using the Clavien-Dindo classification. Associations between muscle strength and postoperative outcomes, anthropometric variables and comorbidities were analyzed.

resultsMean age was 57.6 years and mean BMI 29.19 kg/m2. Complications were observed in 32% of patients. Sex-related differences were found: men exhibited greater anterior trunk strength (FP90° 193.8 vs 147.4 N, p < 0.003; RFD90° 667 vs 400.9 N/s, p < 0.03). Postoperative bleeding was associated with lateral trunk strength (FP45° 96.0 vs 154.2 N; p < 0.042), and surgical site infection was correlated with anterior strength in male patients (FP90° 149.7 vs 203.8 N; p < 0.03). No significant association was found between bleeding and antiplatelet or anticoagulant therapy.

conclusionPreoperative trunk muscle strength may serve as a useful predictor of postoperative complications in patients undergoing incisional hernia repair. These findings support the potential role of targeted pre-habilitation strategies, in order to improve surgical outcomes.

Indexed as

Abdominal MusclesHerniorrhaphyIncisional HerniaMuscle StrengthPostoperative ComplicationsAgedFemaleHumansMaleMiddle AgedProspective StudiesSurgical Wound InfectionAbdominal wallIncisional herniaPostoperative complicationsPrehabilitationTrunk muscle strength

Identifiers

PMID41862747
PMCPMC13004738

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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.