Retrospective study finds subcutaneous fat area predicts incisional hernia risk in patients after laparoscopic colorectal surgery, suggesting tailored surgical approaches are necessary.
Key Points
This study aims to identify anatomical risk factors for incisional hernia in patients after laparoscopic colorectal resection.
Retrospective analysis of 164 patients who underwent laparoscopic colorectal resection for cancer.
Computed tomography was used to measure visceral and subcutaneous fat area preoperatively.
Follow-up assessments were conducted for a median of 24 months, with data collected from clinical and operative records.
16 patients (9.8%) developed incisional hernia within 18 months postoperatively.
Subcutaneous fat area was identified as an independent risk factor (p=0.018; OR=5.839; 95% CI: 1.331–41.452).
Univariate analysis showed that female sex, BMI, and both visceral and subcutaneous fat were significant predictors.