Visceral Obesity, Not Elevated BMI, Is Strongly Associated With Incisional Hernia After Colorectal Surgery

Abstract

Visceral obesity, history of inguinal hernia, and location of specimen extraction site are significantly associated with the development of an incisional hernia, whereas BMI is poorly associated with hernia development. These findings suggest that a lateral transverse location is the incision site of choice and that new strategies, such as prophylactic mesh placement, should be considered in viscerally obese patients.