To prevent incisional hernia (scar hernia), attention must be paid to reducing individual risk factors.
Behavioral risk factors
- Consumption of stimulants
- Tobacco (smoking)
- Physical activity
- Heavy physical work
- Underweight (reduced nutritional and general condition).
- Overweight (BMI ≥ 25; obesity).
Surgical measures for the prophylaxis of an incisional hernia.
- Continuous all-layer abdominal wall closure.
- Thread length-to-wound length ratio: minimum 4:1 [continuous suture is superior to single button suture].
- Avoidance of excessive suture tension
- Avoidance of secondary bleeding
- Avoidance of wound infections
