Predictive Factors for Intraabdominal Hypertension after Incisional Hernia Repair

Chirurgia (Bucur). 2019 Jan-Feb;114(1):12-17. doi: 10.21614/chirurgia.114.1.12.


The purpose of our research is to synthesize the risk factors quoted in the literature which predispose to intra-abdominal hypertension occurrence following surgical repair of incisional hernias. We used for our research the Web of Science, Scopus and PubMed research platforms and we used the following search formula: (Intra-abdominal hypertension OR intra-abdominal pressure OR abdominal compartment syndrome) AND risk factors AND incisional hernia. The results were filtered according to the following criteria: language (English), publish year ( 2000) and access (in extenso). In this context, we chose to classify the risk factors for IAP increase in the following categories: (1) those related body habitus and anthropometry; (2) those associated with the presence of comorbidities; (3) those related to the defect of the abdominal wall; (4) those associated with the surgical management. Among the most important risk factors we mention: elevated BMI, chronic obstructive pulmonary disease, large incisional hernias with loss of domain, surgical technique used, prolonged surgeries and repeated attempts to close the defect.

Keywords: abdominalcompartmentsyndrome; incisionalhernia; intra-abdominalhypertension; intra-abdominalpressure; riskfactors.

Publication types

  • Review

MeSH terms

  • Herniorrhaphy / adverse effects*
  • Humans
  • Incisional Hernia / complications
  • Incisional Hernia / surgery*
  • Intra-Abdominal Hypertension / etiology*
  • Risk Factors