{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,4]],"date-time":"2026-08-04T10:44:58Z","timestamp":1785840298256,"version":"3.56.0"},"reference-count":24,"publisher":"Walter de Gruyter GmbH","license":[{"start":{"date-parts":[[2026,8,5]],"date-time":"2026-08-05T00:00:00Z","timestamp":1785888000000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec id=\"j_jbcpp-2026-0173_abs_001\">\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>Incisional hernia is a complication after abdominal surgery and is particularly challenging in patients with ascites because of increased intra-abdominal pressure, impaired wound healing, and infection risk. Evidence on surgical repair remains limited, particularly for incisional rather than umbilical hernias.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"j_jbcpp-2026-0173_abs_002\">\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This retrospective multicenter study included 31 cirrhotic patients with ascites (22 males, 9 females; 45\u201372 years) who underwent incisional hernia repair between 2000 and 2025 at three tertiary General and Emergency Surgery Units. Liver disease severity was assessed using the Child\u2013Pugh classification. Following preoperative ascites optimization, repair was performed with primary suture or mesh reinforcement. Primary outcomes were perioperative morbidity and mortality; secondary outcome was hernia recurrence.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"j_jbcpp-2026-0173_abs_003\">\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Perioperative mortality occurred in 5 patients (16.1\u202f%), all with advanced liver disease. Major complications occurred in 8 patients (25.8\u202f%), while minor complications developed in 10 (32.3\u202f%), mainly surgical site infection, seroma or hematoma, and postoperative ileus. After a median follow-up of 26\u00a0months, hernia recurrence occurred in 11 patients (35.5\u202f%) and was higher after primary suture than mesh repair.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"j_jbcpp-2026-0173_abs_004\">\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Elective repair is feasible in selected patients after ascites optimization. Mesh reinforcement provides greater durability when infection risk is acceptable. Patient selection and perioperative management remain essential.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1515\/jbcpp-2026-0173","type":"journal-article","created":{"date-parts":[[2026,8,4]],"date-time":"2026-08-04T09:55:33Z","timestamp":1785837333000},"source":"Crossref","is-referenced-by-count":0,"title":["Incisional hernia repair in cirrhotic patients with ascites: a multicenter retrospective experience"],"prefix":"10.1515","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3122-5531","authenticated-orcid":false,"given":"Agostino","family":"Fernicola","sequence":"first","affiliation":[{"name":"Unit of Emergency Surgery, Department of Advanced Biomedical Sciences , Federico II University , Naples , Italy"},{"name":"Department of Clinical Medicine and Surgery , Federico II University , Naples , Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pierluigi","family":"Angelini","sequence":"additional","affiliation":[{"name":"Unit of Emergency Surgery, Dei Colli Hospital , CTO Hospital , Naples , Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Luigi","family":"Ricciardelli","sequence":"additional","affiliation":[{"name":"Unit of Emergency Surgery, Dei Colli Hospital , CTO Hospital , Naples , Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alfonso","family":"Santangelo","sequence":"additional","affiliation":[{"name":"Division of Oncology, Unit of Urology, IRCCS Ospedale San Raffaele , Vita-Salute San Raffaele University , Milan , Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Domenico","family":"Santangelo","sequence":"additional","affiliation":[{"name":"Department of Radiology , IRCCS San Raffaele Hospital , Milan , Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0002-0413-5861","authenticated-orcid":false,"given":"Murtaja","family":"Satea Shafeea","sequence":"additional","affiliation":[{"name":"College of Medicine , University of Warith Al-Anbiyaa , Karbala , Iraq"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Felice","family":"Crocetto","sequence":"additional","affiliation":[{"name":"Department of Neurosciences, Reproductive Sciences and Odontostomatology and Urology Unit , Federico II University , Naples , Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Armando","family":"Calogero","sequence":"additional","affiliation":[{"name":"Unit of Emergency Surgery, Department of Advanced Biomedical Sciences , Federico II University , Naples , Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0533-5833","authenticated-orcid":false,"given":"Vincenzo","family":"Schiavone","sequence":"additional","affiliation":[{"name":"Unit of Emergency Surgery, Department of Advanced Biomedical Sciences , Federico II University , Naples , Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1450-4248","authenticated-orcid":false,"given":"Giacomo","family":"Benassai","sequence":"additional","affiliation":[{"name":"Division of Endoscopic Surgery, Department of Clinical Medicine and Surgery , \u201cFederico II\u201d University of Naples , Naples , Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5699-150X","authenticated-orcid":false,"given":"Gennaro","family":"Quarto","sequence":"additional","affiliation":[{"name":"Division of Endoscopic Surgery, Department of Clinical Medicine and Surgery , \u201cFederico II\u201d University of Naples , Naples , Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5194-8908","authenticated-orcid":false,"given":"Gianluca","family":"Costa","sequence":"additional","affiliation":[{"name":"Department of Life Sciences, Health and Health Professions , Link Campus University , Rome , Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5610-1615","authenticated-orcid":false,"given":"Marco","family":"Caricato","sequence":"additional","affiliation":[{"name":"Department of Colorectal Surgery Unit , Fondazione Policlinico Campus Bio Medico , Rome , Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3046-9988","authenticated-orcid":false,"given":"Michele","family":"Santangelo","sequence":"additional","affiliation":[{"name":"Unit of Emergency Surgery, Department of Advanced Biomedical Sciences , Federico II University , Naples , Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"374","published-online":{"date-parts":[[2026,8,5]]},"reference":[{"key":"2026080409552511762_j_jbcpp-2026-0173_ref_001","doi-asserted-by":"crossref","unstructured":"Shen, H, Farris, D, Sanders, DL, Dawes, H, Lamb, SE, Findlay, JM. 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