CT assessment of the visceral fat as a predictor of early postoperative complications after hernioplasty

Abstract Background Increased risk of wound healing complications following abdominal wall procedures may be associated with obesity and elevated body mass index. Our study's objectives are to assess the influence of visceral fat volume (VFV) on 30-day postoperative complications after herniopl...

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Main Authors: Islam Haney Shawali, Mennatalla Salem Abdelsalam Hamed, Ahmed Saeed Saqr, Marwa Shaker Elnafrawy
Format: Article
Language:English
Published: SpringerOpen 2025-08-01
Series:The Egyptian Journal of Radiology and Nuclear Medicine
Subjects:
Online Access:https://doi.org/10.1186/s43055-025-01558-2
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author Islam Haney Shawali
Mennatalla Salem Abdelsalam Hamed
Ahmed Saeed Saqr
Marwa Shaker Elnafrawy
author_facet Islam Haney Shawali
Mennatalla Salem Abdelsalam Hamed
Ahmed Saeed Saqr
Marwa Shaker Elnafrawy
author_sort Islam Haney Shawali
collection DOAJ
description Abstract Background Increased risk of wound healing complications following abdominal wall procedures may be associated with obesity and elevated body mass index. Our study's objectives are to assess the influence of visceral fat volume (VFV) on 30-day postoperative complications after hernioplasty procedure. Results At follow-up, 28.2% of patients had developed postoperative complications. The most frequent complication was surgical site infection (SSI) (25.4%) followed by surgical site hematoma (4.2%) and then cutaneous sinus tract (2.8%). Sensitivity analysis showed that defect size, visceral fat volume and subcutaneous fat volume can significantly predict postoperative complications with cutoff values 2.9 cm, 125 cm3 and 301 cm3 with sensitivity 100%, 79%, 73.7% and specificity 79%, 65% and 65%, respectively. Conclusion High values of visceral fat volume (VFV) were significantly associated with increased risk of postoperative complication following hernioplasty operation. This study suggests VFV as a risk assessment tool for patients undergoing hernioplasty.
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institution Kabale University
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series The Egyptian Journal of Radiology and Nuclear Medicine
spelling doaj-art-6efcf63f38ba4b3f81864fe84b7609c92025-08-20T03:47:10ZengSpringerOpenThe Egyptian Journal of Radiology and Nuclear Medicine2090-47622025-08-0156111310.1186/s43055-025-01558-2CT assessment of the visceral fat as a predictor of early postoperative complications after hernioplastyIslam Haney Shawali0Mennatalla Salem Abdelsalam Hamed1Ahmed Saeed Saqr2Marwa Shaker Elnafrawy3Cairo UniversityCairo UniversityCairo UniversityCairo UniversityAbstract Background Increased risk of wound healing complications following abdominal wall procedures may be associated with obesity and elevated body mass index. Our study's objectives are to assess the influence of visceral fat volume (VFV) on 30-day postoperative complications after hernioplasty procedure. Results At follow-up, 28.2% of patients had developed postoperative complications. The most frequent complication was surgical site infection (SSI) (25.4%) followed by surgical site hematoma (4.2%) and then cutaneous sinus tract (2.8%). Sensitivity analysis showed that defect size, visceral fat volume and subcutaneous fat volume can significantly predict postoperative complications with cutoff values 2.9 cm, 125 cm3 and 301 cm3 with sensitivity 100%, 79%, 73.7% and specificity 79%, 65% and 65%, respectively. Conclusion High values of visceral fat volume (VFV) were significantly associated with increased risk of postoperative complication following hernioplasty operation. This study suggests VFV as a risk assessment tool for patients undergoing hernioplasty.https://doi.org/10.1186/s43055-025-01558-2ObesityBMIVisceral fat volumePostoperative complicationsHernioplasty
spellingShingle Islam Haney Shawali
Mennatalla Salem Abdelsalam Hamed
Ahmed Saeed Saqr
Marwa Shaker Elnafrawy
CT assessment of the visceral fat as a predictor of early postoperative complications after hernioplasty
The Egyptian Journal of Radiology and Nuclear Medicine
Obesity
BMI
Visceral fat volume
Postoperative complications
Hernioplasty
title CT assessment of the visceral fat as a predictor of early postoperative complications after hernioplasty
title_full CT assessment of the visceral fat as a predictor of early postoperative complications after hernioplasty
title_fullStr CT assessment of the visceral fat as a predictor of early postoperative complications after hernioplasty
title_full_unstemmed CT assessment of the visceral fat as a predictor of early postoperative complications after hernioplasty
title_short CT assessment of the visceral fat as a predictor of early postoperative complications after hernioplasty
title_sort ct assessment of the visceral fat as a predictor of early postoperative complications after hernioplasty
topic Obesity
BMI
Visceral fat volume
Postoperative complications
Hernioplasty
url https://doi.org/10.1186/s43055-025-01558-2
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