HERNIAscore — Incisional Hernia Risk
Predicts ventral incisional hernia after abdominal surgery (HERNIAscore, Goodenough 2015). Guides prophylactic mesh placement decisions.
Score interpretation
HERNIAscore 0–3: incisional hernia in 5.2% (Goodenough 2015).
→ Standard fascial closure: continuous small-bites technique with a slowly absorbable suture for midline laparotomy; close trocar sites of 10 mm or larger; laparoscopic or non-midline approach where safe (EHS/AHS 2022).
HERNIAscore 4–5: incisional hernia in 19.6% (Goodenough 2015).
→ Small-bites closure; prophylactic mesh augmentation can be considered after elective midline laparotomy (EHS/AHS 2022); optimise modifiable risk factors (weight, smoking) preoperatively.
HERNIAscore 6: incisional hernia in 55.0% (Goodenough 2015).
→ Discuss prophylactic mesh augmentation (onlay or retromuscular permanent synthetic mesh; EHS/AHS 2022); small-bites closure; weight optimisation and smoking cessation.
Interpretation bands for the Incisional Hernia Risk. Apply clinical judgement and local guidance.
References
Related
Curated clinical cross-links plus same-class fallbacks.
- Protamine Sulphate (Heparin Reversal) · Heparin Reversal / Cardiac Surgery
- Semaglutide · GLP-1 Receptor Agonist
- Liraglutide · GLP-1 Receptor Agonist
- Tirzepatide · Dual GIP/GLP-1 Receptor Agonist — Type 2 Diabetes / Obesity
- Naltrexone with bupropion · Anti-obesity (combination)
- Ertapenem · Carbapenem — ESBL / Complicated Intra-Abdominal / Community OPAT
- Major Trauma — Primary Survey (ATLS) · ATLS 10th Edition; JRCALC; NICE NG39
- Major Haemorrhage / Massive Transfusion · BCSH; RCOA; RCEM; RCS — BCSH Guidelines
- Burns — TBSA Estimation & Fluid Resuscitation · British Burn Association; EMSB; RCEM 2024
- Lower Gastrointestinal Bleed · NICE; BSG; ACPGBI — Commissioning Guide
- Acute Pancreatitis · NICE; IAP/APA; ACPGBI — CG104
- Hypertrophic Pyloric Stenosis · BAPS / RCPCH
Decision support only — verify against a current formulary, NICE, or your local guideline before clinical use.