“…Previous studies have demonstrated that SSOs occur mainly in patients having a high-risk characteristic at the time of surgery [ 7 – 9 ]. Numerous studies have unambiguously reported that preoperative smoking, obesity, or a low physical activity level influence incisional hernia repair negatively, in terms of SSO and recurrence [ 10 – 15 ]. Breaking the “vicious circle” of subsequential hernia repairs in a single patient, can be achieved by rigorously addressing these risk factors [ 3 , 13 ].…”