The organs of the abdomen are present in their destined place because of the intra–abdominal pressure. The pressure has to be maintained all the time for the organs to stay and is the primary function of the surgeon when conducting an intra–abdominal surgery. The surgeons has to be well versed with Langer lines and also the direction of the subcutaneous collagen fibers as any disturbances may result in incisional hernias.

A Sincere effort has been put to understand the clinical and surgical factors that may be a synergistic factor for the formation of the incisional hernias. This study is intended to help the practicing surgeons.