Especially when surgery is done for an infective condition like bowel perforation, acute cholecystitis, acute appendicitis, any other conditions with intra-abdominal sepsis, immunocompromised person, or an elderly person with sarcopenia. There can be times when in a lifesaving emergency after a laparotomy the abdomen cannot be closed due to excessive intra-abdominal pressure and must be managed as an ‘open abdomen’, this is a rare situation where eventually an incisional hernia develops. Other patient factors can lead to incisional hernias like, obesity, surgery for abdominal trauma, or abdominal wall tumors where there can be a deficiency of the abdominal wall tissues.