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[Comment] Time for use of mesh repair for all umbilical hernias?

The indication for open umbilical hernia repair is based predominantly on a surgeon’s preference rather than solid evidence, and whether to suture or reinforce the repair with mesh has been heavily debated.1–3 Annually, millions of patients undergo repair for an umbilical hernia,4 and despite 90% of these defects being less than 2 cm in diameter, 5–10% of patients are reoperated for recurrence, and many more have a clinically detectable recurrence and therefore risk chronic pain.5,6