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Kaufmann, R., Halm, J.A., Eker, H.H., Klitsie, P.J., Nieuwenhuizen, J., van Geldere, D., et al. (2018) Mesh versus Suture Repair of Umbilical Hernia in Adults: A Randomised, Double-Blind, Controlled, Multicentre Trial. The Lancet, 391, 860-869.
https://doi.org/10.1016/s0140-6736(18)30298-8

has been cited by the following article:

• TITLE: Adult Umbilical Hernia Repair in the Era of Preperitoneal Mesh: Current Evidence, Controversies, and Surgical Advances

  AUTHORS: Junming Shi, Chuanchang Yin

  KEYWORDS: Umbilical Hernia, Ventral Hernia, Mesh Repair, Preperitoneal Repair, V-TAPP, IPOM, eTEP, Recurrence

  JOURNAL NAME: Journal of Biosciences and Medicines, Vol.14 No.10, October 20, 2026

  ABSTRACT: Mesh reduces recurrence after adult umbilical hernia repair, but the benefit is less certain for the smallest defects. This narrative review examines the choice of repair, with particular attention to preperitoneal mesh and minimally invasive extraperitoneal techniques. Defect width is classified according to the EHS/AHS framework as small (0 - 1 cm), medium (>1 - 4 cm), or large (>4 cm) [1]. Randomized trials support mesh over suture repair for defects measuring 1 - 4 cm. For hernias