Mesh reinforcement has dramatically reduced recurrence rates in many hernia repairs. However, there remain select scenarios where non-mesh repair may be appropriate.
Small primary umbilical or inguinal hernias in carefully selected patients can sometimes be repaired primarily.
Patient preference, infection risk, and defect size all influence decision-making. The key is individualized care rather than a one-size-fits-all approach.
The goal is durability with safety.
