Comparison of medium-weight vs heavy-weight mesh in minimally invasive extraperitoneal ventral hernia repairs - Takeaways - MDSpire
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Medium- Versus Heavyweight Mesh for Minimally Invasive Extraperitoneal Ventral Hernia Repair: A Comparative Study

  • By

  • Ayesha Siddiq

  • Nicolette M. Winder

  • Xinyan Zheng

  • Jeffrey Marks

  • Joshua L. Lyons

  • Samuel J. Zolin

  • October 15, 2026

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  • 1

    This retrospective study used prospectively collected ACHQC data to compare medium- and heavyweight mesh in minimally invasive extraperitoneal ventral hernia repair.

  • 2

    Eligible adults underwent laparoscopic or robotic retromuscular or preperitoneal repair with clean wounds and successful fascial closure.

  • 3

    The primary outcome was pragmatic hernia recurrence at 1 year, combining available surgeon-reported and patient-reported assessments.

  • 4

    Secondary outcomes included 30-day complications and recurrence, readmission, reoperation, pain, and abdominal-wall–specific quality of life.

  • 5

    Propensity score matching was used to balance clinical and operative characteristics between mesh-weight groups, and follow-up extended to approximately 2 years.

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