Level 1B	Suture herniorrhaphy is the simplest procedure among the open repair techniques.
	Suture repair is associated with a high recurrence rate.
	Suture repair is accomplished in a shorter operative time than mesh repair.
	Mesh repair reduces the recurrence rate significantly compared with suture repair.
	Mesh repair seems to be a safe method even in the presence of nonviable bowel loops in an incarcerated umbilical hernia.
	Wound complication rates can be slightly higher in mesh repair or similar in the two groups.
Level 3	Independent risk factors for recurrence of small hernias are not clearly defined. Hernia size, BMI, or wound infection in one study, and smoking, obesity, size of hernia, type of repair, and COPD in another study do not seem to predict recurrence in small hernia repair.
Level 4	Not every “small hernia” requires mesh repair.
	Suture repair of hernias smaller than 2 cm shows an acceptable recurrence rate and low wound morbidity.
Level 5	Despite the existing evidence, suture repair still is very popular in the surgical community