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. 2019 Jun 27;33(10):3069–3139. doi: 10.1007/s00464-019-06907-7
Level 3 Increasing hernia defect size, and reducing overlap size, among other factors was related to the risk of hernia recurrence
Level 3 The mesh area-to-defect area ratio appears to be more important to minimize recurrence, than a single-mesh overlap length (such as 5 cm)