| Grade A | Mesh reinforcement is recommended for all VH repairs (diameter > 1 cm) in a clean case |
| Grade B | Mesh reinforcement is suggested in even small umbilical or epigastric hernias (diameter > 1 cm) to lower the risk of reoperation for recurrence |
| It is suggested that patients with small midline hernias and concomitant divarication recti should receive a mesh repair to decrease the risk of recurrence |
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