Intraperitoneal Onlay Mesh for Ventral Hernias: Long-Term Safety and Rare Complications

Long-term mesh-related complications from minimally invasive intraperitoneal onlay mesh for small to medium-sized ventral hernias are extremely low, with only a 0.62% rate of reoperation due to mesh complications up to 6 years postoperatively. This study of 325 patients showed that intraperitoneal mesh remains a safe and durable option for hernia surgeons, with the majority of cases being elective non-recurrent, and having a very low rate of complications over a median follow-up of 3.6 years.