Suture Repair vs Mesh Repair for Incisional Hernia

This study compares two surgical techniques for repairing incisional hernias (hernias that occur at the site of a previous abdominal surgery): suture repair (stitching the hernia closed) versus mesh repair (placing a synthetic patch over the defect). The study aims to find out which method leads to better outcomes, fewer recurrences, and fewer complications for medium-sized hernias. You may be eligible if: - You are over 18 years old - You have an incisional hernia with an expected defect width of 2-6cm - Your surgery is non-emergency - You have previously had abdominal surgery without mesh at the hernia site You may NOT be eligible if: - Your surgery is an emergency - You are pregnant - You previously had a hernia repair with mesh at the same site - Your hernia is smaller than 2cm or larger than 6cm in width - You have a primary (not incisional) hernia - Your wound is classified as contaminated (CDC class II-IV) Talk to your doctor to see if this trial is right for you.