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Repair of Small Epigastric Hernias
I am a hernia surgeon in upstate NY. I normally use mesh but in a tiny hernia like this a single suture should be fine as the defect is probably less than a few millimeters. I only use absorbable sutures because it is the scarring that repairs the hernia, not the sutures. Permanent sutures will eventually saw through the tissues and create another defect. I try to use monofilament whenever possible because there is a lower risk of infection. As long as all the herniated contents are removed an the edges freshened, you should get a good result.