Praxis Medical Insights

Est. 2024 • Clinical Guidelines Distilled

Made possible by volunteer editors from the University of Calgary & University of Alberta

Last Updated: 9/5/2025

Indications for Umbilical Hernia Repair

Primary Indications for Non-Mesh Repair

  • The World Journal of Emergency Surgery suggests that non-mesh repair techniques, such as the Mayo repair, may be considered in clean, non-contaminated surgical fields (CDC wound class I) 1
  • Current guidelines suggest that synthetic mesh can still be safely used even in emergency settings with clean-contaminated fields, according to the World Journal of Emergency Surgery 1
  • Active local infection is a contraindication to mesh placement, as stated in the World Journal of Emergency Surgery 1
  • Significant contamination is also a contraindication to mesh placement, as noted in the World Journal of Emergency Surgery 1