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The laparoscopic onlay patch repair is associated with less recurrence, shorter hospital stay, lower wound morbidity, and lower postoperative pain when compared with open suture repair. (SOR B, based on a single cohort study.) Open surgical mesh repair of umbilical hernia is associated with less recurrence than open suture repair, but there is controversy surrounding the infection rates associated with this repair. (SOR B, based on heterogeneous cohort studies.)