Donovan K, Denham M, Kuchta K, et al. - Researchers examined for predictive factors for recurrence after open umbilical hernia repair with either mesh or primary closure. From a prospectively managed, quality database, they analyzed data of consecutive patients (n = 1,125) undergoing open umbilical hernia repair. During a median follow-up of 14 months, 3.3% experienced recurrence. A greater risk of recurrence after open umbilical hernia repair was observed in correlation with higher body mass index, concurrent laparoscopic inguinal hernia repair, current smoking, diabetes, primary closure repair of hernias ≥ 1.5 cm, and postoperative infection.