ProLOVE - Prospective Randomized Study of Midline Incisional Hernia Treatment

Inclusion Criteria: * Age over 18 years * Postoperative hernias in the region of the recti abdomini muscles with a defect of less than 10 cm transversal width * No contraindications to laparoscopic procedure * The patient should be able to adequate ventilation/respiration after reduction of hernia contents * Indications for elective surgery Exclusion Criteria: * Pregnant women * Prior operation of abdominal hernia with mesh placement in the compartment of the rectus abdominus muscle (i.e. prior onlay mesh is acceptable) * Need of an interpreter * Current drug abuse, mental disorder or other condition which makes the patient incapable of postoperative follow up * Body Mass index (BMI) \>40 * Other planned concurrent operation * Current oral steroid treatment, or other immune system modulating treatment * Incarcerated incisional hernias * Parastomal hernias * Prior history of open abdomen * Enterocutaneous fistula or cutaneous infection * Hepatic cirrhosis or ascites * Generalized malignancy * History of radiation treatment in the abdomen. * ASA \>III