The goal of this clinical trial is to investigate whether mesh-suture affects wound complication rates, patient-reported quality of life, and operation time in adult patients undergoing surgery for small ventral hernias.

The main questions it aims to answer are:

Does mesh-suture reduce wound complication rates compared to planar mesh? Does mesh-suture improve patient-reported quality of life(QoL) and affect operation time compared to planar mesh?

Comparison group:

Researchers will compare standard treatment with planar mesh to the interventional treatment with mesh-suture to see whether mesh-suture leads to fewer complications, better quality of life, and shorter operation time.

Participants will:

Be randomized to receive either planar mesh or mesh-suture during hernia repair surgery.

Undergo standardized preoperative assessment, including baseline data and QoL scoring.

Attend a postoperative visit on day 7-13 for wound inspection and ultrasound. Complete QoL assessments at 90 days (telephone follow-up). Have operation time recorded and medical records reviewed for readmissions within 90 days.

Inclusion Criteria:

• Ventral hernia (maximum size 3 × 3 cm) measured with Ultrasound or CT.
• Participants must be eligible for surgical repair using either mesh-suture or planar mesh

Exclusion Criteria:

• Age < 18 years.
• Acute (emergent) operation.
• Pregnancy.
• Women with plans for future pregnancies.
• Withdrawal of informed consent during admission.

Ethics commettee requirements