Conclusions  In view of the described complication, there is still considerable controversy regarding the routine use of mesh. To increase safety, a composite mesh should be preferred. Content Type Journal ArticleDOI 10.1007/s00464-009-0456-9Authors Nico Zügel, Centre Hospitalier Emile Mayrisch (CHEM) General and Visceral Surgery Unit Rue Emile Mayrisch 4005 Esch-sur-Alzette LuxembourgReinhold A. Lang, University of Munich Department of Surgery Klinikum Grosshadern, Marchioninistr. 15 81377 Munich GermanyMartin Kox, Centre Hospitalier Emile Mayrisch (CHEM) General and Visceral Surgery Unit Rue Emile Mayrisch 4005 Esch-sur-Alzette LuxembourgThomas P. Hüttl, University of Munich Department of Surgery Klinikum Grosshadern, Marchioninistr. 15 81377 Munich Germany J...