Conclusions  This is the first randomized study to show a beneficial effect of the new self-fixating mesh on pain score. According to our investigations, operative time is reduced, which is a considerable fact with regard to economic aspects as well as the beneficial aspects for the patients. A study with a larger cohort of patients should be conducted to confirm the promising results of this exploratory study. Content Type Journal ArticleCategory Controlled Prospective Clinical TrialsDOI 10.1007/s00423-010-0597-2Authors Matthias Kapischke, Vivantes Klinikum Spandau Department of Surgery Neue Bergstrasse 06 13585 Berlin GermanyHeiko Schulze, Martin Luther Hospital Department of Surgery Lutherstrasse 22 24837 Schleswig GermanyAmke Caliebe, University Hospital of Schl...