A Longitudinal Prospective Outcomes Study of Laparoscopic Abdominal Wall Hernia Repair Using Symbotex™ Composite Mesh

Inclusion Criteria: * Age 18 or older * Grade I or II ventral hernia according to VHWG classification system * Pre-operative informed consent is obtainable Exclusion Criteria: * Not candidate for laparoscopic approach for repair of their hernia * Determination in the operating room that biologic mesh is needed over permanent mesh * Fascial defect less than 3 cm in greatest dimension * Concurrent placement of another mesh (synthetic or biologic ) at the site where the study mesh is placed * Grade III or IV ventral hernia according to VHWG system * ASA score IV or above * Any disease or condition along with the surgeon's clinical judgment that contraindicates the use of study mesh. These include but are not limited to the presence of chronically infected tissues subjecting patient to risk of synthetic mesh infection, accidental bowel injury during surgery or anatomy of the patient that is not receptive to laparoscopic surgery or mesh implantation. * Pregnancy * Use of more than one of the same study mesh is not an exclusion criterion in and of itself, so long as the type of mesh is selected according to the randomization protocol. In other words, if the hernia defect is larger than the largest Symbotex™ mesh available, two or more Symbotex mesh pieces may be used to appropriately repair the hernia defect.