Case guide

UPDATED FEB 2026

Ventral Hernia Mesh Claims

Part of the Hernia Mesh (Davol/C.R. Bard) investigation

The short answer

Ventral hernias — including incisional hernias following prior abdominal surgeries — are typically repaired with large sheets of synthetic mesh placed intra-abdominally or in the retromuscular space. The large surface area of ventral mesh in contact with bowel creates significant risk of adhesion, migration, and bowel obstruction.

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Ventral and Incisional Hernia Background

Ventral hernias occur through the anterior abdominal wall, most commonly at the umbilicus (umbilical hernia) or at the site of a prior abdominal surgical incision (incisional hernia). Incisional hernias affect 10 to 15 percent of patients who undergo abdominal surgery and are more common after emergency procedures, obese patients, and patients with wound complications after the original surgery. The hernia defect in ventral repairs is typically larger than in inguinal repairs, requiring correspondingly larger mesh implants with proportionally more surface area against bowel.

Why Large Ventral Mesh Failures Are Severe

Large ventral mesh repairs — particularly those using composite devices like Ethicon Physiomesh, Davol Composix E/X, or Atrium C-QUR — place substantial mesh surface in close proximity or direct contact with the bowel and other intra-abdominal organs. When the mesh's anti-adhesion barrier degrades or is absent, extensive adhesions can form across the entire mesh surface. Unlike inguinal mesh adhesions which are spatially limited, large ventral mesh adhesions can bind multiple loops of bowel simultaneously, creating complex obstruction patterns requiring extensive surgical lysis with high risk of bowel injury.

The Physiomesh Recall and Ventral Claims

Ethicon Physiomesh was primarily indicated for laparoscopic ventral hernia repair, and ventral hernia patients constitute a significant proportion of the Ethicon MDL 2753 caseload. Following the 2016 withdrawal, patients who had already received Physiomesh were left without manufacturer support and without an FDA recall compelling explantation. Surgeons were advised to monitor patients but many complications were not identified until years later when patients presented with pain, bowel symptoms, or recurrence. Patients who received Physiomesh for ventral hernia repair should seek legal evaluation regardless of how long ago the surgery occurred.

Key data

Data & Statistics

3 SOURCED FIGURES

10–15%

New England Journal of Medicine

350,000

American Hernia Society

2016

Ethicon/EHS-AHS Safety Communication

FAQ

Frequently Asked Questions

12 QUESTIONS

Hernia mesh litigation is a mass tort action against manufacturers of defective synthetic mesh implants used in hernia repair surgery. The primary defendants are Davol Inc. and C.R. Bard (now part of Becton Dickinson), Ethicon (a subsidiary of Johnson and Johnson), Atrium Medical, and Covidien (now part of Medtronic). These companies manufactured polypropylene and composite mesh devices that have been associated with serious complications including mesh migration, adhesion, infection, chronic pain, and bowel obstruction. Thousands of patients have filed claims in MDL 2846 in the Southern District of Ohio and in state court coordinations.

Dive deeper

Related Guides

11 GUIDES

The full investigation

Part of the Hernia Mesh (Davol/C.R. Bard) Investigation