A surgical mesh for repair of incisional and or ventral hernia with a fixation fin extending from one of the surfaces of the mesh usually along the midline of the surface. The closure of the hernia defect edges involves suturing to the fin to avoid the possibility of damage to internal organs during laparoscopic suturing. An alternate embodiment involves a flexible rod mounted in a tubular structure on the mesh axis. The tubular structure includes a central opening with an attached thread that permits removal of the flexible rod, which spreads the mesh open to facilitate fixation of the mesh onto the abdominal wall surface.
