Gender-specific mesh implant with barrier for inguinal hernia repair

An implantable mesh for onlay inguinal hernia repair in a male patient, comprising:

• a) a fabric layer comprising an anterior side defining a surface area, a horizontally-oriented centerline extending substantially parallel to an inferior edge and extending from a medial edge of the fabric layer to a lateral edge of the fabric layer, and a vertically-oriented center extending from a superior edge of the fabric layer to the inferior edge of the fabric layer;
• wherein the fabric layer is configured to enable tissue adhesion to said mesh;
• and
• b) an anti-adhesive barrier configured to prevent direct contact between the fabric layer and one or both of a spermatic cord and a genital nerve of the male patient upon implantation, the barrier covering a part of the surface area on the anterior side of the fabric layer, the barrier being less than 25% of the surface area of the anterior side of the fabric layer, wherein the barrier is inferior to the horizontally-oriented centerline and medial to the vertically-oriented centerline, wherein the barrier is oblique to the horizontally-oriented centerline and to the vertically-oriented centerline, wherein at least a portion of the fabric layer does not include the anti-adhesive barrier, the at least a portion being greater than 75% of the surface area.