No-Mesh Inguinal
Hernia Repair
Eliminate the risk of chronic groin pain, rejection, and mesh shrinkage. Experience the United States' premier 100% natural, tension-free inguinal hernia repair.
Board Certified
General Surgeon
AAAASF Certified
Surgical Facility
Fort Myers, FL
National Destination
Transparent Healthcare
All-Inclusive Surgery Pricing
Our simple flat self-pay fee covers everything—no hidden costs, no surprise hospital bills, and no insurance approvals required.
Schedule Your Appointment to Learn About Discounted Inguinal Hernia Repair Surgery in Florida
If you are researching no-mesh procedures for groin or inguinal hernias, you’ve found your answer. A trip to our practice in Fort Myers, Florida, can save you from the risks of placing mesh in your groin area.
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Schedule your consultation online to learn more about the Desarda technique and save $300 on your procedure.
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Don’t go anywhere else, because we are the only certified center in the United States endorsed by Dr. Mohan Desarda.
What Are Inguinal Hernias?
Inguinal hernias are a common type of adult hernia and occur more in men than in women. An inguinal hernia can develop when parts of the abdomen, such as the intestine, protrude through a weak spot in the abdominal muscles. This bulge usually creates pain, especially when you bend over, lift heavy objects or cough.
Inguinal hernias are located in the lower abdomen near the pubic area just above the crease of your leg. A direct inguinal hernia protrudes forward when you stand. Indirect hernias, on the other hand, often take a more sloping route toward the scrotum.
Causes of Inguinal Hernias
The weakened abdominal lining that leads to inguinal or femoral hernias often occurs at birth. The inguinal canal is where a male’s testicles descend before birth. If this part of the abdominal wall doesn’t seal properly, it can leave a natural defect called the internal inguinal ring.
Other causes of inguinal hernias include:
- Aging
- Strenuous physical activity
- Coughing due to smoking
- Straining during bowel movements or urination
- Pregnancy
- Chronic coughing or sneezing
Symptoms of Inguinal Hernias
The most common symptoms of an inguinal hernia include:
- Pain or discomfort in your groin that usually worsens when you bend over, cough or lift anything
- Weakness or pressure in your groin
- Dragging or a heavy feeling in your groin
- A bulge on either side of your pubic bone
- Burning or aching at the bulge
- Pain or swelling around the testicles
What Is Inguinal Hernia Repair?
While an inguinal hernia isn’t necessarily dangerous, it will not improve without treatment. It can also lead to severe complications. Groin hernia repair is a commonly performed surgery — thanks to the no-mesh Desarda technique, these groin hernia surgeries are safer than ever.
Traditionally, surgical mesh is used after the hernia is pushed back in place to provide extra support to the weakened abdominal muscles. However, mesh is a foreign body and has a long history of defects and recalls that put patients at risk. It can also shrink over time, leaving you unprotected and often leading to a hernia recurrence.
What Is the Desarda Technique for Inguinal Hernia Repair? Why Do We use the term Nomeshinaround?
Dr. Tomas can repair your hernia without mesh using the Desarda technique. A Desarda repair uses your own muscle tissue and two rows of absorbable sutures as strong and natural replacements for mesh. Incorporating the muscle strip into the hernia repair will not result in muscle weakness or deformity.
How Does It Work?
Whether you require direct or indirect inguinal hernia repair, Dr. Tomas uses a muscle graft. When you have an inguinal hernia, soft tissue — often the intestine or stomach — pushes the muscle that covers it. The Desarda repair technique uses a portion of the aponeurosis of the external oblique to cover this hole. Healthy oblique muscles provide support for the repaired hernia and also protect and cover the exposed organ.
What Are the Benefits of No-Mesh and Tension-Free Inguinal Hernia Repair?
The Desarda technique for hernia repair provides many benefits over other hernia repair procedures:
- No mesh-related risks: Even though surgical mesh is supposed to be safe, it can have unpredictable effects. This includes pain, rejection, hernia recurrence, infection, migration and even testicular damage. The Desarda procedure uses your own muscle for the repair to support the inguinal floor, reducing and often eliminating these risks.
- Low tension: While there are other mesh-free hernia techniques, these involve pulling on the edges of the hernia to close it, causing tension. The Desarda technique avoids this by using a muscle graft as a bridge between the ligament and oblique muscle. This new support uses your own tissue and doesn’t rely on tension.
- Low risk of recurrence: Dr. Tomas has performed more than 4,000 no-mesh inguinal hernia surgeries with less than a 1% risk of recurrence.
- Absorbable sutures: Traditional femora hernia repair relies on stainless steel sutures. Instead of using devices that remain in your body, Dr. Tomas employs absorbable sutures that dissolve with time.
- Flat rate: No need to worry about copays or whether your insurance covers this procedure. We offer our inguinal hernia repairs without mesh for a flat fee.
Dr. Robert Tomas is the only surgeon in the United States trained to perform the Desarda No-Mesh Hernia Technique.
Dr. Mohan Desarda observed the hernia repairs of several patients who were operated on by Dr. Robert Tomas.
Patient Testimonials
U First Health is also the Desarda Hernia Center of the United States®
Our Florida practice has served more than 4,000 patients from across the U.S. and around the world. Dr. Robert Tomas and our team specialize in inguinal hernia surgery procedures in Florida, delivering outstanding results with a low risk of postoperative complications and recurrence.
About Dr. Robert Tomas
Robert E. Tomas, D.O., FACOS, is recognized by Dr. Mohan Desarda as the only provider of Desarda hernia repair in the United States. Dr. Tomas is board certified in general surgery and has more than 20 years of experience. For over a decade now, he has performed inguinal surgery repairs in Florida, providing thousands of patients with exceptional results and life-changing relief.
CALL TODAY FOR A FREE CONSULTATION about No-Mesh Inguinal Hernia Repair
Call (888) 884-0019What Is the Process of Getting Inguinal Hernia Surgery?
Before your Desarda procedure, our Florida team will ensure you understand what you can expect as one of our hernia repair patients. We can arrange your free consultation with Dr. Tomas in person or over the phone. We also use preoperative bloodwork and an EKG to ensure you're eligible for surgery.
Dr. Tomas and his team will perform your Desarda hernia repair under local or general anesthesia, depending on your preferences and health profile.
Our team will then guide you regarding all aftercare instructions to ensure you enjoy a rapid and safe recovery. A few days after your surgery, Dr. Tomas will check your incision and monitor your healing. Out-of-town patients can return home after this appointment. Most patients go back to work one week after their procedure.
Click on the link below to register for our TouchMD app. This will guide you through your surgery:
Scroll Down to See
Inguinal Hernia Repair
Before and After Case Studies
Warning: Graphic Content
Desarda Hernia Center, USA | NoMeshHerniaSurgery.com
No Mesh Required For These Repairs
Case Study #1
72 YM who flew dwn from New Hampshire with extremely large bilateral inguinal hernias for over 25 years and wished to have them repaired with No Mesh, Desarda Technique. Performed by Dr. Robert Tomas. This man is confirmed to have no recurrence 5 years later, July, 2022.
Case Study #2
44 YM who presented to the emergency room in excruciating pain and a large inguinal hernia on the right that was extremely large and under pressure. A second incision on the right scrotum was needed in order to reduce the intestines. He wished to have it repaired with No Mesh, Desarda Technique. This surgery was performed by Dr. Robert Tomas as an emergency at Gulf Coast Medical Center.
Case Study #3
73 YM who drove down from Tampa, Florida with extremely large right inguinal hernia, basketball size, and a smaller left inguinal hernia for several years and wished to have them repaired with No Mesh, Desarda Technique. Performed by Dr. Robert Tomas.
Case Study #4
A 64 YM came down from northern Florida with this large hernia that had an obvious large section of his intestine in his scrotum. He did not want mesh at all, so he came to the Desarda Hernia Center, USA®. The surgery was performed under general anesthesia in order to reduce a large section of the small intestine and right colon back into the peritoneal (belly) cavity. It was performed by Robert Tomas, D.O, FACOS in Novemeber, 2015 with no mesh. Even these large hernias can be repaired with the Desarda technique.
Case Study #4
Additional views showcasing the dramatic transformation and complete restoration of the inguinal floor without any mesh.
Case Study #5
(Large Right Inguinal Hernia)
Case Study #6
(Bilateral Inguinal Hernia, Left greater than Right)
Showcasing the correction of a complex bilateral inguinal hernia, with the left side significantly larger than the right, fully restored using the mesh-free Desarda technique.
Case Study #7
(Oct, 2022 - Large left inguinal hernia containing segment of colon)
Correction of a challenging left inguinal hernia where a segment of the colon had migrated. This was carefully reduced and the inguinal floor reinforced naturally.
Case Report
45 year old male complaining of pain for several years after inguinal hernia mesh repair. He was unable to play hockey without pain. Dr. Robert Tomas recommended mesh removal. He was pain free after the surgery. Please note the reconstructed floor of the inguinal canal after mesh removal. Strength of the floor is the patient's own external oblique muscle strip.
Performed by Dr. Robert Tomas
Dr. Robert Tomas
D.O., FACOS
Desarda Hernia Center USA® Founder
15,000+
Procedures
20+ Yrs
Experience
Dr. Robert Tomas is a board-certified general surgeon widely known as "Dr. NoMeshInAround." He is the leading authority on the Desarda technique in the United States.