Hernia Surgery Fort Myers, FL

No Mesh Hernia Surgery Fort Myers

Desarda Hernia Center of the United States®


NO MESH Hernia Surgery

Robert Tomas, D.O., FACOS
Board Certified General Surgeon
AAAASF Certified Surgical Center
Fort Myers, Florida


Hello my name is Dr Robert Tomas and I want to tell you about the best kept secret in hernia surgery called the Desarda technique. I have performed over 1500 inguinal hernia surgeries using the Desarda no mesh tension free hernia repair and have had excellent results in which I've had a recurrence rate of only 1%. Don't let your doctor place mesh in your groin when you can repair primary hernias with this Desarda no mesh technique. Your research should end here and you should call us today in order to schedule your surgery within 1 to 2 weeks.

There are many different types of hernias. The main types are inguinal hernia (groin), umbilical hernia (belly button hernia) and incisional hernias. A patient will first notice a bulge that can increase in size if it is left untreated. The hernia can sometimes cause pain and possibly involve intestines that can twist inside the hernia sac. If left untreated for a long period of time the intestine can become damaged and require cutting out the damaged bowel. The treatment for this is to repair the defect early before further problems arise. We offer the No Mesh Hernia Repair called the Desarda Tension Free No Mesh Repair. Recurrence is less than 1% with this technique.

We are the best kept secret in hernia surgery.

Make your reservation now and get a special internet rate.



What is the data on your 1% recurrence rate for inguinal hernias?


These are the number of no mesh inguinal hernia surgeries Dr. Robert Tomas has performed over the last 6 years.

2010 - 69

2011 - 134

2012 - 181

2013 - 403

2014 - 345

2015 - 392

Total - 1,524 no mesh inguinal hernia repairs.

To date we have approximately 11 (0.7%) documented recurrences and the majority of these were within the first few years.



U First Health Dr. Desarda and Team

Dr. Desarda visiting the Desarda Hernia Center® in June, 2013


U First Health Dr. Desarda and Team

Dr. Tomas is the only US surgeon trained to perform the Desarda technique.


U First Health Dr. Desarda and Team

Dr. Desarda observed the repair of several patients operated by Dr. Tomas

No Mesh Tension Free Inguinal Hernia Repair

Now you can get your hernia repair without mesh and it is as strong as a repair as if you had mesh. This is a technique that was started in the 1990's and incorporates your own body wall (external oblique fascia) into the repair by reconstructing and strengthening the inguinal floor..

No Mesh Hernia Repair (Desarda Technique) with Local and IV Sedation


Here you see a hernia protruding from the floor of the inguinal canal

No mesh hernia repair surgery

The first row of sutures is used to cover the defective floor of the inguinal canal and as you can see the hernia sac is no longer visible.

No mesh hernia surgery

Then, to reinforce the floor, a second row of sutures is used with the adjacent muscle belly of the inguinal canal. This reconstruction of the floor provides strong support.

hernia surgery, no mesh hernia repair


Case Study

72 YM who flew down from NH with extremely large bilateral inguinal hernias and wished to have them repaired with No Mesh, Desarda Technique. Performed by Dr. Robert Tomas.

Before                                                           After

U First Health Hernia SurgeryU First Health Hernia Surgery


1 month later

U First Health Inguinal Hernia 1 Month Later


Case Study #2


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. Eeven these large hernias can be repaired with the Desarda technique


Before                                                      After

Pre-Op Big HerniaU First Health Hernia Surgery


U First Health No Mesh Hernia RepairU First Health No Mesh Hernia Repair

Patient Perspective on Mesh Repairs and Mesh Complications



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.


U First Health Mesh Removal

Section of Mesh removed from the floor of the inguinal canal


U First Health Mesh Removal

Reconstructed floor of the inguinal canal without mesh-Desarda Technique.

Performed by Dr. Robert Tomas





Video Testimonial of Three Patients Throughout the United States


Recent testimonial from a patient from Tampa, FL that came down for a No Mesh Tension Free Inguinal Hernia Repair (Desarda Technique):

K. Morin wrote:

When I was first diagnosed with a hernia by my urologist and started doing research, I became very disconcerted when it appeared that the main method used consisting of mesh and staples only had a 47% success rate….meaning the surgery has long term failure rate of almost half.
I am very active at 58 as I have an 8 year old son and I coach/play baseball, football and basketball with him, go wave running, snowmobiling….not to mention wrestling and the flying leaps that an 8 year old takes…failing to realize of course that he weighs 64 pounds and his dad is old.
Through continued research, and a stroke of luck, I discovered the Desarda, no mesh, tension free method and Dr. Tomas at Ufirsthealth. I started doing more research and discovered that it had a tremendous success rate so I contacted Ufirsthealth and sent an email under the “Ask the doctor” icon. Within a half hour, Dr. Tomas responded and gave me a number to call him at so he could explain the surgery to me.  I called, he answered, and spent about ten minutes on the phone with me explaining the procedure.  That was a first.
I drove to Ft Myers and found the entire staff to be “first rate” and when I met Dr. Tomas, his demeanor alone gave me all the comfort and confidence I needed and had the surgery done the next day. About two hours after my arrival, I was on my way home to Tampa, feeling great considering I just had surgery and outside of normal discomfort associated with any type of surgery, I had no issues whatsoever and was back on my treadmill the second day after surgery.
After three weeks, feeling great, almost back to normal activities and I have nothing but accolades regarding the procedure, Dr. Tomas and his first class team of professionals.
Thanks so much.


Another patient's testimonial from New York who had a bilateral (both sides) inguinal hernia repair. (1 year later testimonial)


Dear Dr. Tomas
It was one year ago on September 13 you performed my double inguinal
hernial repair. I have never once experienced any pain - or even
discomfort - from the moment I stood off the operating table. My scars are
imperceptible. I feel wonderful.

My confidence in the Desarda method of hernia repair is exceeded only by
my respect for your surgical art in performing it. I often think of you
and everyone at the U First Health Clinic with gratitude.

I thank you all for your genuine kindness.

Brian H.
Woodbourne NY

September, 2014



Surgeon, Dr. Robert Tomas, U First Health FL
Dr. Robert Tomas
General Surgery, Laparoscopy, Endoscopy and Aesthetics

U First Health Dr. Ken Backstrand
Dr. Ken Backstrand

Board Certified Anesthesiologist

Kathy - Anesthesia Provider
Kathy Burgess, CRNA - Anesthesia Provider

You are in good hands for any surgery at U First Surgery Center
in Ft. Myers, Florida!


Hernia Surgery FAQs

What is the recovery of hernia surgery?
You cannot lift heavy objects (greater than 10 pounds) for 6-8 weeks. You can return to a desk job or any other job that requires no lifting after a week.


Is it normal to have a hard ridge along the incision and bruising in the groin after surgery?

Yes this is called a healing ridge and can persist for up to three months after surgery. The bruising is also normal along the incision and into the scrotum/labia after surgery as well. Wearing tight underwear and icing the wound and scrotum will help the bruising and swollen testicle if this is present.

When Can I drive?
You can drive one week after surgery if you are off of narcotics and have minimal pain. If you drive a commercial vehicle you must wait 3 weeks.

I live out of town and was interested in surgery. What is the process of having surgery at your facility?
You will have your consultation on Thursday and then have blood work and EKG after your consultation. You will then have surgery the next day on Friday. We recommend that you stay the night and have someone drive you home in the morning. We have had patients driven home after the surgery if they live 2-3 hours from Fort Myers. They are instructed to walk around at a rest stop half way home to encourage circulation to the lower extremities.

Will I have general anesthesia or IV sedation for my surgery?
Almost all cases are done with local and IV sedation. No general anesthesia is used unless the hernia is greatly enlarged or the patient is obese.

How will my incision be closed?
All inguinal and umbilical incisions will be closed with absorbable sutures. No staples are used. It will be approximately 2.5 inches in length and appear as the picture below of a right groin incison.

U First Health Groin Incision

How many hernia surgeries does Dr Robert Tomas perform a week?
On average 6-10 hernia surgeries a week. Dr Tomas has performed over 1500 Desarda hernia repairs in total.


What is the data on your 1% recurrence rate for inguinal hernias?


These are the number of no mesh inguinal hernia surgeries Dr. Robert Tomas has performed over the last 6 years.

2010 - 69

2011 - 134

2012 - 181

2013 - 403

2014 - 345

2015 - 392

Total - 1,524 no mesh inguinal hernia repairs.

To date we have approximately 11 (0.7%) documented recurrences and the majority of these were within the first few years.

Is the surgery center credentialed with the state?
Yes our surgery center is certified and has been inspected with the state. We are also certified by the AAAASF.

Who does anesthesia at U First Surgical Center?
A anesthesiologist or a nurse anesthetist will be providing anesthesia at our center.

What mesh do you use?
I rarely use mesh on inguinal hernia repairs now. Approximately 99% are done with no mesh tension free repair (Desarda Technique). If we do use mesh it is the PHS mesh by ethicon for inguinal hernia repair. We perform triple layered no mesh suture repairs for umbilical hernias. This technique is patent pending by Robert Tomas, D.O., FACOS.


What insurances do you take?

We only accept a few insurances. Please make a reservation and our insurance specialist will notify you of your responsibility.


What Hotel would you recommend?

We have a relationship with Springhill Suites Marriott which includes rooms for $89.00 a day. This room is a studio King. Please visit www.marriott.com/rswsh or you may call 239-561-1803. Pick up to and from the airport and surgical center is complimentary for your convenience at the Springhill Suites Marriott. Please also see the Marriott Fairfield Inn logo on our home page, ufirsthealth.com. Click on this logo and look on the left of the page and input your check in and check out date as well as number of guests/rooms. We have arranged a discount of $89.00 per night for our patients for certain months(all months except Feb and March). Please use the corporate/promotional code YY1. If the Fairfield Inn or Springhill Suites Marriott have no vacancy, please contact our office for other hotels partcipating with the Desarda Hernia Center.

Desarda -  No Mesh Tension Free Hernia Repair Questions

1) What are the risks and consequences of cutting or entrapping nerves given that this is an open procedure? There is a very rare chance (1%) of this occurring because I identify the ilioinguinal nerve and isolate it  once I get into the canal on all surgeries. Therefore, damage to these nerves is very rare.

2) I have read that others (including Desarda himself) are using dissolvable sutures.  Any chance of using those with me? I use absorbable sutures on the skin and subcutaneous tissue,. I also use absorbable sutures for re-constructing the floor with the adjacent muscle..

3) What is the likelihood you open me up and end up having to do a mesh repair? It is very rare that I use mesh, less than 1%. The mesh is usually used on patients that present to me with multiple recurrent hernias.

4) Can you please confirm how long you have been performing the Desarda, how many per week, how many total, and recurrence/problem rate? I have been performing the Desarda technique for over 5 years, 6-10 hernia surgeries a week and have performed over 1500 cases using no mesh tension free repair (Desarda Technique). Recurrence rate is approximately 1% which is very low for hernia surgeries.

An internet rate / discount involves a discount of 30% and drops the rate to $3,399.00 all inclusive price for No Mesh inguinal hernia and umbilical hernia repair. This price covers facility fee, anesthesia fee and surgeon's fee. It also includes blood analysis and an EKG if indicated. One price hernia surgery for your convenience. THE CONSULTATION IS FREE, but there is a $200.00 deposit for the surgery date that will be applied to your balance if surgery is booked!
No insurance, no problem / High deductible, no problem.
Click here to make your reservation.



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