No Mesh Inguinal Hernia Surgery Fort Myers, Naples, Cape Coral,FL
Desarda Hernia Center of the United States®
NO MESH Hernia Surgery
No Mesh™ Inguinal Hernia Surgery: Dr. Robert Tomas (Local Media)
Robert Tomas, D.O., FACOS
Board Certified General Surgeon
AAAASF Certified Surgical Center
Fort Myers Florida
We are the best kept secret in hernia surgery.
Over two thousand hernias repaired with no mesh and a
1% recurrence rate
Dr. Robert Tomas is the only US surgeon 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
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 2000 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. Stop your research and call us today in order to schedule your surgery within 1 to 2 weeks.
Inguinal Hernias, Groin Hernias, Desarda Hernia Repair
Inguinal hernias are the most common type of hernia. They represent approximately two thirds of adult hernias and are much more common in men than in women. They occur in a part of the abdominal wall known as the inguinal canal, where a man's testicles must descend before birth. This leaves a natural defect called the internal inguinal ring that can develop into a hernia if it doesn't seal properly. As a result, the contents of the abdomen, such as intestine, may protrude through the opening, creating pain and/or a bulge.
Inguinal hernias are located in the lower abdomen just above the leg crease, near or adjacent to the pubic area. They can sometimes occur on both sides of the pubic area, and if they do, they are called bilateral inguinal hernias. Inguinal hernias, along with femoral hernias make up the 2 types of groin hernias and can produce pain that extends into the upper thigh or scrotum.
Inguinal hernias can be classified as "direct" or "indirect".
- An indirect inguinal hernia occurs through the natural weakness in the internal inguinal ring.
- A direct inguinal hernia is a result of weakness in the floor of the inguinal canal and is more likely to develop in older men over the age of 40. The floor of the inguinal canal is located just below the internal inguinal ring.
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 incorporates your own body wall (fascia) into the repair with two lrows of sutures for support. of the inguinal floor. You will have no muscle weakness from the use of the muscle strip for the repair of your hernia. See Schematic of repair below.
No Mesh Hernia Repair (Desarda Technique) with Local and IV Sedation
Here you see a hernia protruding from the floor of the inguinal canal
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.
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.
NO MESH REQUIRED FOR THIS REPAIR.
72 YM who flew down from NH 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.
UPDATE: April, 2015 - Mr. Craig from above after picture is 16 months postop from bilateral inguinal hernia repair with no mesh and has no pain or recurrence.
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
Case Study #3 (Large Right Inguinal Hernia)
Case Study #4 (Bilateral Inguinal Hernia, Left greater than Right)
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.
Section of Mesh removed from the floor of the inguinal canal
Reconstructed floor of the inguinal canal without mesh-Desarda Technique.
Performed by Dr. Robert Tomas
A 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.
Robert Tomas, D.O., FACOS
General Surgery, Laparoscopy, Endoscopy and Aesthetics
Dr. Desarda and staff at Desarda Hernia Center
Dr. Mohan Desarda and Dr. Robert Tomas
A postoperative hernia patient on Dr. Desarda's recent visit to our center
Dr. Ken Backstrand, Anesthesiologist
Kathy Burgess, CRNA - Anesthesia Provider
Rajim - Dr. Tomas' Medical Assistant and Surgical Technician
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.
When Can I drive?
You can drive one week after surgery if you are off of narcotics and have minimal pain.
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?
All cases are done with local (inguinal block) and IV sedation. No general anesthesia is used.
How will my incision be closed?
All inguinal and umbilical incisions will be closed with absorbable sutures. No staples are used. No stainless steal wire is used as in the shouldice hernia repair.
How many hernia surgeries does Dr Robert Tomas perform a week?
On average 6-8 hernia surgeries a week. Dr. Tomas has been personally trained by Dr. Desarda in the No Mesh hernia repair (Desarda Technique). He even recently visited the center to observe several patients having surgery by Dr. Tomas. Dr. Tomas has performed over 1500 Desarda hernia repair 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 been certified by the AAAASF which is an ambulatory surgery center inspecting board.
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?
Dr. Tomas rarely uses 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 repairs and we perform the no mesh triple layered suture repair for umbilical hernias. This technique is patent pending by Robert Tomas, D.O., FACOS.
What Hotel would you recommend?
Please 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. Please use the corporate/promotional code YY1.. Pick up to and from the airport and surgical center is complimentary for your convenience.
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 Dr. Tomas identifies the ilioinguinal nerve as well as the spermatic cord and isolates them once he enters into the inguinal canal on all surgeries. Therefore, damage to the nerves or spermatic cord is extremely rare.
2) I have read that others (including Desarda himself) are using dissolvable sutures. Any chance of using those with me? Dr. Tomas uses absorbable sutures on the skin and subcutaneous tissue and use absorbale 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? In only rare cases the tissue is so damaged that mesh is the only alternative in order to prevent a high rate of recurrence. This is mainly with patients that have had multiple inguinal hernia recurrences. Dr. Tomas rarely uses mesh for primary (first) 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? Dr. Tomas has been performing the Desarda technique for over 5 years, 6-8 hernia surgeries a week and has 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.