Hernia Repair Techniques

Options for repair are numerous. Several different hernia repair methods exist for any given hernia. All of these techniques may have excellent outcomes when performed by surgeons with extensive experience in that particular method.

At the Center for Hernia Repair, all possible approaches for repair are explored for each and every one of our hernia patients. This customized approach helps us to achieve a durable and comfortable outcome. Reduction of post-surgical pain, quick recovery and prevention of recurrence are the highest priorities for Dr. Yunis.

Available Hernia Repair Techniques

Non - Mesh Inguinal Hernia Repair

Despite our extraordinary results with laparoscopic and robotic techniques of inguinal hernia repair, it remains clear that the avoidance of mesh in some patients eliminates the risk of chronic discomfort or pain and with a small price of a slightly higher risk of recurrence. Therefore a non-mesh inguinal hernia repair may be the most "minimally invasive" option for some patients.

Currently, the two most validated non-mesh inguinal hernia repair techniques are:

Shouldice Technique

The Shouldice Technique has a remarkable history of safety and durability. The Shouldice repair is a very specific technique involving sewing of distinct anatomical layers of the groin without the use of mesh.

Dr. Yunis began his training with this technique early in his career and continues to enjoy excellent success with the Shouldice repair technique.

Shouldice

Desarda Technique

Desarda Technique is another non-mesh technique that has been championed by Dr. Mohan Desarda who has demonstrated excellent results. This is another option for many of our patients who desire a non mesh inguinal hernia repair. This repair is a very specific technique involving sewing of distinct anatomical layers of the groin without the use of mesh. For more information, please review Dr. Desarda's website

Desarda

What its like to undergo open non-mesh inguinal hernia repair :

Can be performed under local anesthesia or general anesthesia with a 3-5 inch incision.
Return home the same day often with pain controlled by ibuprofen and/or acetaminophen.
Minimal Restrictions after surgery.
Early return to work

Laparoscopic Total Extraperitoneal Inguinal Hernia Repair

Three small incisions of less than one inch in the lower abdomen are used to gently expose the area behind the hernia (on the inside of the abdominal wall). High definition video imaging is utilized to facilitate a gentle exposure of the hernia. A customized mesh is placed behind the muscular wall to repair the hernia defect. The use of mesh in this operation has a long history of safety and durability.

Easier and more rapid return to work and sports
Lowers risk of infection
Lowers risk of recurrence
Cosmetically more appealing given the minimal size of the incisions

Laparoscopic Surgery

Robotic (DaVinci) Surgery

Robotic technology has improved visibility and dexterity beyond laparoscopic and open surgery. Robotic surgical repair of ventral hernias dramatically improves outcomes in terms of safety and comfort for the patient. Complications and postoperative pain are significantly reduced with robotic technology and surgical experience.

Robotic Surgery

Abdominal Wall Reconstruction for Recurrent and Complex Ventral Hernia

At Center for Hernia Repair we have far-reaching experience in reconstruction of the abdominal wall. Our experience has accelerated with the increased incidence of patients with extraordinarily large and complicated hernias. These conditions can often be severely disabling as they interfere with daily activities. Unsightly hernias are often part of the motivation for repair and we emphasize your cosmetic satisfaction as well as your safety .

When hernias recur they tend to become more difficult to repair. The scarring from previous surgery and mesh material often complicates the recurrent hernia repair. A unique approach and advanced technique are necessary in order to eradicate these problems. Mobilization of muscles of the abdominal wall and use of biological prosthetics are often necessary in the management of these problems. When you have suffered from previous failed repairs – your next operation should be your last operation. A surgeon who specializes in hernia repair and abdominal wall reconstruction is your best choice for insuring a good final result.

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Why Choose Us?

At Center for Hernia Repair , we specialize only in the diagnosis and treatment of hernias.

Dr. Yunis is among the most experienced hernia surgeons in the world and offers expertise in all available hernia repair techniques.

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FAQs for Hernia Repair Techniques

What are the different types of hernia repair techniques?

Common hernia repair techniques include non-mesh repairs like the Shouldice and Desarda methods, laparoscopic total extraperitoneal repair, robotic (DaVinci) surgery, and abdominal wall reconstruction for complex or recurrent hernias.

What is the most minimally invasive hernia repair method?

For some patients, non-mesh inguinal hernia repair (like the Shouldice or Desarda technique) may be considered the most minimally invasive because it avoids mesh and can be done with a small incision under local anesthesia.

Is hernia surgery without mesh possible?

Yes. Non-mesh hernia repairs like the Shouldice and Desarda techniques are available for certain types of hernias, particularly inguinal hernias, and may be a good option for patients concerned about mesh-related complications.

What is the Shouldice technique for hernia repair?

The Shouldice repair is a non-mesh technique that involves carefully sewing together specific anatomical layers of the groin. It has a long track record of success and low complication rates when performed by skilled surgeons.

What is the Desarda technique for hernia repair?

The Desarda technique is another non-mesh inguinal hernia repair method that uses the patient's own tissue to reinforce the abdominal wall. It is known for being effective and durable without the use of synthetic mesh.

What are the benefits of laparoscopic hernia repair?

Laparoscopic hernia repair offers smaller incisions, less pain, faster recovery, and lower risk of infection. A mesh is placed behind the abdominal wall using advanced imaging and minimally invasive tools.

How is robotic hernia surgery different from laparoscopic surgery?

Robotic hernia repair offers enhanced visibility and precision compared to traditional laparoscopic surgery. It may reduce post-operative pain and complications, especially in complex or ventral hernia cases.

What is abdominal wall reconstruction and when is it needed?

Abdominal wall reconstruction is a specialized surgical approach used for complex or recurrent hernias. It often involves mobilizing abdominal muscles and using biological mesh to restore strength and function to the abdominal wall.

Which hernia repair technique is right for me?

The best hernia repair technique depends on the type of hernia, its location, your health history, and your goals. At the Center for Hernia Repair, we tailor each repair method to the patient for the safest and most durable outcome.