Hernia Repair Techniques

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.

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.

At Center for Hernia Repair, hernias are not just one of many conditions we treat. They are our sole focus. By specializing exclusively in the diagnosis, treatment, and repair of hernias, we provide a level of expertise and individualized care that is difficult to find in a general surgery practice.

Dr. Yunis is among the most experienced hernia surgeons in the world and has extensive training in all modern hernia repair techniques, including open, laparoscopic, robotic, mesh-based, tissue-based, and complex abdominal wall reconstruction procedures. Rather than offering a single preferred approach to every patient, we carefully evaluate each hernia, your anatomy, medical history, activity level, and personal goals to determine the most appropriate repair strategy.

Many patients come to us after being told they have only one treatment option or after experiencing persistent pain, recurrence, or complications from a previous repair. Our expertise across the full spectrum of hernia surgery allows us to manage everything from straightforward hernias to highly complex and recurrent cases that may require advanced reconstructive techniques.

As a dedicated hernia center, we combine specialized surgical expertise with state-of-the-art technology, advanced imaging when needed, and a comprehensive understanding of abdominal wall function. This enables us to create customized treatment plans designed to achieve durable repairs, minimize pain, reduce the risk of recurrence, and help patients return to the activities they enjoy as quickly and safely as possible.

Whether your hernia requires an open repair, minimally invasive laparoscopic surgery, robotic-assisted surgery, tissue reconstruction, or a complex abdominal wall reconstruction, our goal remains the same: delivering the right repair for the right patient at the right time.

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.