No Mesh Hernia Repair (Natural Tissue)

What is a Hernia?

A hernia is a hole in the muscular abdominal wall. It can be located in many locations.  The most common locations are:

The hernia can cause discomfort or possibly even emergency issues because of the possibility of the intestine getting caught in and squeezed by the hernia hole.

What is a No Mesh Inguinal Hernia Repair?

No mesh hernia repair is also called natural tissue hernia repair. This procedure uses your own tissue to repair a hernia and is always performed as an “open anterior” surgical procedure.

Inguinal hernia repair without mesh has a history beginning with the first description of inguinal hernia repair. The high prevalence of hernia in the population has resulted in this condition inheriting one of the longest traditions of surgical management. Currently, the two most validated non-mesh inguinal hernia repair techniques are:
medical professionals wearing protective gear in surgery

Is No Mesh Hernia Repair Right for You?

While there are many techniques used for inguinal hernia repair - some techniques are best matched with certain types of patients.
While it is not proven, many hernia experts agree that young, thin active people have a higher risk of pain or discomfort in the long term with the use of mesh. At the same time, it is clear that when mesh is used correctly in the right patient there is a lower risk of long-term recurrence of the hernia. In expert hands, laparoscopic and robotic techniques of inguinal hernia repair mesh placement has a risk of recurrence and complications of under 1 percent.

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. The Shouldice and Desarda repair techniques are an excellent option for patients who desire a repair of their inguinal hernia without mesh.

What to Expect After Inguinal Hernia Repair with a Non-Mesh Technique

The biggest variable after this surgery is the degree of pain after the operation.

90-95% of patients undergoing a Desarda inguinal hernia repair will experience mild to moderate pain in the first 8-12 hours after surgery. These patients are frequently able to avoid prescription pain medicine after surgery.

5-10% of patients will experience significant pain requiring prescription pain medicine.

99% of patients are comfortable at rest within 5 days of the operation and tolerate symptoms with ibuprofen and /or acetaminophen alone.

Returning to Activities after Surgery

After surgery, you may expect to:

  • Return to an office-type job within 3-5 days after surgery depending on the level of discomfort.
  • Return to 30 lb lifting as soon as you feel comfortable.
  • Return to extraordinary physical activities performed by high-performance athletes and those with physically demanding occupations is dependent on multiple factors and is not uniform for all.

    Overall - most patients find the Shouldice repair and Desarda repair of their inguinal hernia to be a good experience and easily tolerated.
  • Why Choose Us for Your No Mesh Hernia Repair

    At the Center for Hernia Repair, we prefer conservative management strategies to those suffering from hernias. When we recommend surgery, Dr. Yunis is able to customize a solution tailored to your needs and is an expert in a variety of hernia repair techniques. including natural tissue hernia repair.

    Although some cases will require mesh, many patients make excellent candidates for repairing hernias with their natural tissue.

    Would you like to learn more?  Contact us or give us a call at (941) 953-5917
    Contact Us

    Center for Hernia Repair

    1435 South Osprey Avenue
    Suite 201
    Sarasota, Florida 34239
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