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 Monday or Thursday and then have blood work and EKG after your consultation. You will then have surgery the next day on Tuesday or Friday. We recommend that you stay the night and have someone drive you home in the morning if you live in Florida. 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. If you live out of state we recommend you stay for 2-3 days and leave after your postoperative appointment.

Will I have general anesthesia or IV sedation for my surgery?

Majority of cases are done with local (inguinal block) and IV sedation (propofol). General anesthesia is used if the patient is obese, the hernia is extremely large or patient requests general anesthesia

How will my incision be closed?

All inguinal and umbilical incisions will be closed with absorbable sutures. No staples are used. No stainless steel 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. Dr. Tomas has performed over 2500 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 have also been inspected and certified by the AAAASF which is an ambulatory surgery center inspecting board.

Who does anesthesia at U First Surgical Center?

An 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 uses absorbable sutures for re-constructing the floor with a one inch strip of the external oblique aponeurosis which is the muscle that covers the inguinal canal..

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 since 2009, He performs 6-8 hernia surgeries a week and has performed over 2500 cases using no mesh tension free repair (Desarda Technique). Recurrence rate is approximately 1% which is very low for hernia surgeries.

5) Does the Desarda technique work for women?

Yes, the Desarda technique is as effective for women as it is in men. There is still a 1% recurrence rate for women with inguinal hernias. As far as umbilical hernia repairs, women can have the the triple layered umbilical repair and still get pregnant later in life.

6) Will the Desarda repair work for the rest of my life and can I resume normal lifting after having it repaired?

Yes the Desarda Technique is essentially a muscle graft that is laid across the floor of your inguinal canal. It will grow into the surrounding structures and remain with you for the rest of your life. You can resume normal lifting after 6-8 weeks from your surgery. There will be no deformities or weakness of the musculature associated with the repair.

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.