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)

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Robert Tomas, D.O., FACOS
Board Certified General Surgeon
AAAASF Certified Surgical Center
Fort Myers, Florida

If you are interested in no mesh hernia surgery, please call us at 239-266-2925 or click on the free phone consultation form above. 

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

Dr Tomas Srubs

Utilize your own muscle for repair of the groin (Desarda Technique)

Over 3000 No Mesh hernia repairs since 2009

Low recurrence rate, less than 1%

Robert Tomas, D.O., FACOS is an expert in the Desarda Technique

Fly to Florida to rid yourself of a lifetime of possible mesh complications


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 3000 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. A trip to Fort Myers, Florida is well worth the trip if it means avoiding a piece of mesh being placed in your groin (inguinal hernia) or your body wall (umbilical/ventral hernia). Your research should end here and you should call us today in order to schedule your surgery within 1 to 2 weeks. You can also press the Make Your Reservation button below and let one of our staff members schedule your free consultation.

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 direct space is located just medial to the internal ring.

If you are interested in no mesh hernia surgery, please call us at 239-266-2925 or click on the free phone consultation form below. 

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 muscle into the repair with two rows of sutures for support of the inguinal floor. You will have no muscle weakness or deformity 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. As you can see there is a defect in the floor resulting in a direct hernia.


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.


Dr. Mohan Desarda performing Desarda Inguinal Hernia Repair (Video Below)


Case Study #1

72 YM who flew down from New Hampshire 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.





Case Study #2

44 YM who presented to the emergency room in excruciating pain and a large inguinal hernia on the right that was extremely large and under pressure. A second incision on the right scrotum was needed in order to reduce the intestines. He wished to have it repaired with No Mesh, Desarda Technique. This surgery was performed by Dr. Robert Tomas as an emergency at Gulf Coast Medical Center.



Case Study #3

73 YM who drove down from Tampa, Florida with extremely large right inguinal hernia,basketball size, and a smaller left inguinal hernia for several years and wished to have them repaired with No Mesh, Desarda Technique. Performed by Dr. Robert Tomas.



Case Study #4

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. Even these large hernias can be repaired with the Desarda technique.

preop big hernia








Case Study #5 (Large Right Inguinal Hernia)





Case Study #6  (Bilateral Inguinal Hernia, Left greater than Right)





Case Report

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.   (Read more testimonials)