No-Mesh Inguinal Hernia Repair in Fort Myers, Florida
Nomeshinaround – Using your own muscle to repair the inguinal floor or abdominal wall
Desarda Hernia Center of the United States®
No-Mesh Hernia Surgery in Florida
Schedule Your Appointment to Learn About Discounted Inguinal Hernia Repair Surgery in Florida
If you are researching no-mesh procedures for groin or inguinal hernias, you’ve found your answer. A trip to our practice in Fort Myers, Florida, can save you from the risks of placing mesh in your groin area. Schedule your consultation online to learn more about the Desarda technique and save $300. Or, give us a call at 1-888-884-0019. You can also view our testimonials online. Don’t go anywhere else, because we are the only certified center in the United States endorsed by Dr. Mohan Desarda.
IF YOU HAVE A HERNIA – CONTACT US FOR A CONSULTATION.
CALL TODAY FOR A FREE CONSULTATION
If you are struggling with the pain and discomfort of a groin hernia, it’s time to learn about the best-kept secret in hernia surgery — the Desarda technique. Dr. Robert Tomas of U First Health and the Desarda Hernia Center of the United States® is an expert in this cutting-edge procedure. From our Florida practice, Dr. Tomas has performed more than 4,000 small and large inguinal hernia surgeries using the Desarda method.

Board Certified General Surgeon
AAAASF Certified Surgical Center
Fort Myers, Florida
What Are Inguinal Hernias?
Inguinal hernias are a common type of adult hernia and occur more in men than in women. An inguinal hernia can develop when parts of the abdomen, such as the intestine, protrude through a weak spot in the abdominal muscles. This bulge usually creates pain, especially when you bend over, lift heavy objects or cough.
Inguinal hernias are located in the lower abdomen near the pubic area just above the crease of your leg. A direct inguinal hernia protrudes forward when you stand. Indirect hernias, on the other hand, often take a more sloping route toward the scrotum.
Causes of Inguinal Hernias
The weakened abdominal lining that leads to inguinal or femoral hernias often occurs at birth. The inguinal canal is where a male’s testicles descend before birth. If this part of the abdominal wall doesn’t seal properly, it can leave a natural defect called the internal inguinal ring.
Other causes of inguinal hernias include:
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- Aging
- Strenuous physical activity
- Coughing due to smoking
- Straining during bowel movements or urination
- Pregnancy
- Chronic coughing or sneezing
Symptoms of Inguinal Hernias
The most common symptoms of an inguinal hernia include:
- Pain or discomfort in your groin that usually worsens when you bend over, cough or lift anything
- Weakness or pressure in your groin
- Dragging or a heavy feeling in your groin
- A bulge on either side of your pubic bone
- Burning or aching at the bulge
- Pain or swelling around the testicles
What Is Inguinal Hernia Repair?
While an inguinal hernia isn’t necessarily dangerous, it will not improve without treatment. It can also lead to severe complications. Groin hernia repair is a commonly performed surgery — thanks to the no-mesh Desarda technique, these groin hernia surgeries are safer than ever.
Traditionally, surgical mesh is used after the hernia is pushed back in place to provide extra support to the weakened abdominal muscles. However, mesh is a foreign body and has a long history of defects and recalls that put patients at risk. It can also shrink over time, leaving you unprotected and often leading to a hernia recurrence.
What Is the Desarda Technique for Inguinal Hernia Repair? Why Do We use the term Nomeshinaround?
Dr. Tomas can repair your hernia without mesh using the Desarda technique. A Desarda repair uses your own muscle tissue and two rows of absorbable sutures as strong and natural replacements for mesh. Incorporating the muscle strip into the hernia repair will not result in muscle weakness or deformity.
How Does It Work?
Whether you require direct or indirect inguinal hernia repair, Dr. Tomas uses a muscle graft. When you have an inguinal hernia, soft tissue — often the intestine or stomach — pushes the muscle that covers it. The Desarda repair technique uses a portion of the aponeurosis of the external oblique to cover this hole. Healthy oblique muscles provide support for the repaired hernia and also protect and cover the exposed organ.
What Are the Benefits of No-Mesh and Tension-Free Inguinal Hernia Repair?
The Desarda technique for hernia repair provides many benefits over other hernia repair procedures:
- No mesh-related risks: Even though surgical mesh is supposed to be safe, it can have unpredictable effects. This includes pain, rejection, hernia recurrence, infection, migration and even testicular damage. The Desarda procedure uses your own muscle for the repair to support the inguinal floor, reducing and often eliminating these risks.
- Low tension: While there are other mesh-free hernia techniques, these involve pulling on the edges of the hernia to close it, causing tension. The Desarda technique avoids this by using a muscle graft as a bridge between the ligament and oblique muscle. This new support uses your own tissue and doesn’t rely on tension.
- Low risk of recurrence: Dr. Tomas has performed more than 4,000 no-mesh inguinal hernia surgeries with less than a 1% risk of recurrence.
- Absorbable sutures: Traditional femora hernia repair relies on stainless steel sutures. Instead of using devices that remain in your body, Dr. Tomas employs absorbable sutures that dissolve with time.
- Flat rate: No need to worry about copays or whether your insurance covers this procedure. We offer our inguinal hernia repairs without mesh for a flat fee.


Testimonials
Tyler EberleTrustindex verifies that the original source of the review is Google. I cannot thank Dr. Tomas and the U First Health staff enough! I hope this review can help others like me that were nervous about the procedure to get it done and get back to feeling normal again! I did a ton of research about hernia operations after mine got to a point I wasn’t comfortable working as a 32y/o bricklayer and not able to get into surgery for 6+ month(central Illinois). I didn’t like the idea of mesh due to all the bad stories I had heard from talking to people over the last 3 years of dealing with my hernia. So I narrowed my options down to going to Canada or U First Health in Fort Myers. I’m so happy with my decision in choosing Dr. Tomas. They got me in before I was even able to talk to my local surgeons about a mesh procedure. I started with the intake processes over the phone and online with Debra who was very knowledgeable and accommodating. Still quite nervous, I got down to Fort Myers as fast I could in hopes of getting back to work in the spring. I made it to my pre op appointment and was greeted by caring and professional staff that truly make U feel First! It was still a lot for me to take in due to having a heart surgery as a kid so nerves were high but the staff and patients around made me feel better and better about the process. The next day I was back and there for surgery. My operation went great and I was back at the hotel in under 5 hours from when I walked in. I was lucky enough to be able to recover in Florida almost 4 weeks and stayed off of alico rd by the airport at the Homewood Suites due to the amazing breakfast and how great the location was with a gas station and numerous eating places across the street that I liked going to more but their recommended Marriott is also a good location and will be a little cheaper. The First few days were tough adjusting to things like getting in and out of bed and remembering to not lift anything heavier than 10lbs, but you just have to trust the process and do everything these professionals tell you! Walking, hydrating, and eating clean I felt was key to the recovery during the first weeks of recovery. Today is 6 weeks post op for me and I am now fully confident in leaving a positive review! all of my healing pains have subsided and I’m walking multiple miles at a time. I’m planning on cautiously going back to work as a bricklayer in 2 weeks. Dr. Tomas and U First Health have truly been a blessing for me! Thank you again! Carl SucroTrustindex verifies that the original source of the review is Google. I can't say enough about Dr Tomas and his brilliant crew. Definitely the finest surgeon and medical team I have ever experienced. I had a huge baseball/softball hemisphere presenting from a rt inguinal hernia. For the last 11 years I have endured pain between level 4 of 10 (hernia popped inside) and level 7 of 10 (hernia popped outside). I was literally terrified to get hernia surgery because of the deadly results of mesh implants. My mother has already had 3 failed mesh repair surgeries and my home doctor in PA said the mesh failure rate of recurrence is about 20%. I did my graduate research paper in educational research class comparing clinical trials of different hernia repair techniques and learned the Desarda non-mesh technique had an incredibly low recurrence of only 0.75-1.5% and decided that if I ever get surgery for hernia I would get Desarda method. Ten years later when my hernia pain jumped and my ability to pop it back in nearly went away I searched for a Desarda certified surgeon/clinic to repair my hernia and found the U First Health and Wellness center with Dr Tomas in Ft Myers FL. I entered a internet query and follow up phone call on Approx Dec 28 to set up appointment and received a callback the next morning. I was scheduled for a consult 6 Jan, surgery 7 Jan, and followup 8 Jan. Dr Tomas is completely a-typical for a surgeon. It is obvious he loves to serve people and be a surgeon. He is humble, friendly, knowledgeable, and warm and supportive. He also has put together a group of knowledgeable, friendly, supportive professionals for his office that are absolutely amazing. I went on Jan 6 for my consult, everything was explained in full detail including every step of the surgery, anesthesia, and financial details and follow up. The consult was about an hour. The surgery was about and hour. The followup was about 15 minutes. WOW! 24 hours after surgery and my pain level from the surgery, with no pain medications, excepting the occasional Ibuprofen for subtle pain increases of 1 to 2 of 10 that occurred two times during the period just prior to your scheduled Antibiotic in the evening) was only 0.5 to 1.0 of 10, literally 3-6 points below the chronic pain level I've endured for 11 years. Now I am 96 hours after surgery and still at pain level 0.5 to 1.0 of ten with mild to medium bruising and almost no swelling at all. Dr Tomas is literally the finest surgeon who is over-the-top of over-the-top of any surgeon I every had surgery with.. It is also nice to know he is also a plastic surgeon. Who better to cut and sew your insides than a surgeon who is also an expert at cut and sewing your outsides with precision suturing that leaves no scar. I need to thank his outstanding support staff as well. Miss Nancy was my dedicated patient liaison. I would call the office and Miss Nancy would answer the phone on the first ring and she is so nice. Miss Joannia at the front desk is so sweet kind and perky the face you see when you go in the door. She also immediately returns my calls makes me feel at ease and just makes you feel wonderful. Miss Terry in finance is totally nice and friendly and knows exact details on every item on your billing. Mr Esteban is the Doctor assistant who does your blood work and EKG and is a funny warm person. The whole staff operates like a well oiled machine, while being friendly, warm, understanding, and compassionate at the same time as being nothing less than an expert/consummate professionals. I really feel like they are my extended family and Wholeheartedly recommend You come here for your hernia surgery with NO-Mesh and nowhere else.The total cost for the entire process was $5035. That is with my $500 Medicare discount with my Humana Advantage USAA Hero Medicare advantage and Tricare for Life Supplemental Insurance. The cost breakdown is $5500 - $500 (medicare discount) + $30 (Heavy duty Hernia support Compression underpants) + $5 (My share of the prescription s copay). Ken NTrustindex verifies that the original source of the review is Google. Hello… Would like to give a raving review on the U-First. From the home feeling and the smiles. To the professionalism of all at U-First. I traveled to Florida from Wisconsin with a fairly large umbilical hernia, had surgery on Friday and feeling really well by the next Tuesday. Came to Florida, hired their recommended caregiver Pam Berkmeirer “who was great” I would not hesitate again if I had another issue with a hernia again to use U-First. U-First, Dr. Tomas and all the staff “I say Thank You” for bringing such a great service and value to those who enter your doors.. Also Thank you to the Marriot Bonvoy for a great stay during my surgery. Thank You Ken Raymond BazantTrustindex verifies that the original source of the review is Google. Only doctor I could find to do recurring double hernia surgery. I had a very bad hernia on my right side too. Didn't feel like I was under anesthesia. Surgery took 1 hour and recovery 30 minutes. Recovery was fast, wasn't over anesthetized and no pain afterwards. That came later but not much more than tightness. Pain pills given did the trick. I recommend Dr Tomas at U First Health, you really put people first. 07/17/2024 Update: Hernia repair still going strong as ever! Thought people might be wondering. I am doing stomach strengthening exercises since I'm 71 now. Very happy with long term results! Thanks to the doctor and staff there. No mesh is the way to go. https://youtu.be/qdsYgSby62Q?si=I6LufVFuGdaQmm2K Scott BurgerTrustindex verifies that the original source of the review is Google. I flew in from Houston Texas for Dr Tomas to do a repair of my completely blown out belly button. I was an iron worker for 20 years and many of my employees had mesh hernia repair done with little to no luck. The minute I met Dr Tomas and his staff I knew this was the right place to get the repair I needed. The staff was great and made me feel at ease. Dr Tomas made this a relatively pain free ordeal. The man is a true artist of his trade. My wife and I are in awe at how nice my stomachs looks. Dr Tomas has nurses available for your care if you travel alone. My caregiver Rosette was the best I have ever had. She provided the next level care that is hard to find. Thank you to Dr Tomas and his entire team. God bless! Scott Burger David CarrollTrustindex verifies that the original source of the review is Google. After losing 120 pounds from GLP weight loss peptides, my hernias worsened and were extremely painful. I reached out to U First to investigate repair. The calls and email responses from Alina were so helpful, so informative, and quick. I couldn't be happier with my interaction with Alina. I arrived at my appointment informed and confident I had made the right choice. Dr. Tomas was quick to diagnose the issue and explain the entire repair process, differentiating stitches that dissolve and those that do not. Dr. Tomas put me at ease and relieved my fears about surgery. His PA / assistant took every possible measure to ensure I knew what was about to happen and investigate all of my concerns. Best team ever! I had surgery one morning, and a post-op checkup the next day. Pain is manageable and minimal, given medications. Overall, the staff here couldn't be any nicer, any kinder. The treatment in the clinic was so different than how I am treated at clinics up North. (Now I want to move to Florida...) 100% recommend this clinic for hernia repair. Robin HoodTrustindex verifies that the original source of the review is Google. I had double hernia surgery at the Colonial Out Patient Surgery Center which is connected to U First Health and Rejuvenation Center in Fort Myers, Fla., on May 14, 2024. It has been 5 weeks and one day since my surgery. I went to Dr. Tomas because of his vast experince with the Desarda Technique which uses no mesh. If I had opted for mesh, I would have had a 15% chance of having problems (infection, chronic pain, mesh migration, adhesions, recurrence, rejection, seromas, and issues with future surgeries). As I would have had two mesh placements each with a 15% chance of problems, the total probability now increased to 27.75%. This was a risk I was unwilling to take. The surgery was uneventful and successful. My scars healed quickly and I am now back to work as a chiropractic physician. Best of all, NO MESH, NO HERNIA!! All the people at the UFHRC were kind, caring, helpful, and very professional. My special thanks to Dr. Robert Tomas, Alina Tomas, Dr. Esteban, all other physicians and nurses. If you want NO MESH hernia correction from surgeons who are highly experienced in no mesh hernia repair, this is the place. My rating is AAA+++ Sincerely, Robin P Hood, DC, PA Jonathan AppellTrustindex verifies that the original source of the review is Google. I rarely leave reviews, but I have been meaning to followup regarding my inguinal hernia surgery. It's now been about 11 months since my surgery. After doing all the research and trying to heal this myself, this was impossible, and also almost getting the toxic mesh that your body will likely reject, and nearly half these surgeries fail or have a life time of pain legacy...... this was one of the wisest decisions that I have ever made in my adult life! Thank you thank you thank you Dr Tomas and your amazing staff!!! It took a bit longer then I had hoped to fully heal, but it's worth every minute. I had a really bad hernia, 100% caused by lifting at a bad angle, in too cold weather, when I was getting over a bad cough and it happened in a flash. Nearly one year later, I am 62 years old, strong and otherwise in great health, I now feel like I'm 40. I can out work anyone of any age and I work outdoors and do plenty of heavy lifting. All I can say for those that buy the fast talk and the typical modern medicine double talk, good luck with the mesh...... You will regret that later. Have faith in Dr Tomas. Thank you for being a True Healer and doing what Doctors are meant to do, you're an outlier, I in a 1000. and what ever awards they give out in medicine, you should win them. May the force be with you. Paul SeymourTrustindex verifies that the original source of the review is Google. I flew from Colorado to get my hernia procedure and boy am I glad I did. The service, communication and friendliness were all incredible. EASY is a word to describe working with them. As for the surgery Dr. Tomas was there, available and very interested in my care throughout the process. Such a great experience I would definitely recommend them. And I have no mesh to worry about.

U First Health is also the Desarda Hernia Center of the United States®
Our Florida practice has served more than 4,000 patients from across the U.S. and around the world. Dr. Robert Tomas and our team specialize in inguinal hernia surgery procedures in Florida, delivering outstanding results with a low risk of postoperative complications and recurrence.
About Dr. Robert Tomas
Robert E. Tomas, D.O., FACOS, is recognized by Dr. Mohan Desarda as the only provider of Desarda hernia repair in the United States. Dr. Tomas is board certified in general surgery and has more than 20 years of experience. For over a decade now, he has performed inguinal surgery repairs in Florida, providing thousands of patients with exceptional results and life-changing relief.
CALL TODAY FOR A FREE CONSULTATION about No-Mesh Inguinal Hernia Repair
What Is the Process of Getting Inguinal Hernia Surgery?
Before your Desarda procedure, our Florida team will ensure you understand what you can expect as one of our hernia repair patients. We can arrange your free consultation with Dr. Tomas in person or over the phone. We also use preoperative bloodwork and an EKG to ensure you’re eligible for surgery.
Dr. Tomas and his team will perform your Desarda hernia repair under local or general anesthesia, depending on your preferences and health profile.
Our team will then guide you regarding all aftercare instructions to ensure you enjoy a rapid and safe recovery. A few days after your surgery, Dr. Tomas will check your incision and monitor your healing. Out-of-town patients can return home after this appointment. Most patients go back to work one week after their procedure.
Click on the link below to register for our TouchMD app.
This will guide you through your surgery:
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.

Illustration Steps of the Desarda Technique









Desarda Hernia Center, USA | NoMeshHerniaSurgery.com
Case Study #1
72 YM who flew dwn 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. This man is confirmed to have no recurrence 6 years later, July, 2022.


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 #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.
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.
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)