An inguinal or groin hernia is a common problem that is a result of a laxity or weakness in the groin area resulting in fat or intestines from the inner abdominal cavity protruding through muscle layers which can cause a visible bulge and/or pain. It likely has a genetic component and also is correlated to pressure and certain lifting movements.

Non-surgical treatments include observation, and hernia belts. Unfortunately at this time, there is no non-surgical cure for a hernia.

The surgical treatment of the inguinal hernia has a fascinating and long and storied history. Exceptional surgeons and anatomists from the past 200 years have tried various methods to treat hernias. Unfortunately success rates have been limited due to the difficult nature of the groin anatomy. Multiple techniques have been tried and with varying degrees of success. The surgical community has more or less settled on the following basics:

• Mesh repairs appear to have lower recurrence rates (e.g. Lichenstein). 

• Laparoscopic and robotic repairs allow for posterior repairs which are especially helpful with femoral hernias.

• Of the tissue-based (non-mesh) repairs, Shouldice and Desarda repairs appear to be the most durable and reproducible.

Dr. Cober offers all of the above and is skilled in a full range of advanced techniques. He works with patients' situations and personal wishes to provide the best surgical care possible. 

Most of the surgical literature favors mesh repairs in terms of hernia recurrence and chronic pain. Having said that, the literature and most experts also agree that probably the most important element of hernia surgery success is having a skilled and experienced hernia surgeon who can help tailor the approach to each patient. 

There are truly many options for inguinal hernia repair surgery. Few surgeons today are trained in the advanced tissue repair techniques we specialize in. Here are just a few that Dr. Cober offers.

1. Desarda: this is a lower tension tissue-based mesh free procedure that uses a flap of external oblique aponeurosis to repair the hernia.

2. Shouldice: this is a tissue-based mesh free procedure practiced most commonly at the Shouldice Clinic in Canada and involves a 4 layer suture repair of the inguinal floor.

3. Lichtenstein: this is an anterior tension-free mesh based repair.

4. Minimally Invasive (TEP vs rTAPP): this is a posterior repair based on mesh using small incisions. These are laparoscopic or robotic procedures for inguinal hernia repair. 

And there are many modifications and variations even within these approaches including the Kang repair, rTEP, and the Andrews Repair.

As a patient advocate, Dr. Cober takes time to understand each individual's goals, concerns, and lifestyle before recommending the best surgical approach. Schedule an appointment today. 

• YES we do take insurance (all plans)

• YES we do take Medicare (including Part B)

• YES we do take Workers' Compensation

• YES we do offer self-pay rates

• YES we do offer online scheduling

• YES we do offer concierge services for an additional fee (after-hours availability and longer appointments)

Phone (call/text): (561) 556-2286
Email: info@coberhernia.com
Fax: (561) 693-2210
Secure messaging: spruce.care/coberhernia

Office Locations

• Jupiter
  658 W Indiantown Rd, Suite 212
  Jupiter, FL 33458
  In the Cytonics office

• Palm Beach Gardens
  4362 Northlake Blvd, Suite 209
  Palm Beach Gardens, FL 33410
  Next to the Capital Orthopedics office

• Fort Pierce
  2215 Nebraska Ave, Suite 1-A
  Fort Pierce, FL 34950

Surgery Centers

• Palm Beach Gardens Regional Surgery Center

• The Laser and Surgery Center in Palm Beach Gardens

• Lake Worth Surgical Center

• Treasure Coast Center for Surgery in Stuart

• St Lucie Surgery Center

Hospitals

• Lawnwood Regional Medical Center

• St. Lucie Medical Center

"I recently had a no-mesh inguinal hernia surgery performed by Dr. Cober, and I couldn’t be more pleased with the entire experience. From the start, his communication staff was efficient and professional, quickly arranging my initial consultation. Dr. Cober immediately impressed me with his expertise and compassionate approach. The surgery was promptly scheduled at the nearby Lake Worth Surgical Center, and the procedure was a complete success. Dr. Cober’s professionalism, care, and genuine concern for my recovery stood out, and his follow-up phone call and appointment at one and three weeks ensured I was healing well. I highly recommend Dr. Cober to anyone seeking a skilled and caring hernia surgeon!" - Michael P. from Palm Beach, Florida

"Dr. Cober provided excellent care when I saw him. He was thorough, professional, and took the time to really listen to what was going on. You can tell he genuinely cares about his patients. Highly recommend him to anyone looking for a skilled and trustworthy doctor." - Justin M. from Jupiter, Florida

"From the very beginning, Dr. Cober demonstrated the highest level of professionalism, compassion, and dedication. His consistent presence, clear communication, and ability to explain every procedure and step of the treatment gave us peace of mind and helped keep our mom engaged and hopeful throughout the journey. His commitment to both patient and family went far beyond expectations. We always felt heard, supported, and informed. Thank you, Dr. Cober, for your care, your attention, and for being an outstanding surgeon and human being. We highly recommend you to any family in need of world-class medical care. From Rolian and Family" - Rolian R. from Fort Lauderdale, Florida

"When I met with him, I was very nervous with my situation. He explained everything and assured me that I would be fine. He’s very easy to talk to and listens to you. I didn’t feel rushed or just another patient. I felt very comfortable. Thank you!" - Christina C. from Vero Beach, Florida 

"I have found Dr. Cober to be a doctor of both character and compassion with excellent surgical skills. You will receive excellent care from both him and his practice." - Craig B. from Fort Pierce, Florida

"I am so grateful to Dr. Cober and his office staff. They are so incredibly kind and patient. And Dr. Cober is an incredibly skilled surgeon. I am so relieved. Only a few hours out of surgery. Thank you!" - Cober Hernia Patient from Boynton Beach, Florida

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