Personalized Care

There are truly many options for inguinal hernia repair surgery. Dr. Cober works closely with you to guide your treatment and address your concerns. Here are just a few that Dr. Cober offers.

1. 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.

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

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

4. Minimially Invasive (TEP vs rTAPP): this is a posterior repair based on mesh using small incisions.

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

Most surgical studies support mesh repairs when it comes to lowering the risk of hernia recurrence and chronic pain. However, both the medical literature and leading hernia experts consistently emphasize that the most critical factor in long-term success is the surgeon’s skill and judgment—particularly their ability to select the right approach for each individual patient.