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Alternatives to mesh
John – Sorry you have to have surgery, but that is the only way to fix the problem, In addition the the excellent feedback you have already received, all of the non-mesh repairs use permanent sutures made of the same or similar material that mesh is made from. Sounds like you are primarily interested in a permanent cure at a single operation for your problem. Laparoscopic repair of both hernias at the same time with mesh (by someone with enough training and experience which is difficult, if not impossible to sort out for patients) has the highest chance of achieving your goals with the lowest chance of chronic pain. Whatever lap technique the surgeon does best (TAPP or TEP) should be used. Hope this helps! Dr. Earle