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Alternatives to mesh
John,
New Zealand, a place I’ve wanted to visit; yet, it puts you in limited situations much like people who live in Hawaii and get “land-locked.”
From what we know, if Australia does not have an option with a pure tissue repair such as the Desarda, or possibly Shouldice with less tension, then your closes option ( as you have surmised) is Burns in Newport Beach, CA for the Desarda technique. I have known of people flying to India to Dr. Desarda’s office and have the surgery. This would be your next option after Burns.
If you are looking at the least possible tension it seems from my studies of Biomedical Physiology and Anatomy plus many conversations with surgeons, the Desarda technique would be the option you want with no foreign bodies and little anesthesia. Keep in mind, general anesthesia will effect the mitochondria of the brain. Find a surgeon who will use a “twilight” option; many will. Dr. Kevin Peterson in Las Vegas is a “no-mesh” leader, yet, he prefers a general anesthesia. Good guy, but I am adamant about two things: No mesh and little anesthesia.
As far as the “on your own” factor, this is where you must make sure you get both sides done correctly the first time. You could get an MRI of both sides and send to several surgeons. Then discuss with them their take. If they do not treat you with dignity or professionally then find someone else. In the end, I have thought it would be best to live with the hernia than to live with errors or reconstruction of my inguinal floor to the point of sending my health toward a decline.
Best regards John,
Connier