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No mesh tissue repair surgeons in Washington or Oregon?
hernia repair using tissue only is becoming a most skill. There are benefits and risks as with any repair. In my practice, I recommend tissue repair for inguinal hernias to the very thin, to your non-obese women, and to any who have fibromyalgia, lupus, other inflammatory disorders or sensitivities. It is generally not a good idea to undergo tissue repair in the obese, the elderly, or for recurrent hernias.
In Washington/Oregon try Dr Robert Martindale. I am not sure if he does them but he may. He is at OHSU. Perhaps Dr Orenstein can confirm.