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Mesh, a piece of synthetic cloth, never gives protection by itself as believed by many. Body forms a curtain around the scaffold of mesh and then it takes another 2-3 years to gain strength in it to give protection. Till then you are not 100% protected !!!
We advise not to get inguinal hernia repair done through laparoscope because the mesh is inserted inside the abdomen and may cause more serious problems. 
SEPARATE CONSENT IN WRITING IS REQUIRED BEFORE MESH REPAIR TO AVOID FUTURE LEGAL SUITS !!!

It is possible that some surgeons may use old tension repairs like Bassini or Shouldice under the pretext of mesh free surgery. So always insist for mesh free repair by "DESARDA TECHNIQUE" only

LINKS FOR ONLINE ARTICLES

1] No-mesh inguinal hernia repair with continuous absorbable sutures: A dream or reality? (a study of 229 patients).  

http://www.saudijgastro.com/article.asp?issn=1319-3767;year=2008;volume=14;issue=3;spage=122;epage=127;aulast=Desarda

2] Inguinal herniorrhaphy with an undetached strip of external oblique aponeurosis: a new approach used in 400 patients. Eur J Surg. 2001 Nov;167(11):877.

http://www.ncbi.nlm.nih.gov/pubmed/11471669?ordinalpos=7&itool=EntrezSystem2.PEntrez.Pubmed.Pubmed_ResultsPanel.Pubmed_DefaultReportPanel.Pubmed_RVDocSum

3] Concepts that Prevent Inguinal Hernia Formation – Revisited (New Concepts of  Inguinal Hernia Prevention)

www.desarda.com/articles  (Click on article 13)

4] Physiological repair for inguinal hernia without mesh

Desarda MP. Hernia. 2006 Apr;10(2):143-6

http://www.springerlink.com/content/p18250118002321j/?

5] Surgical physiology of inguinal hernia repair - a study of 200 cases

Mohan P Desarda  BMC Surgery 2003, 3:2       doi:10.1186/1471-2482-3-2

http://www.biomedcentral.com/1471-2482/3/2/

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Mohan Desarda,
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Mohan Desarda,
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BOOK CHAPTER, Hernia Infections Pathophysiology _Book reference.mht
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