Dr. Shomaf Nakhjo is the only high-volume surgeon on the East Coast who performs the Shouldice Inguinal Hernia repair, a mesh-free technique that he executes with a focus on impeccable results.
Performing 400–500 hernia surgeries annually, Dr. Nakhjo provides patients in Manhattan and across the U.S. with lower recurrence rates and rapid recovery that only come from high-volume mastery. He is also one of the few U.S. specialists performing the Cleft Lift Procedure for pilonidal disease, achieving a 99% success rate. At Advanced Minimally Invasive Surgery NYC, every patient receives concierge-level care in a private boutique setting, with Dr. Nakhjo personally performing every procedure and overseeing each recovery plan for definitive, lasting results.
Aspect | Mesh-Free Shouldice Repair | Robotic/Laparoscopic Repair |
|---|---|---|
| Recurrence Rates | Extremely low due to high-volume, precise technique | No evidence of lower recurrence despite advanced equipment |
| Complication Risk | Limited dissection = fewer injuries; outside the abdominal cavity | Extensive internal dissection increases risk to vessels, nerves, bladder, and bowel |
| Invasiveness | Truly minimally invasive: less anesthesia, shorter OR time, no internal organ contact | Labeled minimally invasive, but internally more extensive and disruptive |
| Risk to Vital Structures | Minimal, thanks to targeted, precise suturing | Higher risk of severe or catastrophic injury during surgery |
| Mesh-Related Issues | None—avoids chronic pain, erosion, infection | Mesh can cause long-term pain, adhesions, or erosion |
| Anesthesia Requirements | Often local with IV sedation | General anesthesia required, adding its own risks |
| Operative Time | Shorter (30–45 minutes) | Longer procedures (1.5–3 hours) |
| Long-Term Comfort | Well-tolerated, natural sensation, no foreign body | Risk of persistent discomfort from mesh |
| Surgical Philosophy | Precision and simplicity: “a few expertly placed sutures.” | Overengineered approach for a problem often solved more directly |
At Advanced Surgery NYC, we know that there is no substitute for experience. This boutique Manhattan practice specializes exclusively in mesh-free Shouldice Inguinal Hernia Repair and Cleft Lift procedures for pilonidal disease, delivering precision and outcomes that generalists cannot match.
Dr. Shomaf Nakhjo is a fellowship-trained surgeon with expertise in advanced minimally invasive procedures. Early in his career, he performed a broad range of laparoscopic surgeries, developing the technical mastery and judgment that now define his practice.
Over time, Dr. Nakhjo recognized growing patient concerns about plastic mesh in inguinal hernia repair. After performing thousands of laparoscopic hernia cases, he focused exclusively on the Shouldice Inguinal Hernia Repair, a mesh-free technique that delivers reliable outcomes while minimizing the risks associated with synthetic mesh.
In his boutique NYC practice, every patient receives personalized care, meticulous attention, and surgical solutions designed for lasting results.
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Dr. Nakhjo’s practice embodies precision and personalized care. By employing advanced surgical techniques, he tailors treatments to meet your unique needs. Dr. Nakhjo goes beyond addressing medical concerns—he seeks to understand your life as a whole, ensuring each treatment is perfectly aligned with your requirements. With a foundation of personal connection, he applies innovative methods for optimal results, enhancing your life with minimal discomfort and downtime.
At Advanced Surgery NYC, every procedure is performed personally by Dr. Shomaf Nakhjo, a board-certified surgeon specializing in mesh-free hernia repair and pilonidal disease. Each treatment is designed to provide definitive, long-lasting results, reduce complications, and optimize recovery. Patients from Manhattan, across the U.S., and internationally choose this boutique practice for precision, concierge-level care, and outcomes that generalists cannot match.
Dr. Nakhjo’s pilonidal cyst surgery technique is a definitive, highly successful treatment for pilonidal disease, offering a 99% success rate. Unlike routine excisions, this technique minimizes recurrence, reduces downtime, and restores comfort for patients who have struggled with chronic cysts. Dr. Nakhjo’s meticulous approach ensures lasting relief with personalized care every step of the way.
Advanced Surgery NYC offers mesh-free Shouldice Hernia Repair, combining precision suturing with high-volume expertise for low recurrence and rapid recovery. Patients benefit from a natural repair method that avoids the complications associated with synthetic mesh, while maintaining strength and durability. Every repair is performed personally by Dr. Nakhjo in a private, boutique setting.
Specializing exclusively in Shouldice Inguinal Hernia Repair, Dr. Nakhjo delivers outcomes far superior to those of occasional practitioners. This targeted, high-volume approach provides lasting results, minimal invasiveness, and faster recovery, making it the preferred choice for patients seeking a mesh-free, permanent solution in NYC.
For hernias that develop at prior incision sites, Dr. Nakhjo applies tailored, high-volume techniques to reduce recurrence and complications. Each procedure is planned for safety, structural integrity, and patient comfort, ensuring optimal long-term results that general surgeons rarely achieve.
Ventral hernias require a combination of technical skill and experience to achieve reliable outcomes. Dr. Nakhjo approaches each repair with precision suturing, mesh-free options when possible, and meticulous attention to anatomy, giving patients in NYC a durable, long-lasting solution with minimized risk.
Patients come to Advanced Surgery NYC from across the country, and often from around the world, for one reason: Dr. Nakhjo isn’t a general surgeon who “also” treats hernias and pilonidal disease.
He is a true high-volume specialist. When you want a mesh-free Shouldice repair performed day in and day out, or a Cleft Lift procedure with a proven, consistent success rate, travel becomes a smart decision, not an inconvenience. From California to international destinations, patients choose this Manhattan boutique practice for precision, privacy, and results that hold up long after they return home.
Hear directly from patients who traveled to Advanced Surgery NYC for mesh-free hernia repair and curative pilonidal surgery, and finally got their lives back. These stories reflect what matters most: clear answers, meticulous care, and results that hold up long after surgery.
