

Did you know that while five million Americans have a hernia, only 750,000 seek treatment each year? Many avoid surgery due to fears of complexity and a painful recovery. However, this is often not the case. NYC's Dr. Shomaf Nakhjo specializes in advanced, minimally invasive techniques that offer less discomfort and a faster recovery. Discover why the Shouldice method stands out as a mesh-free solution. For a deeper understanding of this approach versus traditional surgical mesh, explore Dr. Nakhjo's article "Mesh Vs. No Mesh." Your path to recovery could be simpler than you think.
A hernia is a protrusion of an organ or tissue through an abnormal opening or tear in the body. It is commonly seen as a lump in your abdomen or groin. Unfortunately, surgery is the only permanent treatment for a hernia; it will not resolve on its own. There are five main types of hernia:
It may seem odd, but there is no direct cause of hernias. Sometimes, they result from heavy lifting or from any activity that increases intra-abdominal pressure, such as straining during bowel movements. In some cases, a hernia may be present at birth, but the bulge might not be noticeable until later in life.

Dr. Nakhjo offers unmatched expertise in the Shouldice Non-Mesh Inguinal Hernia Repair and Laparoscopic Hernia Repair with Mesh techniques. With a meticulous focus on precision, he evaluates each patient's unique condition to recommend the most effective approach. During comprehensive consultations, Dr. Nakhjo clearly explains the benefits and considerations of both techniques, empowering you to make informed decisions about your care. Performing 400-500 procedures annually, his clinical mastery ensures a tailored solution for your hernia concerns, whether you seek a mesh-free option or advanced laparoscopic care.
Performing over 450 hernia surgeries annually, our practice far exceeds the average general surgeon's 40-50, emphasizing our commitment to specialization. We utilize the Shouldice Repair for over 95% of inguinal hernias, avoiding mesh and using natural tissue instead. This gold-standard approach minimizes serious complications and boasts a low recurrence rate. Additionally, it can be done under local anesthesia, offering a safer experience. Discover more about the differences between the Shouldice method and surgical mesh in Dr. Nakhjo's insightful article "Mesh Vs. No Mesh".
Abdominal wall hernias can be addressed with precision and ease. Our minimally invasive techniques utilize just two small incisions, significantly reducing pain and recovery time. This method allows you to resume daily activities faster than traditional procedures. Our advanced surgical approach transforms hernia repair into a smoother, more efficient experience tailored for your comfort and a swift return to daily life.

Surgery is the only treatment for a hernia — it will not get better on its own.
Experiencing a hernia often brings discomfort, pain, and a noticeable bulge that can become sore. Common symptoms include nausea, vomiting, gas, and constipation. Pain typically worsens when standing, straining, or lifting heavy objects. An enlarged hernia might obstruct passages and affect blood supply, emphasizing the importance of timely repair. If these symptoms sound familiar, you could be a candidate for expert hernia surgery in New York.

Traditional laparoscopic or robotic hernia repairs often involve 3-4 incisions and additional punctures to secure mesh, increasing the risk of complications, postoperative pain, and risk of complications. As NYC's premier hernia specialist, Dr. Nakhjo's focused practice and meticulous attention to detail provide patients with definitive solutions and peace of mind, without the use of foreign bodies.
At Shomaf Nakhjo, DO - Advanced Minimally Invasive Surgery, our laparoscopic ventral hernia repairs often need just two tiny incisions, about the width of a fingernail. This approach is less invasive than a typical laparoscopic appendectomy or gallbladder procedure. With fewer incisions, patients experience minimal discomfort and a faster recovery.
Dr. Nakhjo's expertise ensures precise, effective results while maintaining comfort and ease for every patient.
Our practice does not perform robotic hernia surgeries because there are no clear benefits over laparoscopic repairs. Studies show robotic procedures often double the time and require additional incisions. Moreover, they entail higher costs for comparable outcomes. In terms of efficiency and value, laparoscopic hernia repair remains superior for most cases.
The Shouldice Technique offers a refined, mesh-free approach to hernia repair. Originating from Dr. Edward Earle Shouldice, this method elegantly stitches four anatomical layers with precision. Practiced at the renowned Shouldice Clinic in Toronto since 1945, it draws patients worldwide for its safety and durability. Dr. Nakhjo in NYC embodies this tradition, ensuring superior care and results. Unlike laparoscopic methods, the Shouldice repair avoids the use of implants, reducing associated risks, a topic that is thoroughly explored during consultations to support informed decision-making.
Most patients leave our NYC facility the same day as their surgery, needing only minimal pain relief (Tylenol or NSAIDs usually suffice). Our hernia surgery patients often resume daily activities within 1-2 days and return to work in just a few days. For jobs involving heavy lifting, a recovery period of 3-4 weeks may be required, depending on factors such as your age, weight, hernia size, and job type.

Hernias can lead to discomfort and severe complications like intestinal obstruction. Understanding the risks is crucial. Educate your loved ones about the importance of early evaluation. Dr. Nakhjo, NYC's premier hernia specialist, offers mesh-free Shouldice repairs with unmatched precision. With 400-500 surgeries annually, his expertise ensures a swift return to comfort and function.
Don’t delay, schedule an evaluation today and embrace a pain-free life!
Our "Ask the Dr. Anything" service is designed to clear up any confusion about your hernia concerns. Whether you're curious about symptoms, treatment methods, or our practice, we're committed to providing you with in-depth information and support. Simply email us at [email protected] with "ADA Dr. Nakhjo" as the subject line, and Dr. Nakhjo will personally address your questions. Let's work together to unravel the intricacies of your hernia issues and provide the guidance you need for a healthier future.