Almé's one fault, however, is his progeny's predisposition to scrotal hernia, and several sons and grandsons needed a testicle removed.

In April 2012, Cam's Card Shark had to get scrotal hernia surgery, and part of his testicle and his small intestine had to be removed.

This technique has met particular success in the repair of bilateral hernias, large scrotal hernias, and recurrent or rerecurrent hernias in which conventional repair is difficult and carries a high morbidity and failure rate.