Minimal Repair technique of sportsmen’s groin: an innovative open-suture repair to treat chronic inguinal pain

Muschaweck, Ulrike; Berger, Luise

doi:10.1007/s10029-009-0614-y

Cited by 119 publications

(79 citation statements)

References 26 publications

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“…Read, a senior herniologist, has frequently used 'herniology' as a title word in his publications [5,6]. Today, evidence shows better surgical outcomes occur with specific hernia surgeons and centres, with no formal certifications programmes yet [7][8][9][10][11][12].…”

Section: Discussionmentioning

confidence: 99%

Current Status of Hernia Centres Around the Globe

Kulaçoğlu

Öztuna

2014

Indian J Surg

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Institutions specifically dedicated to treatment of abdominal wall hernias have gained popularity over the last years. This study aimed to determine the current situation of hernia centres worldwide. A web-based search was conducted using the common search engines Google and PubMed. The details recorded were as follows: name of the centre, country, establishment year, administrative structure (hospital affiliated, private practice group, or independent solo practice), whether or not the centre has its own operation room, the number of employed surgeons, preferred anaesthesia type, preferred repair type, laparoscopic technique option, case volume per year, and the number of scientific publications. A total of 182 centres were found in 30 different countries. Eighty-one (44.5 %) centres provide services as part of an affiliation within a general hospital (18 in university hospitals). Only 28 (15.5 %) of the centres have published a paper on abdominal wall hernias indexed by PubMed. The total number of papers in PubMed by 182 centres is 354. We observed that clinical outcomes in hernia centres are not shared globally by publishing them in scientific journals, and whether specific hernia surgeons and centres provide better outcomes in treating abdominal wall hernias, compared to general surgeons who deal with all kinds of surgical procedures, remains unclear.

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Section: Discussionmentioning

confidence: 99%

Current Status of Hernia Centres Around the Globe

Kulaçoğlu

Öztuna

2014

Indian J Surg

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“…In a number of papers the importance of coexisting adductor tendinosis in patients with sports hernia is noted. In other papers coexistence of nerve entrapment neuralgia with sports hernia is also acknowledged [13,16,20]. A study conducted by Ekstrand and Hilding studying more than 300 soccer players found the majority of injured patients had more then one potential cause of pain [21].…”

Section: Discussionmentioning

confidence: 99%

“…According to the literature and our study, treatment of patients with chronic groin pain is complex and surgery has a role. It enables faster recovery and return to sports [5,16,20]. Reinforcement of the posterior wall is necessary in the majority of patients after performing physical examination and dynamic ultrasound for signs of occult hernia.…”

Section: Discussionmentioning

confidence: 99%

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Surgical treatment of chronic groin pain in athletes

Dojčinović

Sebecic

Silva

et al. 2012

International Orthopaedics (SICOT)

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Purpose Conservative treatment of chronic groin pain is prolonged and recurrence is quite common. Coexistence of sports hernia and adductor tendinitis/tendinosis in a single patient is noted in the literature. In our study we evaluated our operative treatment that should enable pain elimination and fast return to sports activities. Methods We performed a prospective study over a six-year period. Ninety-nine (99) patients, all male, with chronic groin pain, resistant to conservative treatment, underwent a surgical procedure. Results Seventy athletes with sports hernia returned to sports in an average 4.23 weeks (range three-16). Adductor tendinosis symptoms were present in 24 patients (2 %) with sports hernia. Twenty-four patients that had an additional adductor tenotomy performed returned to sports in an average 11.6 weeks (range ten-15). Five patients with isolated adductor tendinosis (7 %) returned to sports in an average 13.4 weeks (range 12-16). All athletes except two (2.8 %) treated for sports hernia were satisfied with the results of treatment and could continue their previous level of activity. Conclusion Any surgical procedure used for treating chronic groin pain should address the common causes of pain in this region. Adductor tendinosis can be present in up to 24.2 % of cases with sports hernia or may be isolated in 7 % of cases with chronic groin pain and must be treated by tenotomy. Resection of the genital branch of genitofemoral nerve and ilioinguinal nerve neurolysis should also be performed in patients with sports hernia.

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“…Muschaweck [ 54 ] minimal repair -Opening of the posterior inguinal wall only at the area of the defect (intact structures remain intact), Suture line over the pubic bone (tension of the Rectus muscle is reduced), Conservation of sliding mobility of the abdominal wall.…”

Section: Muschaweckmentioning

confidence: 99%