“Sports” hernia: treatment with biologic mesh (Surgisis)

Abstract

Laparoscopic exploration should be considered in athletes with chronic groin pain that does not improve after conventional treatments have failed. Furthermore, biologic mesh (Surgisis) should be considered for the repair of inguinal sports hernias.

Proposed Algorithm for the Management of Athletes With Athletic Pubalgia (Sports Hernia): A Case Series

“…Complaints of testicular or epididymal pain, or cyclic pain accompanying menstruation, 59 should be examined carefully to rule out genitourinary abnormalities. 1,23 Neurological symptoms in the groin or upper scrotum may suggest entrapment of the genital branches of the ilioinguinal, obturator, or genitofemoral nerves. 3,59,73 Confounding the diagnostic dilemma is the fact that patients may have multiple injuries presenting very similarly.…”

“…The advantage of the endoscope is that a sports hernia can be successfully diagnosed and subsequently repaired in the same session. 23,46 Herniography, a radiographic examination utilizing a contrast medium, may have diagnostic value but is controversial and not commonly performed in the United States. 43,46,53,75 Ultrasound has been recently advocated as a tool to diagnose a sports hernia, but its use is presently limited.…”

Pubic inguinal pain syndrome: the so-called sports hernia

“…It does appear that kicking sports and those involving rapid changes of direction while running predispose an athlete to this condition. Chronic groin pain may originate from the muscles, tendons, bones, bursas, fascial structures, nerves and joints, both in the athletes and in the general population [2,6].…”

“…The history must include questions directed at referred lumbar abnormalities, including back pain, radiculopathy and sensory disturbances [1,2,6,16,[22][23][24]27]. Night pain and persistence of pain at the rest may indicate the presence of a neoplasm.…”

“…The role of laparoscopy in SH is still being evaluated, because it allows an opportunity to examine all of the local hernia oriWces, but does not permit an assessment of the anterior wall of inguinal canal, notably the conjoint tendon [4,6,12,26].…”