David S Edelman, MD. Baptist Helath, Doctor’s Hospital
The syndrome, Gilmore's Groin, was described in 1980. In 1992, the term "Sport's Hernia" was coined and many surgeons have elucidated their approach to the painful condition in athletes. More recently, a growing number of surgeons have implemented laparoscopic mesh repair on these patients.
Over 2000 laparoscopic hernia repairs have been performed by the author. A review of the data base found 133 patients who had Biologic Mesh used as part of the Sport's hernia repair. The data was analyzed retrospectively.
There were 106 males and 27 females treated. Age averaged 36.28 years (range 16-74). OR time averaged 31.14 minutes (range 15-60). There were 54 right, 49 left and 30 bilateral repairs. Adductor longus microelongation with biologic was done in 19 patients and 12 of these patients have PPM used to repair the floor of the inguinal canal. Ten patients (6%) did not get complete improvement or developed recurrent pain. One patient had a seroma develop in the adductor repair.
Biologic mesh can be used successfully for the laparoscopic repair of the posterior inguinal floor (transversalis fascia, conjoined tendon, internal ring) and open adductor repair for Sport's Hernias. The diagnosis and treatment of Sport's Hernias will be reviewed at presentation.