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

Context: Sportsmen’s groin, also called sports hernia and Gilmore groin, is one of the most frequent sports injuries in athletes and may place an athletic career at risk. It presents with acute or chronic groin pain exacerbated with physical activity. So far, there is little consensus regarding pathogenesis, diagnostic criteria, or treatment. There have been various attempts to explain the cause of the groin pain. The assumption is that a circumscribed weakness in the posterior wall of the inguinal canal, which leads to a localized bulge, induces a compression of the genital branch of the genitofemoral nerve, considered responsible for the symptoms. Methods: The authors developed an innovative open suture repair—the Minimal Repair technique—to fit the needs of professional athletes. With this technique, the circumscribed weakness of the posterior wall of the inguinal canal is repaired by an elastic suture; the compression on the nerve is abolished, and the cause of the pain is removed. In contrast with that of common open suture repairs, the defect of the posterior wall is not enlarged, the suture is nearly tension free, and the patient can return to full training and athletic activity within a shorter time. The outcome of patients undergoing operations with the Minimal Repair technique was compared with that of commonly used surgical procedures. Results: The following advantages of the Minimal Repair technique were found: no insertion of prosthetic mesh, no general anesthesia required, less traumatization, and lower risk of severe complications with equal or even faster convalescence. In 2009, a prospective cohort of 129 patients resumed training in 7 days and experienced complete pain relief in an average of 14 days. Professional athletes (67%) returned to full activity in 14 days (median). Conclusion: The Minimal Repair technique is an effective and safe way to treat sportsmen’s groin.

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Umbilical hernia: Factors indicative of recurrence

Medicina ◽

10.3390/medicina44110108 ◽

2008 ◽

Vol 44 (11) ◽

pp. 855 ◽

Cited By ~ 31

Author(s):

Linas Venclauskas ◽

Jolita Šilanskaitė ◽

Mindaugas Kiudelis

Keyword(s):

Risk Factors ◽

Recurrence Rate ◽

Umbilical Hernia ◽

Hernia Recurrence ◽

Suture Repair ◽

Repair Technique ◽

Umbilical Hernia Repair ◽

Open Mesh Repair ◽

Onlay Technique ◽

Hernia Size

Umbilical hernia has gained little attention from surgeons in comparison with other types of abdominal wall hernias (inguinal, postoperative); however, the primary suture for umbilical hernia is associated with a recurrence rate of 19–54%. The aim of this study was to analyze the results of the umbilical hernia repair and to assess the independent risk factors influencing umbilical hernia recurrence. Materials and methods. A retrospective analysis of patients who underwent surgery for umbilical hernia in the Hospital of Kaunas University of Medicine in 2001–2006 was performed. Age, sex, hospital stay, hernia size, patient’s body mass index, and postoperative complications were analyzed. Postoperative evaluation included pain and discomfort in the abdomen and hernia recurrence rate. The questionnaire, which involved all these previously mentioned topics, was sent to all patients by mail. Hernia recurrence was diagnosed during the patients’ visit to a surgeon. Two surgical methods were used to repair umbilical hernia: open suture repair technique (keel technique) and open mesh repair technique (onlay technique). Every operation was chosen individually by a surgeon. Results. Ninety-seven patients (31 males and 66 females) with umbilical hernia were examined. The mean age of the patients was 57.1±15.4 years, hernia anamnesis – 7.6±8.6 years, hospital stay – 5.38±3.8 days. Ninety-two patients (94.8%) were operated on using open suture repair technique and 5 (5.2%) patients – open mesh repair technique. Only 7% of patients whose BMI was >30 kg/m2 and hernia size >2 cm and 4.3% of patients whose BMI was <30 kg/m2 and hernia size <2 cm were operated on using onlay technique (P>0.05). The rate of postoperative complications was 5.2%. Sixty-seven patients (69%) answered the questionnaire. The complete patient’s recovery time after surgery was 2.4±3.4 months. Fourteen patients (20.9%) complained of pain or discomfort in the abdomen, and 7 patients (10.4%) had ligature fistula after the surgery. Forty-five patients (67.2%) did not have any complaints after surgery. The recurrence rate after umbilical hernia repair was 8.9%. The recurrence rate was higher when hernia size was >2 cm (9% for <2 cm vs 10.5% for >2 cm) and patient’s BMI was >30 kg/m2 (8.6% for < 30 vs 10.7% for >30). There were 5 recurrence cases after open suture repair and one case after onlay technique. Fifty-six patients (83.6%) assessed their general condition after surgery as good, 9 patients (13.4%) as satisfactory, and only 2 patients (3%) as poor. Conclusions. We did not find any significant independent risk factors for umbilical hernia recurrence. However, based on reviewed literature, higher patient’s body mass index and hernia size of >2 cm could be the risk factors for umbilical hernia recurrence.

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A Quick and Simple Four-Strand Barbed Suture Repair Technique for Flexor Tendons

Plastic & Reconstructive Surgery ◽

10.1097/01.prs.0000455371.90659.32 ◽

2014 ◽

Vol 134 ◽

pp. 40 ◽

Cited By ~ 1

Author(s):

Cormac W. Joyce ◽

Conor M. Sugrue ◽

Sean M. Carroll ◽

Jack L. Kelly

Keyword(s):

Barbed Suture ◽

Suture Repair ◽

Flexor Tendons ◽

Repair Technique

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Surgical Treatment of Sportsman’s Groin: The Minimal Repair Technique (Muschaweck Repair)

Sports Hernia and Athletic Pubalgia ◽

10.1007/978-1-4899-7421-1_13 ◽

2014 ◽

pp. 153-162

Author(s):

Katherine Graw Lamond ◽

Ulrike Muschaweck ◽

Joachim Conze ◽

John Bright Hanks

Keyword(s):

Surgical Treatment ◽

Minimal Repair ◽

Repair Technique

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Elective Repair of Adult Abdominal Wall Hernia: A Nigerian Tertiary Hospital Experience

European Journal of Medical and Health Sciences ◽

10.24018/ejmed.2021.3.1.668 ◽

2021 ◽

Vol 3 (1) ◽

pp. 68-72

Author(s):

Emeka Ray-Offor ◽

Chidi Joshua Okeke

Keyword(s):

Hernia Repair ◽

Abdominal Wall ◽

Operating Time ◽

Abdominal Wall Hernia ◽

Tertiary Hospital ◽

Laparoscopic Technique ◽

Suture Repair ◽

True Incidence ◽

Repair Technique ◽

Elective Repair

Background: Hernia repair is one of the most common procedures performed by general surgeons, mostly in an elective setting. The true incidence/prevalence of hernias in Nigeria is unknown, however, suture (tissue) repair is predominantly reported. Aims: To study the distribution of adult abdominal wall hernia and the surgical and anaesthetic techniques for elective repair in a Nigerian tertiary hospital. Methods: A retrospective cross-sectional study of surgical patients undergoing elective abdominal wall hernia repair in University of Port Harcourt Teaching Hospital Nigeria from January 2009 to December 2014. Data extracted from the theatre records were patients’ demographic, type of hernia, repair technique, anaesthesia, operating time, and cadre of performing surgeon. Statistical analysis was performed using SPSS version 20. Results: A total of 400 adult patients had elective repair of abdominal wall hernias during study period. The age range was from 17- 85 years (mean 39.3 ± 6.0) and M: F ratio of 1.9:1. There were 287(70.9%) inguinal, 43(10.6%) incisional and 36(8.9%) epigastric hernias. Mesh repair was recorded in 11(2.7%) cases with laparoscopic technique in 2 cases. Subarachnoid block was the choice anaesthesia in 365(85.4%) cases. The least mean operating time (38.6 mins) recorded was in repair of femoral hernia and longest (105.3mins) with incisional hernia repair. Conclusions: Suture repair is the predominant repair technique. Routine hernioplasty and laparoscopic hernia repair need to be encouraged.

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