The features of sports hernia surgery in football players

Authors

  • O. Y. Ioffe O. Bohomolets National Medical University
  • A. V. Omelchenko O. Bohomolets National Medical University
  • O. P. Stetsenko O. Bohomolets National Medical University
  • T. V. Tarasiuk O. Bohomolets National Medical University

DOI:

https://doi.org/10.11603/2414-4533.2020.4.11777

Keywords:

ТАРР, IPOM, groin pain

Abstract

The aim of the work: to determine the optimal way to choose the method of surgical treatment for sports hernia in football players.

Materials and Methods. An analysis of the results of surgical treatment of 36 football players of professional and amateur clubs aged 18 to 34 years with a diagnosis of sports hernia, who were in the Surgical Department of Kyiv City Clinical Hospital No. 3 in 2014–2019.

Patients were divided into two groups of studies depending on the method of surgery. In group 1 there were two subgroups, subgroup 1 of patients included 10 football players, who underwent laparoscopic intraperitoneal hernia alloplasty according to the IPOM method. Subgroup 2 included 8 football players, who underwent laparoscopic intraperitoneal hernia alloplasty according to the IPOM method with subdermal suturing of the internal inguinal rings. Group 2 included 18 football players, who underwent laparoscopic transabdominal preperitoneal hernia alloplasty (ТАРР). The Copenhagen Hip and Groin Outcome Score (HAGOS) and the Eura HS Quality of Life score (Eura HS-QoL in modification) were used to assess the quality of life indicators.

Results and Discussion. In the analysis of indicators according to the HAGOS scale, the quality of life before surgery did not differ in both groups of the study, while after surgery significantly increased in group 2 from 47 to 96 points and group 1 – from 45 to 80 points (p <0.05). Also group 2 there was a significant reduction in groin pain after laparoscopic hernioaloplasty (ТАРР) from 8 points to 2 points on the VAS in scale and after the application of IPOM in group 1 – from 7.5 to 3 points (p<0.05). The shortest period for return of the athlete to play is 3 weeks after surgical treatment of sports hernia by ТАРР laparoscopic repair of the posterior wall of the inguinal canal with a self-fixing mesh.

The study conducted a comparative analysis of the results of laparoscopic surgical methods and determined the optimal way to choose the method of surgical treatment for sports hernia in football players.

References

Meyers, W.C., Havens, B.K., & Horner, G.J. (2014). Core muscle injury (a better name than ‘‘athletic pubalgia’’ or ‘‘sports hernia’’). Current Orthopedics Practice, 25, 321.

Brannigan, A.E., Kerin, М., & McEntee, G.P. (2000). Gilmor’s groin repair in athletes. J. Orthopaedic & Sports Physical Therapy, 30 (6), 329-332.

Caudill, Р., Nyland, J., & Smith, C. (2008) Sports hernias: a systematic literature review. Br. J. Sports Med., 42, 954-964.

Gerich, I.D., Stojanovskiy, I.V., Gerich, G.I., & Cheme­rys, O.M. (2011). Novyi sposib khirurhichnoho likuvannia kyly Gilmora [A new method of surgical treatment of Gilmore hernia]. Ukrainskyi zhurnal khirurhii – Ukrainian Journal of Surgery, 2 (11), 104-108 [in Ukrainian].

Santilli, O.L., Nardelli, N., & Santilli, H.A. (2016). Sports hernias: Experience in a sports medicine Center Hernia, 20 (1), 77-84.

Weir, A., Brukner, P., Delahunt, E., Ekstrand, J., Griffin, D., & Khan, K. et al. (2015). Doha agreement meeting on terminology and definitions in groin pain in athletes. British Journal of Sports Medicine, 49 (12), 768-774.

Hammoud, S., Bedi, A, Magennis, E, Meyers, W.C., & Kelly, B.T. (2012). High incidence of athletic pubalgia symptoms in professional athletes with symptomatic femoroacetabular impingement. Arthroscopy, 28 (10),1388-1395.

Swan, K.G, Wolcott, M. (2007) The athletic hernia. A systematic review. Clin. Orthop. Relat. Res., 455, 78-87.

Meyers, W.C, McKechnie, A., & Philippon, M.J. (2008) Experience with “sports hernia” spanning two decades. Ann. Surg., 248, 656-665.

Lloyd, D.M, Sutton, C.D., & Altafa, A. (2008) Laparoscopic inguinal ligament tenotomy and mesh reinforcement of the anterior abdominal wall: a new approach for the management of chronic groin pain. Surg. Laparosc. Endosc. Percutan. Tech., 18, 363-368.

Ioffe, O.Y., & Vasiljev, A.V. (2012). Laparoskopichna intraabdominalna hernioaloplastyka yak operatiia vyboru pry likuvanni pakhovoi hryzhi [Laparoscopic intra-abdominal hernioplasty as the operation of choice in the treatment of inguinal hernia]. Klinichna khirurhiia – Clinical Surgery, 1, 26-29 [in Ukrainian].

Thorborg, K., Hölmich, P., & Christensen, R. (2011) The Copenhagen Hip and Groin Outcome Score (HAGOS): development and validation according to the COSMIN checklist. British Journal of Sports Medicine, 45, 478-491.

http://www.eurahs.eu/EuraHS-Quality-of-Life-Score.

Ioffe, O.Y., Stetsenko, O.P., Omelchenko, A.V., Dibrova, Y.A., Tsiura, Y.P., Tarasiuk, T.V., & Vasilyev, A.V. (2019) Otsinka prychyn bolovoho syndromu v pakhvynnii diliantsi ta prohnozuvannia sportyvnoi hryzhi u futbolistiv za dopomohoiu mahnitno-rezonansnoi tomohrafii ta ultrazvukovoho doslidzhenniia. [Groin pain assesment and sports hernia prognosis with MRI and ultrasound criteria in football players]. Khirurhiia Donbassu – Surgery of Donbass, 8 (3), 24-33 [in Ukrainian].

Valenti, G., Baldassarre, E., & Conforti, A. (2005). The Marcy repair modified using cremaster muscle sparing. A new and effective method for performing prosthetic hernioplasty. Surg. Today, 35 (8), 645-648.

R Core Team. Vienna: R Foundation for Statistical Computing, 2016

Muschaweck, U., & Berger, L. (2010) Sportsmen's groin – diagnostic approach and treatment with the minimal repair technique: a single center uncontrolled clinical review. Sports Health, 2, 216-221.

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Published

2021-02-15

How to Cite

Ioffe, O. Y., Omelchenko, A. V., Stetsenko, O. P., & Tarasiuk, T. V. (2021). The features of sports hernia surgery in football players. Hospital Surgery. Journal Named by L.Ya. Kovalchuk, (4), 5–14. https://doi.org/10.11603/2414-4533.2020.4.11777

Issue

No. 4 (2020)

Section

ORIGINAL INVESTIGATIONS

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