La reparación laparoscópica de la hernia de deportista. (Inglés)

La reparación laparoscópica de la hernia de deportista en jugadores de fútbol, como tratamiento del dolor inguinal crónico

Sergio SusmallianABEF , Tiberiu EzriACD, Marina ElisBFG, Robert WartersEG, Ilan CharuziABC, Michael Muggia-SullamE

Summary:

Background: To evaluate the clinical course of soccer players affected by chronic groin pain, who were referred for laparoscopic inguinal exploration.

Material/Methods: Thirty-five professional soccer players affected by chronic groin pain and referred for laparoscopic inguinal exploration were included in this prospective, non-randomized study. Prior to surgery, patients were assessed by history, clinical examination, pelvic X-ray, bone scanning with Technetium and ultrasound of the inguinal region. The pre-peritoneal space was visualized with a laparoscope under general anesthesia. A bilateral polypropylene mesh was attached pre-peritoneally. Recorded data included demographics, history, symptoms, surgical findings and postoperative recovery.

Results: All patients were male. The mean age was 24.3 years. Six patients (17.1%) complained of pain affecting their normal life. A true indirect type I hernia was identified in 4 patients (11.4%). In 28 patients (80%), a wide internal ring and peritoneal dimple were found during the procedure. No clear pathology was found in three patients (8.6%). Thirty-four patients (97.1%) returned to their normal activities after surgery.

Conclusions: Laparoscopic inguinal exploration and repair of ‘sportsmen’s hernias’ in soccer players was associated with rapid recovery and fast return to full training and activity.

Med Sci Monit, 2004; 10(2): CR52-54