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Edelman. Mini-invasive Surg 2017;1:31-4 Mini-invasive Surgery
DOI: 10.20517/2574-1225.2016.05
www.misjournal.net
Original Article Open Access

Hybrid mesh for sports hernia repair

David S. Edelman
Baptist Health, Doctors Hospital, Miami, FL 33173, USA.

Correspondence to: Dr. David S. Edelman, Baptist Health, Doctors Hospital, 6401 SW 87th Avenue, Suite 105, Miami, FL 33173, USA. E-mail:
etssurgeon@sweatstop.com

How to cite this article: Edelman DS. Hybrid mesh for sports hernia repair. Mini-invasive Surg 2017;1:31-4.

Dr. David S. Edelman, a Board Certified General Surgeon and Fellow in the American College of Surgeons, established
the Laparoscopic Surgery Center in 1991. He has performed thousands of operations using micro-endoscopic techniques.
He has lectured extensively around the world, published numerous articles in well recognized peer-reviewed journals
and authored many chapters in Laparoscopic Surgical texts. Dr. Edelman has been recognized as one of America’s Top
Surgeons. His center is located at 6401 SW 87th Avenue, Suite 105, Miami, Florida 33173.

ABSTRACT
Article history: Aim: Mesh is commonly utilized in the laparoscopic repair of sports hernias. A hybrid mesh
Received: 31-10-2016 was recently released containing a single light weight layer of macroporous, polypropylene
Accepted: 11-01-2017 mesh between layers of biologic mesh. Having an extensive experience with laparoscopic and
Published: 31-03-2017 sports hernia repairs, a small sample of hybrid mesh was trialed. Methods: From April 2015
to August 2016, 16 male patients with sports hernias were consented for hybrid mesh repair.
Key words: A prospective data base was developed and patients were followed at 1 week, 4 weeks and 4
Sports hernia, months after surgery. Results: Ages ranged from 18 years to 43 years (average 22.9 years).
osteitis pubis, Operative times ranged from 25 min to 75 min (average 42.5 min). All were athletes playing
laparoscopic hernia repair, basketball, soccer, baseball, football and track. There were no operative problems. Two patients
inguinal hernia, developed post-operative seromas requiring radiologic drainage. All patients completed a post-
biologic mesh, operative therapy program and all have returned to their sport without problems. Conclusion:
hybrid biologic mesh There is not one type of mesh repair that has been proven to be the most effective treatment
for sports hernias. Continued follow up as well as a more structured study will be necessary
to prove if hybrid mesh has long term effectiveness for the laparoscopic treatment of sports
hernias. The initial study has promising findings.

INTRODUCTION including torn conjoined tendons, torn external oblique
aponeurosis and chronic osteits pubis that did not
Sports hernia or Gilmore’s groin was described in 1966 improve with conservative treatment. It was not until
by Cabot and popularized in the 1980s by Gilmore. [1] 1992 that the term “sports hernia” or “sportsman
[2]
Gilmore noted a dilated internal ring in soccer players hernia” was introduced to define a tear in the posterior
who did not clinically have an inguinal hernia. Other inguinal floor or transversalis fascia. Most physicians
pathologic findings were noted in these athletes describe a lack of physical findings in the athlete’s

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