Posted on Nov 25, 2018
David S Edelman MD
The operative management of sports hernias involve the re-inforcement of the posterior abdominal wall using suture as described by Meyers or Muschaweck, which consists of modifications of the classic Bassini hernia repair. Alternatively, a laparoscopic repair as described by Edelman, involves mesh placed behind the inguinal floor in the pre-peritoneal space. Mesh is commonly used in the laparoscopic repair of inguinal hernias and Sports hernias. Fixing the mesh with absorbable tacks or fibrin sealant is encouraged. Presently, polypropylene is the most commonly used prosthetic. In 2006, the laparoscopic treatment of Sport s hernia using porcine submucosa, biologic mesh was published demonstrating excellent results.The ideal material, mesh or suture, for hernia repair should be inexpensive to produce, easy to use, promote host tissue ingrowth, result in a healed repair with equal strength to normal tissue over extended periods of time, provide resistance to infection, elicit little or no inflammatory response and inhibit adhesion or fistula formation. Surgisis was initially used as a graft material for arteries, veins, ligaments, dura, urinary bladders and wound coverage. It has also been shown to be effective in the repair of abdominal wall hernias. Biologic mesh, like porcine submucosa, acts as a scaffold for host tissue collagen to re-populate the injured area with excellent revascularization. In summary, biologic mesh is an excellent option for Sports Hernias.