Sportsman's Hernia repair using Nesovic procedure, a 13-year single-center experience.

Autor: Vicenty T; Department of Digestive Surgery, Aix Marseille Univ, APHM, Timone University Hospital, 264 rue Saint-Pierre, 13005, Marseille, France., Sérénon V; Department of Digestive Surgery, Aix Marseille Univ, APHM, Timone University Hospital, 264 rue Saint-Pierre, 13005, Marseille, France., Aubert M; Department of Digestive Surgery, Aix Marseille Univ, APHM, Timone University Hospital, 264 rue Saint-Pierre, 13005, Marseille, France., Omouri A; Department of Digestive Surgery, Aix Marseille Univ, APHM, Timone University Hospital, 264 rue Saint-Pierre, 13005, Marseille, France., Le Huu Nho R; Department of Digestive Surgery, Aix Marseille Univ, APHM, Timone University Hospital, 264 rue Saint-Pierre, 13005, Marseille, France., Pirrò N; Department of Digestive Surgery, Aix Marseille Univ, APHM, Timone University Hospital, 264 rue Saint-Pierre, 13005, Marseille, France., Mège D; Department of Digestive Surgery, Aix Marseille Univ, APHM, Timone University Hospital, 264 rue Saint-Pierre, 13005, Marseille, France. dr.dianemege@gmail.com.
Jazyk: angličtina
Zdroj: Updates in surgery [Updates Surg] 2024 Dec 05. Date of Electronic Publication: 2024 Dec 05.
DOI: 10.1007/s13304-024-02047-3
Abstrakt: Sportsman's hernia is very frequent in some sports, particularly in football. This painful syndrome is reported by high-level athletes as well as amateurs. There is no consensus about the management of sportsman's hernia, because of the heterogeneity in anatomoclinic forms. In case of surgical indication, the Nesovic procedure, also named "fasciomyoplasty", is one of the recommended procedures for the abdomino-parietal forms. Our objective was to report our experience with this procedure in terms of short- and mid-term results. All the patients who underwent Nesovic procedure between January 2009 and December 2022 in our center were retrospectively reviewed. 43 patients (98% men; mean age: 29.5 ± 9.2 years) were included. 37% of patients were professional athletes. The median time from symptoms' onset to diagnosis was 3 months (range = 1-72 months). The median time from diagnosis to surgery was 7 months (range = 1-58 months). Postoperative overall morbidity occurred in six patients (14%), including scrotum swelling (n = 2), hematoma (n = 1), serous collection (n = 1) and acute urinary retention (n = 2). No major complication occurred. At the end of follow-up (median: 1 year; range = 1 month-11 years), 84% of patients recovered their previous sports activity, after a mean delay of 2 months. Nesovic procedure is efficient in more than 80% of sports patients without any major morbidity.
Competing Interests: Declarations. Conflict of interests: The authors declare that they have no conflict of interest. Informed consent: Ethical approval and patient consent were not necessary, because of the retrospective nature of the study. Research involving human participants and/or animals: No ethics approval was required for this retrospective study.
(© 2024. Italian Society of Surgery (SIC).)
Databáze: MEDLINE
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