Studies on sportsman’s hernia, which is a challenging situation in both diagnosis and treatment, are ongoing in many centers. We performed laparoscopic repair on 20 patients based on the diagnosis of sportsman’s hernia (TEP:16, TAPP:4). It is an invasive technique, has a high rate of false positivity and it is generally not preferred in overall use due to the high risk of complications at 3–6% ( 26). Furthermore, it does not mean that the sportsman whose pain symptoms do not diminish via exercise programs would not benefit from inguinal hernia surgery ( 1). For the diagnosis of sportsman’s hernia, it is necessary to have not only this imaging finding, but also other clinical and imaging findings.

Muschaweck and Berger ( 47, 48) reported the technique of “minimal” repair of the transversalis fascia under local anesthesia. You can change your choices at any time by visiting Cookie preferences, as described in the Cookie notice. The general public and media are more familiar with "sports hernia," however, and this term will be used for the remainder of this article.We are convinced that surgical treatment will have a much more established role in the treatment of sportsman’s hernia.

The superiority of either laparoscopic technique or open technique as performed by experienced hands has not been demonstrated to date. During examination, not only hip pathologies, but also potentially concomitant rectus abdominis or adductor longus tendon damage should also be investigated. They reported that a new-onset hernia was identified in 65% and true inguinal hernia in 35% of the patients in a series of 55 sportsmen.

Van Veen ( 36) specified that the pathology could be identified in 80% of patients via the TEP technique, and that placement of a mesh to the posterior wall aiming to strengthen it based on the assumption that there is a subtle damage even in cases with no detectable pathologies yielded good clinical results in sportsmen with idiopathic inguinal pain. However, the most frequent finding in 85% of the sportsmen with this syndrome is weak posterior wall of the inguinal canal ( 16, 20, 21). Evaluating muscle balance, motor control and flexibility may be important in preventing inguinal damage.

The bulging or defect on the posterior inguinal wall is stretched out and soft tissue remains intact. Your doctor may recommend non-steroidal anti-inflammatory drugs (NSAIDs), like ibuprofen or naproxen, to reduce swelling and pain. At our clinic, we always make sure to have dynamic ultrasonography and MRI examinations in addition to history and clinical examination findings for every patient who we suspect as having sportsman’s hernia.It includes the concomitance of several pathologies; all of these develop through the same essential mechanism due to the underlying disturbance of pelvic stabilization. Taylor ( 13), on the other hand, related his experience in his own series in the year 1991 where he defined the pathology related to athletes with chronic pain, unable to compete and having abnormalities on their abdominal wall (palpable hernia, non-palpable hernia, microscopic tears and avulsions of the internal oblique muscles) as pubalgia. Furthermore, he claimed that tenotomy reduced load-related pain and did not result in significant function loss for other adductor muscles (magnus, brevis, pectineus); however, the loss of adductor strength resulted in imbalance of powers on the symphysis pubis, thereby disturbing pelvic stabilization and reported that the long-term results of this method were unclear. In the last 4 decades, chronic pain in sportsmen’s groins has been occasionally defined as sportsman’s groin or inguinal disruption-Gilmore’s groin and it has been attributed to new-onset hernia, inguinal disruption or athletic pubalgia that results in chronic inguinal pain ( 1).

Inguinal hernia (the most common type of groin hernia) is when abdominal tissue, such as part of the intestine, pushes through an opening in the lower abdominal wall, creating a painful bulge. Minimal repair technique of sportsmen’s groin: an innovative open-suture repair to treat chronic inguinal pain.Sportsman’s hernia as a new clinical disease was defined with different names in the literature and it was preponderantly defined as inguinal pain seen in people who actively do sports. The tendon will heal at a greater length, releasing tension and giving the patient a greater range of motion. We prefer laparoscopic TEP method in our clinic for treating sportsman’s hernia and we are of the opinion that this method is safer and more effective.