Year 2020 Vol. 28 No 1

SCIENTIFIC PUBLICATIONS
GENERAL & SPECIAL SURGE

H.I. HERYCH, V.V. VASHCHUK, D.V. ANDRIUSHCHENKO, O.B. MATVIYCHUK, R.L. BOKHONKO, N.R. FEDCHYSHYN

GILMORE’S GROIN TREATMENT METHOD

Danylo Halytsky Lviv National Medical University,
Lviv, Ukraine

Objective. To develop a surgical procedure for the treatment of Gilmore’s groin.
Methods. In 2008-2017, 52 patients with Gilmore’s groin were treated. All patients were males, the age ranged from 18 to 35. Fifty-one patients were athletes (professional football for more than 5 years), in 1 case – professional activity was associated with weight lifting. The reason for seeking medical help in 38 (73%) patients was the presence of chronic pain in the inguinal region, in 14 (27%) complaints were combined with the pain in the pubic region and along the medial surface of the thigh. All patients were operated on according to the developed technique. The idea of the technique is to restore the structures of the inguinal canal with the obligatory withdrawal of n. ilioinguinalis outside the inguinal canal. Immediate and long-term (6 and 12 months) results were evaluated.
Results. The postoperative period was without any complications: from the 1st day after the operation, all patients confirmed the disappearance of pain in the inguinal and pubic region, along the medial surface of the thigh. At follow-up after 6 and 12 months, 48 out of 52 patients (92.3%) felt healthy, had no complaints and continued to play football actively. Three patients (5.8%) after 6 months did not restore professional activity (left sports). One of the patients (1.9%) did not want to resume professional activity, since the onset of Gilmore’s groin was associated with weight lifting. The effectiveness of the treatment was 92.3%.
Conclusions. The developed method of surgical treatment of the Gilmore’s groin, caused by the rupture of the aponeurosis of m. obliquus externus abdominis and scapular displacement of the nerves of the inguinal canal, is simple to implement and provides a thorough restoration of the anatomical structure of the inguinal canal.

Keywords: Gilmore’s groin, inguinal canal, inguinal region, surgical treatment
p. 30-37 of the original issue
References
  1. Brannigan AE, Kerin MJ, McEntee GP. Gilmore’s groin repair in athletes. J Orthop Sports Phys Ther. 2000 Jun;30(6):329-32. doi: 10.2519/jospt.2000.30.6.329
  2. Hackney RG. The sports hernia. Sports Med Arthrosc. 1997 Oct-Dec;5(Is 4):320-25. https://journals.lww.com/sportsmedarthro/abstract/1997/10000/ the_sports_hernia.11
  3. Mann ÑD, Lloyd DM. Groin Pain in the Athlete: Non-Bony Pathology Including Sportsman’s Groin. Open Sports Med J. 2010 Jan;4(1):81-92. doi: 10.2174/1874387001004010081
  4. Swan KG Jr, Wolcott M. The athletic hernia: a systematic review. Clin Orthop Relat Res. 2007 Feb;455:78-87. doi: 10.1097/BLO.0b013e31802eb3ea
  5. Caudill P, Nyland J, Smith C, Yerasimides J, Lach J. Sports hernias: a systematic literature review. Br J Sports Med. 2008 Dec;42(12):954-64. doi: 10.1136/bjsm.2008.047373
  6. Morelli V, Smith V. Groin injuries in athletes. Am Fam Physician. 2001 Oct 15;64(8):1405-14. https://www.aafp.org/afp/2001/1015/p1405.html
  7. Irshad K, Feldman LS, Lavoie C, Lacroix VJ, Mulder DS, Brown RA. Operative management of “hockey groin syndrome”: 12 years of experience in National Hockey League players. Surgery. 2001 Oct;130(4):759-64; discussion 764-66. doi: 10.1067/msy.2001.118093
  8. Van Der Donckt K, Steenbrugge F, Van Den Abbeele K, Verdonk R, Verhelst M. Bassini’s hernial repair and adductor longus tenotomy in the treatment of chronic groin pain in athletes. Acta Orthop Belg. 2003;69(1):35-41. http://www.actaorthopaedica.be/assets/135/07-vd_donckt-verhelst.pdf
  9. Orchard JW, Read JW, Neophyton J, Garlick D. Groin pain associated with ultrasound finding of inguinal canal posterior wall deficiency in Australian Rules footballers. Br J Sports Med. 1998 Jun;32(2):134-39. doi: 10.1136/bjsm.32.2.134
  10. Holzheimer RG. Inguinal Hernia: classification, diagnosis and treatment – classic, traumatic and Sportsman’s hernia. Eur J Med Res. 2005 Mar 29;10(3):121-34. https://pdfs.semanticscholar.org/fdbf/705267948ee9ea511c68bab91a2c291786d5.pdf
  11. Meyers WC, Yoo E, Devon ON, Jain N, Horner M, Lauencin C, Zoga A. Understanding “sports hernia”(athletic pubalgia): the anatomic and pathophysiologic basis for abdominal and groin pain in athletes. Oper Tech Sports Med. 2012 Mar;20(1):33-45. doi: 10.1053/j.otsm.2012.03.005
  12. Meyers WC, Lanfranco A, Castellanos A. Surgical management of chronic lower abdominal and groin pain in high-performance athletes. Curr Sports Med Rep. 2002 Oct;1(5):301-5. doi: 10.1249/00149619-200210000-00008
  13. Gilmore J. Groin pain in the soccer athlete: fact, fiction, and treatment. Clin Sports Med. 1998 Oct;17(4):787-93, vii. doi: 10.1016/s0278-5919(05)70119-8
  14. Paksoy M, Sekmen Ü. Sportsman hernia; the review of current diagnosis and treatment modalities. Ulus Cerrahi Derg. 2015;32(2):122-29. Published 2015 Aug 18. doi: 10.5152/UCD.2015.3132
  15. Sheen AJ, Stephenson BM, Lloyd DM, Robinson P, Fevre D, Paajanen H, de Beaux A, Kingsnorth A, Gilmore OJ, Bennett D, Maclennan I, O’Dwyer P, Sanders D, Kurzer M. Treatment of the sportsman’s groin’: British Hernia Society’s 2014 position statement based on the Manchester Consensus Conference. Br J Sports Med. 2014 Jul;48(14):1079-87. doi: 10.1136/bjsports-2013-092872
Address for correspondence:
79010, Ukraine,
Lviv, Pekarskaya Str., 69,
Danylo Halytsky Lviv National
Medical University,
Department of Surgery and Endoscopy
Of Post-Graduate Education.
Tel. +38 067 767 45 37,
e-mail: romanbokhonko@gmail.com,
Roman L. Bokhonko
Information about the authors:
Herych Hnat I., Assistant of the General Surgery Department of Danylo Halytsky Lviv National Medical University, Lviv, Ukraine.
http://orcid.org/0000-0002-9907-1874
Vashchuk Vsevolod V., PhD, Associate Professor of the General Surgery Department of Danylo Halytsky Lviv National Medical University, Lviv, Ukraine.
http://orcid.org/0000-0002-0152-0820
Andriushchenko Dmytro V., MD, Professor of the Department of Surgery and Endoscopy of Post-Graduate Education, Danylo Halytsky Lviv National Medical University, Lviv, Ukraine.
http://orcid.org/0000-0003-1046-7889
Matviychuk Oleh B., MD, Associate Professor of the General Surgery Department of Danylo Halytsky Lviv National Medical University, Lviv, Ukraine.
http://orcid.org/0000-0002-5864-1535
Bokhonko Roman L., PhD, Assistant of the Department of Surgery and Endoscopy of Post-Graduate Education, Danylo Halytsky Lviv National Medical University, Lviv, Ukraine.
http://orcid.org/0000-0003-3859-0635
Fedchyshyn Nazar R., PhD, Assistant of the Department of Surgery and Endoscopy of Post-Graduate Education, Danylo Halytsky Lviv National Medical University, Lviv, Ukraine.
http://orcid.org/0000-0003-4695-7599
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