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Veronesi P, Origi M, Pappalardo V, Zuliani W, Sahoo M, Radu V, Radu A, Ene S, Lica M, Nahabet E, Stulberg J, Majumbder A, Sanchez E, Novitsky Y, Morales-Conde S, Sanchez-Ramirez M, Alarcón I, Barranco A, Gómez-Menchero J, Suárez JM, Bellido J, Socas M, López-Quindós P, García-Ureña MA, Aguilera A, Blázquez L, Cruz A, Galván A, González E, Jiménez C, López-Monclús J, Melero D, Palencia N, Robin A, Becerra R, Lopez-Monclus J, Garcia-Ureña MA, Blazquez-Hernando LA, Melero-Montes DA, Jimenez-Ceinos C, Becerra-Ortiz R, Lopez-Quindos P, Galvan A, García-Ureña M, Movilla AS, Blázquez D, Montes DM, Valle de Lersundi AR, Cidoncha AC, Pavía AG, Quindós PL, García M, García S, Di Maio V, Marte G, Ferronetti A, Canfora A, Mauriello C, Bottino V, Maida P, Berta R, Bellini R, Mancini R, Moretto C, Anselmino M, Cumbo P, Roberti L. Topic: Incisional Hernia - "Difficult case" as specialistic case: real loss of substance, multi recurrences, infections, fistulas, lombocel, burst abdomen, reconstruction of the entire wall. Hernia 2015; 19 Suppl 1:S350-3. [PMID: 26518844 DOI: 10.1007/bf03355389] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
Affiliation(s)
- P Veronesi
- Humanitas Mater Domini Clinical Institute, Castellanza, Italy
| | | | | | | | - M Sahoo
- S.C.B Medical College, Cuttack, India
| | - V Radu
- Life Memorial Hospital, Bucharest, Romania
| | | | | | | | - E Nahabet
- University Hospitals Case Medical Center, Cleveland, USA
| | | | | | | | | | | | | | - I Alarcón
- Hospital Universitario Virgen del Rocio, Sevilla, Spain
| | - A Barranco
- Hospital Universitario Virgen del Rocio, Sevilla, Spain
| | | | - J M Suárez
- Hospital Quirón-Sagrado Corazón, Sevilla, Spain
| | - J Bellido
- Hospital Quirón-Sagrado Corazón, Sevilla, Spain
| | - M Socas
- Hospital Universitario Virgen del Rocio, Sevilla, Spain
| | | | | | - A Aguilera
- Department of Surgery, Henares Hospital, Madrid, Spain.,Hospital Universitario del Henares, Coslada, Spain
| | - L Blázquez
- Department of Surgery, Henares Hospital, Madrid, Spain
| | - A Cruz
- Department of Surgery, Henares Hospital, Madrid, Spain
| | - A Galván
- Department of Surgery, Henares Hospital, Madrid, Spain.,Hospital Universitario del Henares, Coslada, Spain
| | - E González
- Department of Surgery, Henares Hospital, Madrid, Spain.,Hospital Universitario del Henares, Coslada, Spain
| | - C Jiménez
- Department of Surgery, Henares Hospital, Madrid, Spain
| | - J López-Monclús
- Department of Surgery, Henares Hospital, Madrid, Spain.,Hospital Universitario del Henares, Coslada, Spain
| | - D Melero
- Department of Surgery, Henares Hospital, Madrid, Spain
| | - N Palencia
- Department of Surgery, Henares Hospital, Madrid, Spain.,General Surgery Department, Henares Hospital, Coslada, Spain.,Hospital Universitario del Henares, Coslada, Spain
| | - A Robin
- Department of Surgery, Henares Hospital, Madrid, Spain.,General Surgery Department, Henares Hospital, Coslada, Spain
| | - R Becerra
- Department of Surgery, Henares Hospital, Madrid, Spain.,Hospital Universitario del Henares, Coslada, Spain
| | - J Lopez-Monclus
- General Surgery Department, Henares Hospital, Coslada, Spain
| | | | | | | | | | - R Becerra-Ortiz
- General Surgery Department, Henares Hospital, Coslada, Spain
| | - P Lopez-Quindos
- General Surgery Department, Henares Hospital, Coslada, Spain
| | - A Galvan
- General Surgery Department, Henares Hospital, Coslada, Spain
| | | | | | - D Blázquez
- Hospital Universitario del Henares, Coslada, Spain
| | | | | | | | | | | | - M García
- Hospital Universitario del Henares, Coslada, Spain
| | - S García
- Hospital Universitario del Henares, Coslada, Spain
| | | | - G Marte
- Ospedale Evangelico Villa Betania, Napoli, Italy
| | - A Ferronetti
- Ospedale Evangelico Villa Betania, Napoli, Italy
| | - A Canfora
- Ospedale Evangelico Villa Betania, Napoli, Italy
| | - C Mauriello
- Ospedale Evangelico Villa Betania, Napoli, Italy
| | - V Bottino
- Ospedale Evangelico Villa Betania, Napoli, Italy
| | - P Maida
- Ospedale Evangelico Villa Betania, Napoli, Italy
| | - R Berta
- Bariatric and Metabolic Surgery Unit, University Hospital, Pisa, Italy
| | | | | | | | | | - P Cumbo
- Struttura complessa Chirurgia Generale, San Lorenzo di Carmagnola, Italy
| | - L Roberti
- Struttura complessa Chirurgia Generale, San Lorenzo di Carmagnola, Italy
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Abstract
Athletes and other physically active people often suffer prolonged inguinal pain, which can become a serious debilitating condition and may place an athlete's career at risk. A sportsmen hernia is a controversial cause of this chronic groin pain, as it is difficult to be defined. From an anatomical point of view, the definition and the name of this entity should be reviewed. In the majority of athletic manoeuvres, a tremendous amount of torque or twisting occurs in the mid-portion of the body and the front, or anterior portion, of the pelvis accounts for the majority of the force. The main muscles inserting at or near the pubis are the rectus abdominis muscle, which combines with the transversus abdominis. Across from these muscles, and directly opposing their forces, is the abductor longus. These opposing forces cause a disruption of the muscle/tendon at their insertion site on the pubis, so the problem could be related to the fact that the forces are excessive and imbalanced, and a weak area at the groin could be increased due to the forces produced by the muscles. The forces produced by these muscles may be imbalanced and could produce a disruption of the muscle/tendon at their insertion site on the pubis or/and a weak area may be increased due to the forces produced by the muscles, and just this last possibility could be defined as "sportsmen hernia." In conclusion, this global entity could be considered to be an imbalance of the muscles (abductor and abdominal) at the pubis, that leads to an increase of the weakness of the posterior wall of the groin and produces a tendon enthesitis, once a true origin is not detected, that may lead to a degenerative arthropathy of the pubic symphysis in the advanced stages. Based on this, this entity could be re-named as "syndrome of muscle imbalance of the groin" and the sportsmen hernia could be considered as an entity included in this syndrome. It is recommended that a multidisciplinary approach is given to this entity, since the present literature does not supply the proper diagnostic studies and the correct treatment which should be performed in these patients.
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