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Recent News and Articles on the Keywords: tension-free mesh + surgical repair + hernia  Related to the article below (Last Update: 5/12/2008)

New technical approach for the repair of an abdominal wall defect ...
7thSpace Interactive (press release), NY - Apr 16, 2008
... large-pore polypropylene mesh (Ultrapro(R)). Conclusion: The procedure of Ramirez et al is helpful in achieving a tension-free closure of large defects ...
The types and treatments of urinary incontinence explained by LRMC
Downey Patriot, CA - Apr 24, 2008
The TVT device uses a mesh sling to give support to the middle of the urethra, the section that is strained during physical activities. ...
Source: Google News

… trial comparing Lichtenstein with laparoscopic tension-free mesh repair of inguinal hernia. -
MS Wilson, GT Deans, WA Brough - Br J Surg, 1995 - ncbi.nlm.nih.gov
... Most patients with inguinal hernia undergoing tension-free mesh repair by
either technique would be suitable for day-case surgery. ...

Tension-free mesh hernia repair: review of 1098 cases using local anaesthesia in a day unit.
AE Kark, M Kurzer, KJ Waters - Ann R Coll Surg Engl, 1995 - ncbi.nlm.nih.gov
... Tension-free mesh hernia repair: review of 1098 cases using local anaesthesia
in a day unit. Kark AE, Kurzer M, Waters KJ. British ...

MESH PLUG REPAIR AND GROIN HERNIA SURGERY -
AW Robbins, IM Rutkow - Surgical Clinics of North America, 1998 - Elsevier
... Among the new mesh-based ?tension-free? hernioplasties (ie ... and plug), the use of
mesh plugs has ... about this utilitarian and simple surgical procedure, often ...

Repair of complex giant or recurrent ventral hernias by using tension-free intraparietal prosthetic … -
T Temudom, M Siadati, MG Sarr - Surgery, 1996 - ncbi.nlm.nih.gov
... ventral hernias by using tension-free intraparietal prosthetic ... Department of Surgery,
Mayo Clinic, Rochester ... panel of prosthetic mesh placed intraparietally ...

" Tension-free" inguinal herniorrhaphy: a preliminary report on the" mesh plug" technique. -
IM Rutkow, AW Robbins - Surgery, 1993 - ncbi.nlm.nih.gov
... Compared with conventional sutured surgical techniques, a plug ... dissection and ensures
a "tension-free" hernioplasty. ... rates with the mesh hernia plug technique. ...

Classification of biomaterials and their related complications in abdominal wall hernia surgery -
PK Amid - Hernia, 1997 - Springer
... materials in abdominal wall hernia surgery has beco- me increasingly popular. The
use of syn- thetic mesh to achieve a tension-free repair has resulted in a ...

Tension-Free Inguinal Hernia Repair: TEP Versus Mesh-Plug Versus Lichtenstein: A Prospective … -
S Bringman, S Ramel, TJ Heikkinen, T Englund, B … - Annals of Surgery, 2003 - annalsofsurgery.com
... Tension-free inguinal herniorrhaphy: a preliminary report on the mesh plug technique.
Surgery 1993; 114: 3-8. [Context Link]. 8. Stoppa R, Petit J ...

Ambulatory outpatient hernia surgery. Including a new concept, introducing tension-free repair. -
IL Lichtenstein, AG Shulman - Int Surg, 1986 - ncbi.nlm.nih.gov
... surgery and introduces a new surgical concept, tension-free repair. ... ago, all
modifications and surgical techniques have ... By using modern mesh prosthetics, it is ...

… and Sulbactam on Wound Infection After Tension-Free Inguinal Hernia Repair With Polypropylene Mesh: … -
MA Yerdel, EB Akin, S Dolalan, AG Turkcapar, M … - Annals of Surgery, 2001 - annalsofsurgery.com
... The tension-free hernioplasty. Am J Surg 1989; 157: 188-193. ... 12. Robbins
AW, Rutkow IM. Mesh plug repair and groin hernia surgery. ...

Chronic groin sepsis following tension-free inguinal hernioplasty -
SG Taylor, PJ O'Dwyer - Br J Surg, 1999 - doi.wiley.com
... 562 British Journal of Surgery 1999, 86 , 562?565 ... problems had arisen since the mesh
was removed ... 99 per cent) were performing tension-free hernioplasty; only ...

Source: Google Scholar

Tension-Free Mesh Surgical Repair Of Sports Hernia Injuries And Rehabilitation Program Speeds Recovery
Surgical repair of athletic hernia using tension-free mesh and a standardized rehabilitation protocol are successful in returning athletes to competition, according to new research released at the 2007 Annual Meeting of the American Orthopaedic Society for Sports Medicine at the Telus Convention Center.

Dr. Brunt and colleagues studied the results of more than 60 athletic hernia repair surgeries to evaluate the experience of athletes undergoing tension-free mesh surgical repair using a standardized rehabilitation protocol. The investigators found a high rate of successful return to athletic competition. They also determined that the standardized rehabilitation protocol was useful in providing consistency in postoperative management and a structured approach to activity.
"Using a tension-free mesh repair and a standardized rehabilitation protocol we have successfully returned athletes to competition in more than 90% of cases," says principal investigator L. Michael Brunt, M.D., professor of surgery at Washington University School of Medicine in St. Louis.

Athletic hernia is not a true hernia in a strict sense, which is defined as a protrusion through a hole or defect in underlying tissue or lining. People with athletic hernia have exertion-related pain in the lower abdominal and groin region that is associated with deterioration of the muscle layers. Without treatment, these athletes typically cannot perform at high levels and may no longer be successful at their sport. The standardized rehabilitation protocol is more structured than what has been previously reported. Athletic trainers, physical therapists and athletes appear to have the most success when given well-structured guidelines about what can and cannot be expected or allowed at each stage after hernia surgery.

An athletic trainer for the St. Louis Blues hockey team, Ray Barile, developed the multistep, graduated program used in this study to return the athletes to activity following repair. The program starts with early ambulation and motion and works toward resistance and core muscle building while later progressing to speed and functional activities. The hope is that this program can facilitate a faster rehabilitation and return to sport.

"The three main groups of athletes who develop athletic hernias are hockey, soccer and football players. Sprinting, kicking, and skating are the activities that appear to be most problematic," explains Dr. Brunt. "The athletes we see have usually undergone an extensive period of conservative management and having failed that, should be considered for surgical repair. On average, athletes in our series had experienced symptoms for more than eight months before undergoing surgery."

Pain from an athletic hernia, or pubalgia, is in the lower abdominal region and pubic bone. Typically this pain has been unexplained for a period of time, and there are few indications of the condition in the patient's personal history, physical exam, or imaging scans. Making an accurate diagnosis often involves excluding other reasons for pain and identifying the few subtle findings that make the diagnosis.

Sports hernias have received recent media attention because several high-profile athletes, including tight end L.J. Smith of the Philadelphia Eagles, have been diagnosed with the condition. "Athletic hernia can occur in athletes who are not necessarily at the elite level and who play sports only recreationally," Dr. Brunt notes.

Tension-free mesh is used for repair of other types of hernias. With no tension on the repair, the athlete can return to play earlier than when only sutures are used. Less pain is reported in the post-operative period when the mesh is used. Using the mesh helps restore strength and stability to the area affected, allowing easier recovery.
"Other surgeons have been successful with different approaches including primary repair and repair with laparoscopic techniques," Dr. Brunt comments. "For us, tension-free mesh has resulted in a consistent return to athletic competition and earlier activity than a primary approach could yield."

Dr. Brunt says that proper management of athletes with athletic hernia requires a multidisciplinary approach including sports orthopedists, physical therapists, and surgeons. "It is important that physicians who see athletes with groin problems understand the entire spectrum of groin injuries. There are many different types of injuries that can occur, which makes it difficult to make the correct diagnosis since the imaging findings can be relatively nonspecific."

The American Orthopaedic Society for Sports Medicine (AOSSM), a world leader in sports medicine education, research, communication and fellowship, is an organization of orthopaedic sports medicine specialists, including national and international sports medicine leaders. The Society works closely with many other sports medicine specialists including athletic trainers, physical therapists, family physicians, and others to improve the identification, prevention, treatment, and rehabilitation of sports injuries. Please visit the AOSSM Web site, http://www.sportsmed.org/.

Source: Patti Davis
American Orthopaedic Society for Sports Medicine
 
 
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