Table 2 Laparascopic repairs for sports hernias
StudyTypePatient (M/F)Primary sportRepairMeshOperative findingsFollow-upClinical outcomes
Kluin et al3P14 (13/1)Soccer and triathletesTransabdominal preperitoneal or extraperitoneal approach, 4 bilateral repairsYes50% hernia inguinalis; 22% hernia femoralis; 16.7% preperitoneal lipoma, 5.6% hernia obturatoria; 5.6% no obvious pathology1 year93% returned to full activity in 12 weeks
Edelman & Selesnick29R10 (9/1)Soccer n = 2, Basketball n = 2, other sports n = 6)Laparoscopic repair using extraperitoneal technique with balloon peritoneum dissectionYesTear or laxity of transversalis fascia1 year100% returned to full activity in 4 weeks. One patient did not improve after surgery
Srinivasan & Schuricht103R15 (15/0)Soccer n = 6, football n = 4, hockey n = 4, body builder n = 1Totally extraperitoneal procedureYesSmall indirect hernias6–8 months87% to full activity in 3–6 weeks
Paajanen et al99R41 (41/0)Soccer n = 58%, ice hockey n = 27%Totally extraperitoneal procedureYes(1) No macroscopic abnormality (59%); (2) rupture of conjoined tendon near public ramus (24%); (3) muscle asymmetry (17%)48 months94% to full activity in 4 weeks
van Veen et al54P55 (53/2)SoccerTotally extraperitoneal procedureYes, occasional adductor release1) Weakness of posterior wall (63%, 7% with lymph node near internal ring and 9% with lipoma); (2) direct inguinal hernia (6%); (3) indirect inguinal hernia (31%)3 months100% to full activity at 3 months
Susmallian et al100P35 (35/0)SoccerTotally extraperitoneal procedureYes1) Wide internal ring and peritoneal dimple (80%); (2) indirect hernia (11%); (3) no obvious abnormality (9%)15 months97% to full activity. Average time to return to full play was not reported
Genitsaris et al31R131 (131/0)SoccerTransabdominal preperitoneal procedureYesDirect hernia (62%); bilateral (31%)Mean 5 years (range 4 months to 10 years)96.9% returned to full activity within 2–3 weeks
Azurin et al36R8 (8/0)Hockey n = 3, football n = 3, soccer n = 1, body- building n = 1Endoscopic preperitonealYes100% subtle hernia; bilateral in 7 patients4 weeks100% return to full activity in 2–3 weeks
  • F, female; M, male; NR, not reported; P, prospective; R, retrospective.