Groin disruption (Gilmore’s Groin) is a severe musculo-tendinous injury of the groin, which can be successfully treated by the surgical restoration of normal anatomy. The success of surgery for Groin Disruption (Gilmore’s Groin) depends on accurate diagnosis, meticulous repair of each element of the disruption and intensive rehabilitation. Surgery is indicated in sportsmen, who are unable to play, or fail to respond to rehabilitation.
In cases where the adductor tendon at the top of the inside of the thigh) becomes tight it can get repeatedly torn, making it painful an causing the adductor muscles to become weak. In an adductor tenotomy a small incision is made over the tendon near where it attaches to the pubic bone at the top of the inside of the leg and the tenon is divided. As it heals the tendon will be longer so there will be less tension allowing the muscles to return to their normal strength and function.
This refers to the first operation to repair a hernia. In a small number of cases hernias can come back (recur).
In a small number of cases a hernia in the groin (an inguinal hernia) that has previously been operated on, can come back (recur). this is termed a "recurrent" inguinal hernia.
In about 20% of people with Gilmore's Groin (groin disruption, sportsman's "hernia") there will also be an adductor tear that needs surgery. if this is the case the two operations are done at the same time. The groin is repaired (reconstructed) through a standard 4-5cm incision in the groin and the adductor tenotomy is carried out through a 2-3cm incision at the top of the thigh.
Through a small incision above, or below, the umbilicus ("belly button") the hernia, which usually just fatty tissue, is pushed back and the small hole repaired with strong stitches.
Laparoscopic Inguinal Hernia Repair is a technique to fix tears in the abdominal wall (muscle) using small incisions, telescopes and a patch (mesh). It may offer a quicker return to work and normal activities with a decreased pain for some patients.
An incisional hernia happens through an old scar on the tummy from a previous operation. These are often more complicated to fix and can be done from the front (open) or from the inside (laparoscopic). Repairing these will often involve a "mesh" to make the area stronger and to try and reduce the risk of it coming back again.