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Surgical Repair of Athletic Hernia Speeds Return to Play

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 today 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
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