The objective of surgery is to help the patient. The surgeon wants to repair the injury but at the same time To Do No Harm. To help me achieve these goals I follow the following rules during hernia surgery.
- Handle the tissues delicately and with care.
- Minimize the use of the cautery. The heat and current can damage remote tissues.
- Minimize the dissection of the spermatic cord.
- Use absorbable sutures as much as possible.
- Do not place sutures in the region of the pubic tubercle or near the medial
attachment of the inguinal ligament.
- When repairing the inguinal floor, avoid placing sutures in the internal oblique
muscle. The iliohypogastric nerve sometimes courses through this muscle. Use
the transversalis for the repair.
- Handle the nerves little as possible.
- Know where the nerves are.
- If neurectomy is required, excise the nerve distally and bury the nerve…
The Sport Hernia Rehab program for the Montreal Canadians is very similar to the one I advise, though more aggressive at the start:
Days 1 & 2:
- Isometric exercises
- Abdominal crunches
- Straight leg raises
- Stationary bike
Sports Hernia Prevention & Adductor Tendon Injury Prevention
Of the injuries suffered by professional hockey players, injuries to the adductor tendons represent about 10% of the total. Hockey players with weak adductors have a much higher incidence of adductor muscle injuries. If an athlete is placed on a program that focuses on strengthening the adductor muscle group, the incidence of adductor injures falls by a factor of 5.
- Adductor Stretches
- Side Lunges
- Pelvic tilts
- Ball squeezes
- Concentric adduction
- Seated adduction
- Balance board
Source: Nicholas, Stephen J;Tyler, Timothy F. Adductor muscle strains in sport. Sports Med (2002) 32: 339-44.
Please visit the following link to learn more about the treatment of Osteitis Pubis: http://www.ncbi.nlm.nih.gov/pubmed/8526278
Jerry Deutsch has kindly put together the following nutrition information:
A Healing Diet for Sports Hernia Surgery
High biological value proteins that are easy to digest:
- White fish: tilapia, cod, dover sole
- White meat chicken, and turkey
- Micronized whey or whey isolate powder for smoothie preparation
Complex carbohydrates: White basmati rice, quinoa, thick rolled oats (which confer excellent soluble fiber) yams and sweet potatoes, winter squashes such as acorn, butternut and delicata varieties. Ezekiel bread (fully sprouted).
A good source for information on how to perform nerve blocks is: