(510) 793-2404
Your Guide to Understanding Sports Hernias and the
 Medical Treatment of
 Sports Hernias
by William Brown, MD
Advanced Medical Treatment for Sports Related Hernias

Mesh Complications

Chronic pain after mesh repair of inguinal hernia: a systematic review.

Nienhuijs S, Staal E, Strobbe L, Rosman C, Groenewoud H, Bleichrodt R.
Am J Surg. 2007 Sep;194(3):394-400. Review.

Note: discusses the incidence of pain after mesh hernia repair

Hernia repair: why do we continue to perform mesh repair in the face of the human toll of inguinodynia?

Fischer JE. Am J Surg. 2013 Oct;206(4):619-23. doi: 10.1016/j.amjsurg.2013.03.010. Epub 2013 Jul 17.
PMID: 23871324

Note: Dr. Fishcer (Harvard Medical School) makes a strong argument against the use of mesh.

The GroinPain Trial: A Randomized Controlled Trial of Injection Therapy Versus Neurectomy for Postherniorraphy Inguinal Neuralgia.

Verhagen T, Loos MJA, Scheltinga MRM, Roumen RMH.
Ann Surg. 2017 Apr 26. doi: 10.1097/SLA.0000000000002274. [Epub ahead of print]PMID:28448383

Note: Compares injection therapy to neurectomy to treat pain after mesh hernia repair.

Ultrasound-guided ilioinguinal/iliohypogastric nerve blocks for chronic pain after inguinal hernia repair.

Thomassen I, van Suijlekom JA, van de Gaag A, Ponten JE, Nienhuijs SW.
Hernia. 2013 Jun;17(3):329-32. doi: 10.1007/s10029-012-0998-y. Epub 2012 Sep 27.

Note: Discusses the use of nerve blocks to treat pain after mesh hernia repair

Management of chronic testalgia by microsurgical testicular denervation.

Heidenreich A, Olbert P, Engelmann UH.
Eur Urol. 2002 Apr;41(4):392-7.

Note: Discusses skeletonization of the spermatic cord to treat testicular pain.

A Pathology of Mesh and Time: Dysejaculation, Sexual Pain, and Orchialgia Resulting From Polypropylene Mesh Erosion Into the Spermatic Cord.

Iakovlev V, Koch A, Petersen K, Morrison J, Grischkan D, Oprea V, Bendavid R.
Ann Surg. 2017 Jan 6. doi: 10.1097/SLA.0000000000002134. [Epub ahead of print]PMID:28067674

Note: discusses the treatment of sexual dysfunction after hernia repair.

“The ideal mesh?”

Klinge U, Park JK, Klosterhalfen B.
Pathobiology. 2013;80(4):169-75. doi: 10.1159/000348446. Epub 2013 May 6.

Note: Contains more detailed information about meshes.

A mechanism of mesh-related post-herniorrhaphy neuralgia.

Bendavid R, Lou W, Grischkan D, Koch A, Petersen K, Morrison J, Iakovlev V.
Hernia. 2016 Jun;20(3):357-65. doi: 10.1007/s10029-015-1436-8. Epub 2015 Nov 23.

Note: Discusses nerve damage by mesh.

Mesh penetrating the cecum and bladder following inguinal hernia surgery: a case report.

Asano H, Yajima S, Hosoi Y, Takagi M, Fukano H, Ohara Y, Shinozuka N, Ichimura T.
J Med Case Rep. 2017 Sep 14;11(1):260. doi: 10.1186/s13256-017-1435-8.

Note: damage to bladder and colon from mesh

A comparative study of Desarda’s technique with Lichtenstein mesh repair in treatment of inguinal hernia: A prospective cohort study.

Gedam BS, Bansod PY, Kale VB, Shah Y, Akhtar M.
Int J Surg. 2017 Mar;39:150-155. doi: 10.1016/j.ijsu.2017.01.083. Epub 2017 Jan 25.

Note: discusses the excellent results of a non mesh repair.

Herniotomy in young adults as an alternative to mesh repair: a retrospective cohort study.

van Kerckhoven G, Toonen L, Draaisma WA, de Vries LS, Verheijen PM.
Hernia. 2016 Oct;20(5):675-9. doi: 10.1007/s10029-016-1529-z. Epub 2016 Aug 13.

Note: Excellent results in younger patients for tissue repairs.

Laparoscopic plug removal for femoral nerve colic pain after mesh & plug hernioplasty.

Ohkura Y, Haruta S, Shinohara H, Lee S, Fukui Y, Kobayashi N, Momose K, Ueno M, Udagawa H.
BMC Surg. 2015 May 17;15:64. doi: 10.1186/s12893-015-0046-9.

Note: Femoral nerve injury after mesh hernia repair.

William Brown, MD
Sports Hernia Specialist

Dr. Brown has been performing sports hernia surgeries and providing specialized rehabilitation programs since 1999.

His clients include the San Jose Sharks, San Jose Sabercats and the San Jose Earthquakes sports teams as well as athletes from the NFL, AFL, NBA, NBL and the United States Soccer League. Athletes from all over the United States as well as from 15 foreign countries have sought out Dr. Brown's expertise.

Locations: (Fremont is the Main Office)

Fremont Office:
39470 Paseo Padre Pkwy
Fremont, CA 94538
Phone: (510) 793-2404
Fax: (510) 793-1320

Monterey Office:
1011 Cass Street, Suite 115
Monterey, CA 93940

Palo Alto Office:
151 Forest Avenue
Palo Alto, CA 94301

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