Skip Navigation LinksHome > March/April 2014 - Volume 13 - Issue 2 > Understanding Noninguinal Abdominal Hernias in the Athlete
Current Sports Medicine Reports:
doi: 10.1249/JSR.0000000000000036
Chest and Abdominal Conditions

Understanding Noninguinal Abdominal Hernias in the Athlete

Cabry, Robert J. MD; Thorell, Erik DO; Heck, Keith DO; Hong, Eugene MD; Berkson, David MD

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Abstract

Abdominal hernias are common with over 20 million hernia repairs performed worldwide. Inguinal hernias are the most common type of hernia. Inguinal and sports hernia have been discussed at length in recent literature, and therefore, they will not be addressed in this article. The noninguinal hernias are much less common but do occur, and knowledge of these hernias is important when assessing the athlete with abdominal pain. Approximately 25% of abdominal wall hernias are noninguinal, and new data show the order of frequency as umbilical, epigastric, incisional, femoral, and all others (i.e., Spigelian, obturator, traumatic). Return-to-play guidelines need to be tailored to the athlete and the needs of their sport. Using guidelines similar to abdominal strain injuries can be a starting point for the treatment plan. Laparoscopic repair is becoming more popular because of safety and efficacy, and it may lead to a more rapid return to play.

Copyright © 2014 by the American College of Sports Medicine

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