Brian P. Jacob, David C. Chen, Bruce Ramshaw, Shirin Towfigh (eds.) - The SAGES Manual of Groin Pain-Springer International Publishing (2016)

27. The Role of Bioactive Prosthetic
Material for the Treatment of Sports
Hernias
David S. Edelman
Editor’s Comments (ST)
Athletic pubalgia remains one of the most controversial topics in the
arena of groin pain. Few surgeons in the world have chosen this specialty
for their main focus of practice, and among them, they each have
a different approach as to how and why they perform their procedure(s)
of choice. Here, the author presents his unique practice of laparoscopic
approach to the treatment of athletic muscle tears, with the addition of
Surgisis, a porcine tissue derived from small intestine submucosa, and
fibrin. The term “BPM” is often applied when discussing Surgisis and
other Cook products, whereas the broader term of “biologic” mesh can
also be used when discussing human or nonhuman collagen-based
grafts. Also, Table 27.1 demonstrates data as provided by each vendor,
such as whether the tissue has been intentionally cross-linked. This
information may not represent analyses performed independently by
scientific laboratories that have shown a special interest in determining
the final characteristics of implanted tissue, such as whether the sterilization
and other manipulation of the tissue in fact result in unintentional
overprocessing or even cross-linking.
Nevertheless, the technique described is worthy of further discussion
and investigation. The author has shown good preliminary results. We
look forward to larger population and longer-term data. It would be
useful to know if other forms of collagen matrices would also show benefit
when implanted in this region and also which specific patients are
best candidates to undergo this type of approach for their athletic
pubalgia.
© Springer International Publishing Switzerland 2016
B.P. Jacob et al. (eds.), The SAGES Manual of Groin Pain,
DOI 10.1007/978-3-319-21587-7_27
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