Year 2020 Vol. 28 No 1

SCIENTIFIC PUBLICATIONS
GENERAL & SPECIAL SURGE

H.I. HERYCH, V.V. VASHCHUK, D.V. ANDRIUSHCHENKO, O.B. MATVIYCHUK, R.L. BOKHONKO, N.R. FEDCHYSHYN

GILMORES GROIN TREATMENT METHOD

Danylo Halytsky Lviv National Medical University,
Lviv, Ukraine

Objective. To develop a surgical procedure for the treatment of Gilmores groin.
Methods. In 2008-2017, 52 patients with Gilmores groin were treated. All patients were males, the age ranged from 18 to 35. Fifty-one patients were athletes (professional football for more than 5 years), in 1 case professional activity was associated with weight lifting. The reason for seeking medical help in 38 (73%) patients was the presence of chronic pain in the inguinal region, in 14 (27%) complaints were combined with the pain in the pubic region and along the medial surface of the thigh. All patients were operated on according to the developed technique. The idea of the technique is to restore the structures of the inguinal canal with the obligatory withdrawal of n. ilioinguinalis outside the inguinal canal. Immediate and long-term (6 and 12 months) results were evaluated.
Results. The postoperative period was without any complications: from the 1st day after the operation, all patients confirmed the disappearance of pain in the inguinal and pubic region, along the medial surface of the thigh. At follow-up after 6 and 12 months, 48 out of 52 patients (92.3%) felt healthy, had no complaints and continued to play football actively. Three patients (5.8%) after 6 months did not restore professional activity (left sports). One of the patients (1.9%) did not want to resume professional activity, since the onset of Gilmores groin was associated with weight lifting. The effectiveness of the treatment was 92.3%.
Conclusions. The developed method of surgical treatment of the Gilmores groin, caused by the rupture of the aponeurosis of m. obliquus externus abdominis and scapular displacement of the nerves of the inguinal canal, is simple to implement and provides a thorough restoration of the anatomical structure of the inguinal canal.

Keywords: Gilmores groin, inguinal canal, inguinal region, surgical treatment
p. 30-37 of the original issue
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Address for correspondence:
79010, Ukraine,
Lviv, Pekarskaya Str., 69,
Danylo Halytsky Lviv National
Medical University,
Department of Surgery and Endoscopy
Of Post-Graduate Education.
Tel. +38 067 767 45 37,
e-mail: romanbokhonko@gmail.com,
Roman L. Bokhonko
Information about the authors:
Herych Hnat I., Assistant of the General Surgery Department of Danylo Halytsky Lviv National Medical University, Lviv, Ukraine.
http://orcid.org/0000-0002-9907-1874
Vashchuk Vsevolod V., PhD, Associate Professor of the General Surgery Department of Danylo Halytsky Lviv National Medical University, Lviv, Ukraine.
http://orcid.org/0000-0002-0152-0820
Andriushchenko Dmytro V., MD, Professor of the Department of Surgery and Endoscopy of Post-Graduate Education, Danylo Halytsky Lviv National Medical University, Lviv, Ukraine.
http://orcid.org/0000-0003-1046-7889
Matviychuk Oleh B., MD, Associate Professor of the General Surgery Department of Danylo Halytsky Lviv National Medical University, Lviv, Ukraine.
http://orcid.org/0000-0002-5864-1535
Bokhonko Roman L., PhD, Assistant of the Department of Surgery and Endoscopy of Post-Graduate Education, Danylo Halytsky Lviv National Medical University, Lviv, Ukraine.
http://orcid.org/0000-0003-3859-0635
Fedchyshyn Nazar R., PhD, Assistant of the Department of Surgery and Endoscopy of Post-Graduate Education, Danylo Halytsky Lviv National Medical University, Lviv, Ukraine.
http://orcid.org/0000-0003-4695-7599
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