No mesh hernia repair

Mr Simon Marsh, 108 Harley Street’s Groin and Hernia expert, is one of the few surgeons who is still carrying out no mesh inguinal hernia repairs.

During a no mesh hernia repair, the hernia is repaired by reducing the hernia and restoring, anatomically, the normal anatomy of the groin. The technique can be considered as based on the Shouldice Technique, pioneered in the famous Shouldice Clinic in Toronto, Canada. Mr Marsh has lectured internationally with the late Robert Bendavid, who was a senior member of the Shouldice Clinic.


Understanding Gilmore’s Groin

What is Gilmore’s Groin? Gilmore’s Groin – so named as it was first recognised by 108 Harley Street’s own founder, the late Mr Jerry Gilmore – is also known as a sportsman’s hernia. It is a painful condition that affects the groin area, commonly experienced by athletes and active individuals. Unlike a traditional hernia, there is no visible bulge, making it difficult to diagnose without specialist knowledge. The condition involves a tear or injury to the muscles or tendons of the lower abdomen, particularly where they attach to the pubic bone. The Gilmore’s Groin and Hernia Clinic has since been led by Mr Simon Marsh, our Surgical Director. Over the […]


Gilmore’s groin surgery

Post your rehabilitation if you fail to show any improvement your surgeon will indicate that surgery is required.  Gilmore’s Groin can be successfully treated by the surgical restoration of normal anatomy. The success of the surgery depends on accurate diagnosis, meticulous repair of each element of the disruption and intensive rehabilitation.  We will provide you with all relevant information about the condition of Gilmore’s Groin, the operation and how it is done.  In about 20% of people with Gilmore’s Groin (groin disruption, sportsman’s “hernia”) there will also be an adductor tear that needs surgery. If this is the case the two operations are done at the same time. The groin […]


Rehabilitation for Gilmore’s Groin

Our team of experts have established a rehabilitation programme for Gilmore’s Groin. Your consultant may recommend this programme as an alternative to surgery. Although if you do need surgery your consultant will advice the program as part of your post-operation recovery process. When doing the exercises, it is important that you activate your “core stability” muscles which consist of stabilising your abdominal muscles and some of the lower back muscles. Our team will help guide you on how to do this and our practice nurses are available for advice if you have any concerns.  Rehabilitation stages The rehabilitation is divided into four stages which can be completed at an individual’s […]


Adductor Tenotomy

In some cases, the adductor tendon may get repeatedly injured or tears and heals badly causing it to thicken and get rigid. This is because the muscle underneath the tendon is prevented from moving smoothly and when it contracts suddenly, the rigid tendon prevents the muscle contracting properly and the muscle itself tears.

If this happens then your consultant will advise an adductor tenotomy.

Arrange an appointment with a consultant


108 Harley Street

108 Harley Street, London, W1G 7ET

+44 (0)207 563 1234
info@108harleystreet.co.uk