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Surg Endosc. 2007 Feb;21(2):189-93. Epub 2006 Nov 21.

Successful endoscopic treatment of chronic groin pain in athletes.

Author information

1
Department of Surgery, Erasmus University Medical Centre, Room Z-836, Dr. Molewaterplein 40, 3015, GD, Rotterdam, The Netherlands. r.n.vanveen@erasmusmc.nl

Abstract

BACKGROUND:

Chronic groin pain, especially in professional sportsmen, is a difficult clinical problem.

METHODS:

From January 1999 to August 2005, 55 professional and semiprofessional sportsmen (53 males; mean age, 25 +/- 4.5 years; range, 17-36 years) with undiagnosed chronic groin pain were followed prospectively. All the patients underwent an endoscopic total extraperitoneal (TEP) mesh placement.

RESULTS:

Incipient hernia was diagnosed in the study athletes: 15 on the right side (27%), 12 on the left side (22%), and 9 bilaterally (16%). In 20 patients (36%), an inguinal hernia was found: 3 direct inguinal hernias (5%) and 17 indirect hernias (31%). All the athletes returned to their normal sports level within 3 months after the operation.

CONCLUSIONS:

A TEP repair must be proposed to patients with prolonged groin pain unresponsive to conservative treatment. If no clear pathology is identified, reinforcement of the wall using a mesh offers good clinical results for athletes with idiopathic groin pain.

PMID:
17122983
DOI:
10.1007/s00464-005-0781-6
[Indexed for MEDLINE]

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