Laparoscopic inguinal ligament tenotomy and mesh reinforcement of the anterior abdominal wall: a new approach for the management of chronic groin pain

Surgical Laparoscopy, Endoscopy & Percutaneous Techniques
D M LloydG Garcea

Abstract

Chronic groin pain has an incidence of up to 6.2% and is common in people undertaking regular sports activity. A variety of surgical options exist for unresolving pain, which consist, for the most part, of a repair of the posterior abdominal wall, with or without mesh placement. We describe a new technique, which combines laparoscopic inguinal ligament tenotomy in conjunction with a mesh repair. A retrospective analysis of the notes of 48 patients was undertaken in conjunction with a mailed questionnaire. Success of surgery was judged on return to preinjury sporting activity, severity of pain scores, frequency of pain scores, and functional limitation scores. There were no major complications associated with the procedure. Severity of pain, frequency of pain, and functional limitation scores were all significantly improved after surgery (P=0.0012, <0.0001, and <0.0001, respectively). Ninety-two percent of patients polled returned to normal sports activity after their surgery (n=24). The median return to strenuous sports activity was 28 days (range of 14 to 40 d). The success rates of laparoscopic tenotomy and mesh repair are comparable with the published literature and a lower median time interval before returning to preinjury ...Continue Reading

References

Sep 1, 1976·Radiology·R SchneiderB Ghelman
Nov 1, 1992·The American Journal of Sports Medicine·C Akermark, C Johansson
May 11, 1991·The American Journal of Sports Medicine·D C TaylorW E Garrett
Mar 1, 1980·British Journal of Sports Medicine·P Renström, L Peterson
Feb 1, 1995·International Journal of Sports Medicine·W T SimonetL Sim
Mar 1, 1993·British Journal of Sports Medicine·R G Hackney
Feb 1, 1997·The British Journal of Surgery·C J Ingoldby
Feb 4, 1998·Clinical Journal of Sport Medicine : Official Journal of the Canadian Academy of Sport Medicine·V J LacroixR A Brown
Feb 1, 1997·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·D J AzurinA Bartolozzi
Jun 28, 2000·The Journal of Orthopaedic and Sports Physical Therapy·A E BranniganG P McEntee
Jul 31, 2001·The American Journal of Sports Medicine·K AndersonR Warren
May 22, 2002·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Anitha Srinivasan, Alan Schuricht
Dec 18, 2002·Acta Radiologica·P KesekN Westlin
Sep 23, 2003·Clinical Journal of Sport Medicine : Official Journal of the Canadian Academy of Sport Medicine·Roland M BiedertStephan Meyer
May 20, 2004·The American Journal of Sports Medicine·Jolanda KluinCornelis J van Steensel
Jul 22, 2004·Scandinavian Journal of Medicine & Science in Sports·Q Zhang, J Styf
Jul 27, 2004·Clinical Journal of Sport Medicine : Official Journal of the Canadian Academy of Sport Medicine·Emily J KovacsRobert B Litchfield
Dec 29, 2004·Journal of Orthopaedic Surgery·V S KumarM Jf Fordyce
Feb 17, 2005·Journal of Science and Medicine in Sport·P SteeleJ R Grove
May 12, 2006·Scandinavian Journal of Plastic and Reconstructive Surgery and Hand Surgery·Birgitta Svernlöv, Lars Adolfsson
Jun 2, 2006·Surgical Endoscopy·D S Edelman, H Selesnick
Jun 1, 2007·Techniques in Hand & Upper Extremity Surgery·David M KalainovMark S Cohen

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Citations

Jan 9, 2010·Hernia : the Journal of Hernias and Abdominal Wall Surgery·S Morales-CondeA Barranco
Mar 23, 2011·Clinics in Sports Medicine·Demetrius E M LitwinBrian D Busconi
Dec 2, 2018·Journal of the Belgian Society of Radiology·W J Rennie, D M Lloyd
May 8, 2016·British Journal of Sports Medicine·Darren de SaOlufemi R Ayeni
Feb 6, 2020·JAMA Surgery·Brian S ZuckerbraunCraig S Mauro
Jan 31, 2015·British Journal of Sports Medicine·Andreas SernerRobert-Jan de Vos
Jun 3, 2015·British Journal of Sports Medicine·Hannu PaajanenAali J Sheen
Mar 2, 2019·Hernia : the Journal of Hernias and Abdominal Wall Surgery·S G JørgensenJ Rosenberg
Dec 20, 2013·Scandinavian Journal of Medicine & Science in Sports·L KuikkaH Paajanen
Dec 21, 2018·Surgical and Radiologic Anatomy : SRA·Andrew David Clelland, Ourania Varsou

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