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

1. Introduction to Primary and Secondary Groin Pain…
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femoral, direct, and indirect spaces can be carefully examined for
missed, new, or recurrent hernias.
Neurectomy and laparoscopic neurectomy are emerging once again
as a possible last resort surgery that, if performed by an experienced
surgeon, can be life-improving for sure. That being said, if a surgeon is
not familiar with revisional hernia surgery or neurectomy, the patient
should be referred elsewhere.
In conclusion, inguinodynia , or groin pain, can be acute onset or
chronic in nature. Patients suffering from either deserve to have easier
access to find a physician specializing in groin pain, and we hope a
manual like this one will at least inspire more surgeons to master the
anatomy, differential diagnosis, history and physical exam, workup, and
nonoperative and operative techniques involved with inguinodynia that
are required to assist some of these patients. While a groin pain team
will always be required to fully treat inguinodynia patients, for a general
surgeon, sometimes just being able to facilitate the diagnosis and
workup can be as rewarding to these groin pain patients as would be an
entire surgery. For just that reason alone, every general surgeon should
read this manual.