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

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K.W. Kercher
Table 34.2. Surgical technique and outcomes.
Author
Number
Return to
activity (%) Surgical technique
Hackney [ 14 ] 15 87 Open inguinal floor repair
Canonico [ 15 ] 16 100 Lichtenstein
Ingoldby [ 4 ] 28 96 50 % Open mesh
50 % Laparoscopic mesh
Paajanen [ 16 ] 41 95 TEP
Genitsaris [ 17 ] 131 97 TAPP
Topol [ 12 ] 24 92 Pubic symphysis/adductor
injection
Akermark [ 13 ] 16 62 Adductor tenotomy
who present with insidious, deep groin pain in the absence of an inguinal
hernia, a sports hernia should be considered. Initial treatment is conservative
and should involve a multidisciplinary approach (orthopedist,
sports medicine, athletic trainer, and/or physical therapist). Imaging
(MRI) and surgical referral may be indicated after a failure of conservative
management. While small series of laparoscopic and open repair
have provided encouraging results, a multicenter prospective randomized
controlled trial is needed.
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