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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58 I.M. Daoud and K. Dunn 13. O’Connell B, Bernstein D, Daoud IM. Laparoscopic inguinal hernia repair for occult (non-palpable) groin hernias in women with chronic pelvic pain. Paper presented at SAGES, 22–25 Apr 2009, Phoenix, AZ. 14. Herrington JK. Occult inguinal hernia in the female. Ann Surg. 1975;181(4):481–3. 15. Spangen L, Smedberg SG. Nonpalpable inguinal hernia in women. In: Bendavid R, Abrahamson J, Arregui ME, Flament JB, Phillips EH, editors. Abdominal wall hernias: principles and management. New York: Springer; 2001. p. 625–9. 16. Miller J, Cho J, Michael MJ, Saouaf R, Towfigh S. Role of imaging in the diagnosis of occult hernias. JAMA Surg. 2014;149(10):1077–80. 17. Lowen MS, Daoud IM, Frenzel CA. Treatment of femoral hernias by a single surgeon: a systematic approach. Paper presented at SAGES, 9–12 Apr 2008, Philadelphia, PA. 18. Lilly MC, Arregui ME. Lipomas of the cord and round ligament. Ann Surg. 2002;235(4):586–90. 19. Heller CA, Marucci DD, Dunn T, Barr EM, Houang M, Dos Remedios C. Inguinal canal “lipoma”. Clin Anat. 2002;15(4):280–5. 20. Fataar S. CT of inguinal canal lipomas and fat-containing inguinal hernias. J Med Imaging Radiat Oncol. 2011;55(5):485–92. 21. Carilli S, Alper A, Emre A. Inguinal cord lipomas. Hernia. 2004;8(3):252–4. 22. Gersin KS, Heniford BT, Garcia-Ruiz A, Ponsky JL. Missed lipoma of the spermatic cord. a pitfall of transabdominal preperitoneal laparoscopic hernia repair. Surg Endosc. 1999;13(6):585–7. 23. Nasr AO, Tormey S, Walsh TN. Lipoma of the cord and round ligament: an overlooked diagnosis? Hernia. 2005;9(3):245–7. 24. Spangen L, Anderson R, Ohlsson L. Non-palpable inguinal hernia in the female. Am J Surg. 1988;54(9):574–7. 25. Hall C, Hall PN, Wingate JP, Neoptolemos JP. Evaluation of herniography in the diagnosis of occult abdominal wall hernia in symptomatic adults. Br J Surg. 1990;77(8):902–6.
7. Groin Pain Etiology: Athletic Pubalgia Evaluation and Management Gregory J. Mancini Introduction Athletic pubalgia ( sports hernia ) is a cluster of distinct injuries that are grouped together because of the common location of pain, overlapping activity triggers, and lack of physical exam findings. The chronic painful symptoms that occur in otherwise healthy, athletic, and young individuals add a psychosocial layer to an already complicated medical condition. Most injuries to athletes result from a single action or collision. There are obvious physical findings of this injury such as swelling or a contusion. These injuries are routine and fully heal with time and basic care. But athletic pubalgia is much more insidious. It develops slowly over time without pain until a relatively minor event halts the activity. There is rarely any outward sign of the injury. The pain may not be present with walking or light physical activity, but manifests at full athletic speeds. In athletic pubalgia, the routine 2–4 weeks of rest is often not sufficient for full resolution of symptoms. The resulting confusion and misinformation have clouded the understanding of athletic pubalgia for athletes, trainers, coaches, parents, and even most medical professionals. This chapter aims to show that athletic pubalgia can be subdivided into three distinct entities, each with its individual treatment recommendations. Most cases of athletic pubalgia are found to be an occult inguinal hernia, osteitis pubis, or a regional nerve entrapment syndrome. The description, diagnostic methodology, and treatment options for each are hence detailed. © Springer International Publishing Switzerland 2016 B.P. Jacob et al. (eds.), The SAGES Manual of Groin Pain, DOI 10.1007/978-3-319-21587-7_7 59
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Brian P. Jacob · David C. Chen Bru
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The SAGES Manual of Groin Pain Bria
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Foreword Inguinal hernia repair is
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Contents Part I Primary Groin Pain
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Contents ix 22 Management of Inguin
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Contents xi 45 Value-Based Clinical
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xiv Editors and Contributors Jeffre
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xvi Editors and Contributors David
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xviii Editors and Contributors Greg
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xx Editors and Contributors David S
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1. Introduction to Primary and Seco
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9. Groin Pain Etiology: Spine and B
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10. Groin Pain Etiology: Spermatic
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Table 10.2. European Association of
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138 M. Hibner and C. Coyne Piriform
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140 M. Hibner and C. Coyne Fig. 11.
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142 M. Hibner and C. Coyne Table 11
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144 M. Hibner and C. Coyne present
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146 M. Hibner and C. Coyne Table 11
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148 M. Hibner and C. Coyne Once the
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150 M. Hibner and C. Coyne 3. Hibne
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12. Chronic Pelvic Pain in Women M.
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12. Chronic Pelvic Pain in Women 15
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174 J.M. Miller et al. Knowing the
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176 J.M. Miller et al. Fig. 13.2. A
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182 J.M. Miller et al. Fig. 13.9. C
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184 J.M. Miller et al. Fig. 13.14.
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192 J.M. Miller et al. Cardiac Cath
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194 B.J. Dunkin Noxious peripheral
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196 B.J. Dunkin Table 14.1. Summary
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198 B.J. Dunkin Rectus abdominis Ex
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200 B.J. Dunkin COX-1 COX-2 Celecpx
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202 B.J. Dunkin Table 14.2. Common
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204 B.J. Dunkin Possible Preoperati
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206 B.J. Dunkin Postoperative Pain
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208 B.J. Dunkin Summary Understandi
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15. Chronic Groin Pain Following An
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222 E.L. Felix not seem to alter th
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224 E.L. Felix nerves from the surg
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226 E.L. Felix Fig. 16.2. Lateral f
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228 E.L. Felix It has been establis
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230 E.L. Felix 18. Pollak R, Nyhus
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17. The Orthopedic Perspective on G
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246 J.F.M. Lange Jr. examination an
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248 J.F.M. Lange Jr. and remedial s
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250 J.F.M. Lange Jr. Best available
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252 J.F.M. Lange Jr. Neuropathic pa
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254 J.F.M. Lange Jr. This algorithm
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19. Radiologic Evaluation for Posto
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19 Radiologic Evaluation for Postop
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268 A. Malhotra extended variant of
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270 A. Malhotra steroid injections,
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272 A. Malhotra located just below
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274 A. Malhotra Nociceptive Acute N
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276 A. Malhotra 20. Rozen D, Parvez
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278 R. Álvarez intentionally or in
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Fig. 21.1. Material: A ballpoint pe
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Fig. 21.5. Dermatome mapping compat
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Fig. 21.9. Dermatome mapping compat
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286 R. Álvarez Subsequently, we mu
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288 R. Álvarez G : Granuloma H : H
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290 R. Álvarez Fig. 21.14. Same pa
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292 R. Álvarez 6. Lermite E, Arnau
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294 K.A. Seymour and J.S. Yoo Table
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296 K.A. Seymour and J.S. Yoo repro
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298 K.A. Seymour and J.S. Yoo Recur
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23. Mesh Removal for Chronic Pain:
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23. Mesh Removal for Chronic Pain
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320 I.T. MacQueen et al. inguinodyn
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322 I.T. MacQueen et al. Fig. 24.2.
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324 I.T. MacQueen et al. Timing and
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326 I.T. MacQueen et al. Fig. 24.4.
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328 I.T. MacQueen et al. Posthernio
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330 I.T. MacQueen et al. never be e
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25. Laparoscopic Triple Neurectomy
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26. Chronic Orchialgia: Workup and
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27. The Role of Bioactive Prostheti
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376 G. Campanelli et al. affecting
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378 G. Campanelli et al. into the w
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380 G. Campanelli et al. chronic gr
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382 G. Campanelli et al. A prospect
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384 G. Campanelli et al. open mesh
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386 G. Campanelli et al. 38. Alfier
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29. Prevention of Pain: Optimizing
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30. Prophylactic Neurectomy Versus
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Table 31.1. Selective neurectomy wi
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408 W.M.J. Reinpold and A.D. Schroe
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32. Chronic Groin Pain: Mesh or No
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Part IV Case Reports and Patients
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430 S. Towfigh were irregular and s
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432 S. Towfigh in addressing her sy
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434 S. Towfigh Conclusion We have y
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436 K.W. Kercher Physical Examinati
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438 K.W. Kercher Fig. 34.4. Left ad
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440 K.W. Kercher Fig. 34.5. After d
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442 K.W. Kercher the posterior wall
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444 K.W. Kercher Table 34.2. Surgic
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35. Chronic Post-inguinal Herniorrh
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35 Chronic Post-inguinal Herniorrha
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35 Chronic Post-inguinal Herniorrha
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36. Sports Hernia with Adductor Ten
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464 C.G. DuCoin and G.R. Jacobsen P
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466 C.G. DuCoin and G.R. Jacobsen O
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468 J.A. Blatnik and A.S. Prabhu a
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470 J.A. Blatnik and A.S. Prabhu Fi
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472 J.A. Blatnik and A.S. Prabhu ma
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474 S. Towfigh Physical Exam The pa
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476 S. Towfigh The patient’s loca
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478 S. Towfigh Fig. 39.2. Diagram o
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480 S. Towfigh periphery. He is 2+
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482 S. Towfigh References 1. Matthi
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484 N.A. Al-Enazi and B.P. Jacob
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486 N.A. Al-Enazi and B.P. Jacob Fi
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488 N.A. Al-Enazi and B.P. Jacob pu
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42. Patient with Chronic Pelvic Pai
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42. Patient with Chronic Pelvic Pai
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43. Thoracolumbar Syndrome James A.
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43. Thoracolumbar Syndrome 497 The
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43. Thoracolumbar Syndrome 499 Groi
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44. Patient with Referred Hip Pain
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44. Patient with Referred Hip Pain
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45. Value-Based Clinical Quality Im
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46. Patient Care Manager Perspectiv
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47. Workers’ Compensation: An Occ
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532 Index Athletic pubalgia (cont.)
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534 Index Chronic post-herniorrhaph
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536 Index Groin pain (cont.) magnet
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538 Index Ilioinguinal nerve (IIN)
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540 Index Local anesthetics (cont.)
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542 Index Peripheral nerve entrapme
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544 Index S Sacroiliac (SI) joint d
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546 Index Transperineal pudendal ne
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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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