Publication

Early recovery after endoscopic totally extraperitoneal (TEP) hernia repair in athletes with inguinal disruption: A prospective cohort study

Brans, E., Reininga, I. H. F., Balink, H., Munzebrock, A. V. E., Bessem, B. & de Graaf, J. S., 5-Dec-2019, In : PLoS ONE. 14, 12, 11 p., e0226011.

Research output: Contribution to journalArticleAcademicpeer-review

Background

Groin pain is a common problem in athletes which results in loss of playing time. Moreover, it can be for the cause of athletic career termination. A common cause of groin pain in athletes is inguinal disruption; pain in the groin area near the pubic tubercle were no obvious other pathology exists to explain the symptoms. Aim of this study was to evaluate the effect of endoscopic totally extraperitoneal (TEP) hernia repair in athletes with inguinal disruption.

Methods

Thirty-one athletes with chronic groin pain due to inguinal disruption, who had undergone conservative therapy without any effect, were included in this prospective cohort study. Prior to surgery patients were assessed by clinical examination, ultrasound of the inguinal region, x-ray and a radionuclide bone scan with single photon-emission computed tomography and CT (SPECT-CT). TEP hernia repair was performed and a lightweight polypropylene mesh was placed pre-peritoneally. Additionally the athletes' perception about their groin disability was assessed preoperatively and 6 weeks postoperatively by means of the Hip and Groin Outcome Score (HAGOS). The HAGOS consists of six subscales: Pain, Symptoms, Physical function in daily living, Physical function in Sport and Recreation, Participation in Physical Activities, and hip and/or groin-related Quality of Life.

Results

No complications occurred during and after surgery. After six weeks patients improved in all the separate subscales of the Hip and Groin Outcome Score (HAGOS). Within 6 weeks of surgery, 26 patients (84%) returned to sports activities with no or less groin pain.

Conclusions

This study showed that endoscopic totally extraperitoneal (TEP) hernia repair is an effective surgical treatment of inguinal disruption in athletes with chronic groin pain.

Original languageEnglish
Article numbere0226011
Number of pages11
JournalPLoS ONE
Volume14
Issue number12
Publication statusPublished - 5-Dec-2019

    Keywords

  • CHRONIC GROIN PAIN, RANDOMIZED CLINICAL-TRIAL, LAPAROSCOPIC SURGERY, SPORTSMANS HERNIA, SOCCER PLAYERS, MANAGEMENT, DIAGNOSIS, MRI, HIP

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