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The Inguinal Release Procedure for Groin Pain – initial experience in 73 Sportsmen/women.
  1. Chris D Mann (chris.mann{at}doctors.org.uk)
  1. University Hospitals of Leicester, United Kingdom
    1. Christopher D Sutton (christopher.sutton{at}uhl-tr.nhs.uk)
    1. University Hospitals of Leicester, United Kingdom
      1. Giuseppe Garcea (gg43{at}le.ac.uk)
      1. University Hospitals of Leicester, United Kingdom
        1. David M Lloyd (david.lloyd{at}uhl-tr.nhs.uk)
        1. University Hospitals of Leicester, United Kingdom

          Abstract

          Objective: To assess the impact of the laparoscopic inguinal release procedure with mesh reinforcement on athletes with groin pain.

          Design: Prospective cohort study.

          Setting: Private sector.

          Patients: Professional and amateur Sportsmen/women undergoing the inguinal release for groin pain.

          Main outcome measurements: Change in patient’s symptoms, functional limitation and time to resuming sporting activity following surgery.

          Results: 73 sportsmen/women underwent laparoscopic inguinal release in the study period, 37 (51%) of whom were professionals. 95% were male with a median age of 30 years. Following operation, patients returned to light training at a median of 1 week, full training at 3 weeks (professionals – 2 weeks), and playing competitively at 4 weeks (professionals – 3 weeks). 74% considered themselves match fit by 4 weeks (84% of professionals). Following surgery there was a highly significant improvement in frequency of pain, severity of pain, and functional limitation in both the whole cohort and professional group. 88% reported return to full fitness at follow-up, with 73% reporting complete absence of symptoms. 97% of the cohort thought the operation had improved their symptoms.

          Conclusions: This study shows that the laparoscopic inguinal release procedure may be effective in the treatment of a subgroup of athletes with groin pain.

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