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

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 t...

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Bibliographic Details
Published in:PloS one 2019-12, Vol.14 (12), p.e0226011-e0226011
Main Authors: Brans, Erwin, Reininga, Inge H F, Balink, Hans, Munzebrock, Arvid V E, Bessem, Bram, de Graaf, Joost S
Format: Article
Language:English
Subjects:
Adult
Athletes
Biology and Life Sciences
Careers
Chronic pain
Cohort analysis
Cohort Studies
Complications
Computed tomography
Disruption
Endoscopy
Follow-Up Studies
Hernia
Hernia, Inguinal - diagnostic imaging
Hernia, Inguinal - physiopathology
Hernia, Inguinal - surgery
Hernias
Herniorrhaphy
Hip
Humans
Male
Medicine and Health Sciences
Middle Aged
Pain
Pathology
Patients
Polypropylene
Prospective Studies
Quality of Life
Radioisotopes
Recovery (Medical)
Recovery of Function
Research and Analysis Methods
Single photon emission computed tomography
Social Sciences
Sports medicine
Studies
Surgery
Tomography
Ultrasound
Young Adult
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Summary: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. 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. 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. This study showed that endoscopic totally extraperitoneal (TEP) hernia repair is an effective surgical treatment of inguinal disruption in athletes with chronic groin pain.
ISSN:1932-6203
1932-6203
DOI:10.1371/journal.pone.0226011