Purpose of Technology: Laparoscopic and open surgical techniques may be used to treat a variety of musculoskeletal conditions associated with chronic groin pain in athletes after conservative therapies such as rest, anti-inflammatory medication, physical therapy, and steroids have failed. Athletic groin pain is thought to result from injury, abnormal tension, and/or weakness in the muscles of the lower abdominal and inguinal (groin) regions. The aim of laparoscopic and open surgical procedures for treatment of athletic groin pain is to release tension or provide support to the musculature. Laparoscopic approaches include totally extraperitoneal (TEP) and transabdominal preperitoneal (TAPP) repair for mesh placement, whereas open surgical techniques include both suture and mesh repair. Procedures may also include muscle or nerve release.

Relevant Questions:

  • Are laparoscopic and open surgeries effective for addressing the causes of athletic groin pain, reducing pain and discomfort, and returning athletes to activity?

  • Are laparoscopic and open surgeries for athletic groin pain safe?

  • How do laparoscopic and open surgeries compare with each other and with other treatments for athletic groin pain in terms of efficacy and potential harms?

  • Have definitive patient selection criteria been established for open and laparoscopic surgeries for athletic groin pain?

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