The SAGES Manual of Groin Pain

This manual captures and summarizes the key elements in management of groin pain, including relevant anatomy, etiologies, diagnostic evaluation tools, imaging, detailed pharmacologic options, interventional modalities and options for operative remediation. The manual separately addresses the management of intrinsic groin pain due to primary disease processes and secondary groin pain due to a prior operation. Current practices, trends in the field, treatment approaches and controversies are addressed. While the primary audience of this book will be general surgeons performing hernia operations and pain management specialists to whom they refer, the SAGES Manual of Groin Pain will serve as a stand alone state-of-the-art resource for all providers who deal with this diagnosis, including primary care providers, sports medicine specialists, gynecologists, urologists, orthopedists, neurologists, physical medicine and rehabilitation specialists, radiologists, physical therapists, industry personnel and importantly, patients who suffer from groin pain who have copious access to health information, but without the filtering, expertise and context provided by the contributors to this manual. This volume also uniquely provides its audience with narrative first-person accounts of some of the most common and challenging causes of pain, so that others can learn from their presentation, pitfalls, successes and failures. The expertise compiled in this manual will give the readership a pragmatic foundation to optimize the diagnosis and management of our patients with this challenging problem.

CONTENTS

Foreword L. Michael Brunt Part I Primary Groin Pain Chapter 1 Introduction to Primary and Secondary Groin Pain: What Is Inguinodynia? Brian P. Jacob, David C. Chen, Bruce Ramshaw, and Shirin Towfigh Chapter 2 Groin Pain: A Neurologic and Musculoskeletal Anatomic Review Irmina Anna Gawlas and Warwick J. Peacock Chapter 3 Complex Regional Pain Syndrome Types I and II Payam Vahedifar and Evish Kamrava Chapter 4 Chief Complaint of Groin Pain: How to Take and Document a Specific Groin Pain History, Exam, and What Studies to Order Jacob A. Greenberg Chapter 5 Groin Pain: An Overview of the Broad Differential Diagnosis Charles Ma and Archana Ramaswamy Chapter 6 Groin Pain Etiology: The Inguinal Hernia, the Occult Inguinal Hernia, and the Lipoma Ibrahim M. Daoud and Katherine Dunn Chapter 7 Groin Pain Etiology: Athletic Pubalgia Evaluation and Management Gregory J. Mancini Chapter 8 Groin Pain Etiology: Hip Referred Groin Pain Joshua C. Campbell and Guy D. Paiement Chapter 9 Groin Pain Etiology: Spine and Back Causes Charles H. Li, Victor W. Chang, and Daniel Lu Chapter 10 Groin Pain Etiology: Spermatic Cord and Testicular Causes Juzar Jamnagerwalla and Howard H. Kim Chapter 11 Groin Pain Etiology: Pudendal Neuralgia Michael Hibner and Catherine Coyne Chapter 12 Chronic Pelvic Pain in Women M. Jonathon Solnik and Matthew Thomas Siedhoff Chapter 13 Imaging for Evaluation of Groin Pain Joseph M. Miller, Shane D. Smith, David N. Ishimitsu, and Rola Saouaf Chapter 14 Perioperative Pain Management: Multi-Modalities to Prevent Postoperative Chronic Pain Brian J. Dunkin Part II Secondary Groin Pain Chapter 15 Chronic Groin Pain Following Anterior Hernia Surgery Jennifer S. Schwartz, David S. Strosberg, and David B. Renton Chapter 16 Chronic Groin Pain Following Posterior Hernia Surgery Edward L. Felix Chapter 17 The Orthopaedic Perspective on Groin Pain: The Native and Prosthetic Hip Calin Stefan Moucha Chapter 18 Algorithmic Approach to the Workup and Management of Chronic Postoperative Inguinal Pain Johan F. M. Lange, Jr. Chapter 19 Radiologic Evaluation for Postoperative Groin Pain Joseph M. Miller, David N. Ishimitsu, and Rola Saouaf Chapter 20 Management of Groin Pain: Interventional and Pharmacologic Approaches Anuj Malhotra Chapter 21 Dermatome Mapping: Preoperative and Postoperative Assessment Rigoberto Alvarez Chapter 22 Management of Inguinal Hernia Recurrences (When Pain Is The Primary Symptom) Keri A. Seymour and Jin S. Yoo Chapter 23 Mesh Removal for Chronic Pain: A Review of Laparoscopic and Open Techniques Lisa A. Cunningham and Bruce Ramshaw Chapter 24 Open Triple Neurectomy Ian T. MacQueen, David C. Chen, and Parviz K. Amid Chapter 25 Laparoscopic Triple Neurectomy Stephanie A. Kingman, Parviz K. Amid, and David C. Chen Chapter 26 Chronic Orchialgia: Workup and Management Jamin V. Brahmbhatt, Ahmet Gudeloglu, and Sijo J. Parekattil Part III Current Debates Chapter 27 The Role of Bioactive Prosthetic Material for the Treatment of Sports Hernias David S. Edelman Chapter 28 Prevention of Pain: Optimizing the Open Primary Inguinal Hernia Repair Technique Giampiero Campanelli, Marta Cavalli, Piero Bruni, Valentina De Berardinis, and Grazia Bombini Chapter 29 Prevention of Pain: Optimizing the Laparoscopic TEP and TAPP Techniques Jorge Daes Daccarett Chapter 30 Prophylactic Neurectomy versus Pragmatic Neurectomy Matthew I. Goldblatt Chapter 31 Triple Neurectomy versus Selective Neurectomy Wolfgang M. J. Reinpold and Alexander D. Schroeder Chapter 32 Chronic Groin Pain: Mesh or No Mesh Nathaniel F. Stoikes, David L. Webb, and and Guy R. Voeller Section IV. Case Reports and Patients' Perspectives Chapter 33 Foreign Body Reaction, Fibromyalgia, and Autoimmune Disorders Shirin Towfigh Chapter 34 Patient With Groin Pain After an Athletic Event Kent W. Kercher Chapter 35 Chronic Post-Inguinal Herniorrhaphy Pain: A Patient's Perspective David C. Chen and Brian P. Jacob Chapter 36 Sports Hernia With Adductor Tendonitis Frederick J. Brody and Jeffrey Harr Chapter 37 Patient With Groin Pain After a Plug and Patch Hernia Repair Christopher G. DuCoin and Garth R. Jacobsen Chapter 38 Patient With Groin Pain After Open Inguinal Hernia Repair With Mesh Jeffrey A. Blatnik and Ajita S. Prabhu Chapter 39 Patient With Groin Pain After a Lichtenstein Hernia Repair Shirin Towfigh Chapter 40 Patient With Groin Pain After Tissue Repair, Anterior Approach Shirin Towfigh Chapter 41 Right Inguinal Hernia With Osteitis Pubis: A Case Report of Osteitis Pubis and Ipsilateral Inguinal Hernia Naif A. Al-Enazi and Brian P. Jacob Chapter 42 Patient With Chronic Pelvic Pain Shirin Towfigh Chapter 43 Thoracolumbar Syndrome James A. Rydlewicz and Dean J. Mikami Chapter 44 Patient With Referred Hip Pain Shirin Towfigh Chapter 45 Value-Based Clinical Quality Improvement (CQI) for Chronic Groin Pain After Inguinal Hernia Repair Bruce Ramshaw Chapter 46 Patient Care Manager Perspective on Chronic Groin Pain After Hernia Repair Brandie Forman and Bruce Ramshaw Chapter 47 Workers' Compensation: An Occupational Perspective on Groin Pain, Including Psychosocial Variables, Causality, and Return to Work Joseph S. Pachman and Brian P. Jacob

Brian P Jacob, MD, FACS Associate Clinical Professor of Surgery, Icahn School of Medicine at Mount Sinai;Partner, Laparoscopic Surgical Center of New York; Regional Medical Director (New York) AngelMD; Founder, International Hernia Collaboration, Inc., New York, New York David C. Chen, MD Associate Professor of Clinical Surgery; Clinical Director, Lichtenstein Amid Hernia Clinic, Department of Surgery, David Geffen School of Medicine at UCLA, Santa Monica, California Bruce Ramshaw, MD, FACS Co-Director, Advanced Hernia Solutions at Transformative Care Institute; Chief Medical Officer, Surgical Momentum; Chairman, the Bruce Kennedy General Surgery Residency Program at Halifax Health; Associate Clinical Professor, Florida State University, Daytona Beach, Florida Shirin Towfigh, MD, FACS President, Beverly Hills Hernia Center, Beverly Hills, California