Novel Non-invasive Management of Chronic Groin Pain from Fibrosed Contracted Inguinal Ligament

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Submitted: September 28, 2018
Published: Oct 12, 2018
DOI: 10.29328/journal.aceo.1001003
Keywords:
Chronic groin pain, Inguinal ligament fibrosis, Percutaneous needle release, Platelet-rich plasma injection
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A Lokeshwar Raaju
Rathimed Speciality Hospital, Chennai, India
N Ragunanthan
Rathimed Speciality Hospital, Chennai, India

Abstract

A 34-year-old male patient presented with the complaint of chronic pain in the left groin following left side testicular vein ligation for varicocele. Ilio-inguinal neurectomy and cremaster muscle division was done in another hospital for the pain but with no relief of pain. Patient on examination showed point tenderness in the left groin at the pubic tubercle. Finger Invagination test in the left was painful with severe tenderness. Investigation showed fibrosed contracted left distal inguinal ligament. Percutaneous Ultrasonographic (USG) guided inguinal ligament release and Platelet-Rich Plasma (PRP) injection relieved the pain completely. Post-procedure patient showed significant improvement of pain.

Article Details

Raaju, A. L., & Ragunanthan, N. (2018). Novel Non-invasive Management of Chronic Groin Pain from Fibrosed Contracted Inguinal Ligament. Archives of Clinical and Experimental Orthopaedics, 2(1), 001–003. https://doi.org/10.29328/journal.aceo.1001003
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Copyright (c) 2018 Raaju AL, et al.

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Kasper D, Fauci A, Hauser S, Longo D, Jameson JL, et al. Harrison's Principles of Internal Medicine, 19th Ed. United States: McGraw-Hill Education, 2015. Ref.: https://goo.gl/LqYySB

Heise CP, Starling JR. Mesh inguinodynia: a new clinical syndrome after inguinal herniorrhaphy? J Am Coll Surg. 1998; 187: 514-518. Ref.: https://goo.gl/eXoqnc

Kumar S, Wilson RG, Nixon SJ, Macintyre IM. Chronic pain after laparoscopic and open mesh repair of groin hernia. Br J Surg. 2002; 89: 1476-1479. Ref.: https://goo.gl/h4bm2Z

Ashby EC. Chronic obscure groin pain is commonly caused by enthesopathy: 'tennis elbow' of the groin. Br J Surg. 1994; 81: 1632-1634. Ref.: https://goo.gl/2WqZgd

Maarten JA. Surgical management of chronic inguinal pain syndromes. (University of Maastricht, September 29th 2011). Ref.: https://goo.gl/hKHRNx

Keller JE, Stefanidis D, Dolce CJ, Iannitti DA, Kercher KW, et al. Combined open and laparoscopic approach to chronic pain after inguinal hernia repair. Am Surg. 2008; 74: 695-700. Ref.: https://goo.gl/Z9iP7a

Zwaans WA, Perquin CW, Loos MJ, Roumen RM, Scheltinga MR. Mesh Removal and Selective Neurectomy for Persistent Groin Pain Following Lichtenstein Repair. World J Surg. 2017; 41: 701-712. Ref.: https://goo.gl/Q7EnW9

BD Chaurasia’s Textbook of Human Anatomy. Vol-2, Fifth Edition. 223-226.

Lloyd DM, Sutton CD, Altafa A, Fareed K, Bloxham L, et al. Laparoscopic inguinal ligament tenotomy and mesh reinforcement of the anterior abdominal wall: a new approach for the management of chronic groin pain. Surg Laparosc Endosc Percutan Tech. 2008; 18: 63-68. Ref.: https://goo.gl/8wmF9i

Mui WL, Ng CS, Fung TM, Cheung FK, Wong CM, et al. Prophylactic ilioinguinal neurectomy in open inguinal hernia repair: a double-blind randomized controlled trial. Ann Surg. 2006; 244: 27-33. Ref.: https://goo.gl/kWxSsx

Boswell SG, Cole BJ, Sundman EA, Karas V, Fortier LA. Platelet-rich plasma: a milieu of bioactive factors. Arthroscopy. 2012; 28: 429-439. Ref.: https://goo.gl/BCtYCd