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 Aug;18(4):363-8. doi: 10.1097/SLE.0b013e3181761fcc.


Background: Chronic groin pain has an incidence of up to 6.2% and is common in people undertaking regular sports activity. A variety of surgical options exist for unresolving pain, which consist, for the most part, of a repair of the posterior abdominal wall, with or without mesh placement. We describe a new technique, which combines laparoscopic inguinal ligament tenotomy in conjunction with a mesh repair.

Methods: A retrospective analysis of the notes of 48 patients was undertaken in conjunction with a mailed questionnaire. Success of surgery was judged on return to preinjury sporting activity, severity of pain scores, frequency of pain scores, and functional limitation scores.

Results: There were no major complications associated with the procedure. Severity of pain, frequency of pain, and functional limitation scores were all significantly improved after surgery (P=0.0012, <0.0001, and <0.0001, respectively). Ninety-two percent of patients polled returned to normal sports activity after their surgery (n=24). The median return to strenuous sports activity was 28 days (range of 14 to 40 d).

Conclusions: The success rates of laparoscopic tenotomy and mesh repair are comparable with the published literature and a lower median time interval before returning to preinjury sporting activity.

MeSH terms

  • Adult
  • Aged
  • Chronic Disease
  • Female
  • Follow-Up Studies
  • Groin*
  • Humans
  • Inguinal Canal*
  • Laparoscopy*
  • Ligaments / pathology
  • Ligaments / surgery*
  • Male
  • Middle Aged
  • Pain / etiology
  • Pain / pathology
  • Pain / surgery*
  • Retrospective Studies
  • Surgical Mesh
  • Tendons / pathology
  • Tendons / surgery*
  • Treatment Outcome
  • Young Adult