Health-related quality of life after TAPP repair for the sportsmen’s groin
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Sportsmen’s groin (SG) is a clinical diagnosis of chronic, painful musculotendinous injury to the medial inguinal floor in the absence of a groin hernia. Long-term results for laparoscopic inguinal hernia repair, especially data on health-related quality of life (HRQOL), are scant and there are no available data whatsoever on HRQOL after SG. The main goal of this study was to compare postoperative QOL data in the long term after transabdominal preperitoneal hernioplasty (TAPP) in groin hernia and SG patients with QOL data of a normal population.
This study included all patients (n = 559) who underwent TAPP repair between 2000 and 2005. Forty seven patients (8.4 %) were operated on for SG. We sent out the Short Form 36 Health Survey (SF-36) questionnaire for QOL evaluation. QOL data were compared with data from an age- and sex-matched normal population.
Ultimately, 383 completed questionnaires were available for evaluation (69 % response rate). The mean follow-up time was 94 ± 20 months. In the SG group there were statistically significant differences in three subscales of the SF-36 and the mental component summary measure, showing better results for the SG group compared to the sex- and age-matched normal group data. There were no statistically significant differences between groin hernia patients and the sex- and age-matched normal population.
TAPP repair for SG as well as groin hernia results in good HRQOL in the long term. Results for SG patients are comparable with QOL data of a normal population or even better.
KeywordsSportsmen’s groin Sports hernia Groin hernia Chronic groin pain TAPP Quality of life SF-36
We thank the chief of the Surgical Department at the District Hospital of Weiz, Dr. Roland Fegerl, and the hospital’s former director Dr. Karl Gruber for providing us with the patient data. Many thanks to Eugenia Lamont for language editing.
Drs. Gerwin A. Bernhardt, Gerald Gruber, Benjamin S. Molderings, Herwig Cerwenka, Mathias Glehr, Christian Giessauf, Peter Kornprat, Andreas Leithner, and Hans-Jörg Mischinger have no conflicts of interest or financial ties to disclose.
- 6.Singh AN, Bansal VK, Misra MC, Kumar S, Rajeshwari S, Kumar A, Sagar R, Kumar A (2012) Testicular functions, chronic groin pain, and quality of life after laparoscopic and open mesh repair of inguinal hernia: a prospective randomized controlled trial. Surg Endosc 26:1304–1317PubMedCrossRefGoogle Scholar
- 9.Gilmore OJA (1991) Gilmore’s groin: ten years experience of groin disruption – a previously unsolved problem in sportsmen. Sports Med Soft Tissue Trauma 3:12–14Google Scholar
- 20.Ware JE Jr, Kosinski M, Gandek B (1993, 2000, 2005) SF-36 health survey: manual and interpretation guide. Lincoln, RI: QualityMetricGoogle Scholar
- 23.Bittner R, Arregui ME, Bisgaard T, Dudai M, Ferzli GS, Fitzgibbons RJ, Fortelny RH, Klinge U, Kockerling F, Kuhry EJ, Kukleta J, Lomanto D, Misra MC, Montgomery A, Morales-Conde S, Reinpold W, Rosenberg JS, Sauerland S, Schug-Paß C, Singh K, Timoney M, Weyhe D, Chowbey P (2011) Guidelines for laparoscopic (TAPP) and endoscopic (TEP) treatment of inguinal hernia [International Endohernia Society (IEHS)]. Surg Endosc 25:2773–2843PubMedCentralPubMedCrossRefGoogle Scholar
- 28.Preskitt JT (2011) Sports hernia: the experience of Baylor University Medical Center at Dallas. Proc (Bayl Univ Med Cent) 24:89–91Google Scholar
- 30.Paajanen H, Brinck T, Hermunen H, Airo I (2011) Laparoscopic surgery for chronic groin pain in athletes is more effective than nonoperative treatment: a randomized clinical trial with magnetic resonance imaging of 60 patients with sportsman’s hernia (athletic pubalgia). Surgery 150:99–107PubMedCrossRefGoogle Scholar
- 34.Fortelny RH, Petter-Puchner AH, May C, Jaksch W, Benesch T, Khakpour Z, Redl H, Glaser KS (2012) The impact of atraumatic fibrin sealant vs. staple mesh fixation in TAPP hernia repair on chronic pain and quality of life: results of a randomized controlled study. Surg Endosc 26:249–254PubMedCrossRefGoogle Scholar