PMID- 26739740
OWN - NLM
STAT- MEDLINE
DCOM- 20161005
LR  - 20181113
IS  - 2044-6055 (Electronic)
IS  - 2044-6055 (Linking)
VI  - 6
IP  - 1
DP  - 2016 Jan 6
TI  - Endoscopic totally extraperitoneal (TEP) hernia repair for inguinal disruption 
      (Sportsman's hernia): rationale and design of a prospective observational cohort 
      study (TEP-ID-study).
PG  - e010014
LID - 10.1136/bmjopen-2015-010014 [doi]
LID - e010014
AB  - INTRODUCTION: Chronic inguinal pain is a frequently occurring problem in 
      athletes. A diagnosis of inguinal disruption is performed by exclusion of other 
      conditions causing groin pain. Up to now, conservative medical management is 
      considered to be the primary treatment for this condition. Relevant large and 
      prospective clinical studies regarding the treatment of inguinal disruption are 
      limited; however, recent studies have shown the benefits of the totally 
      extraperitoneal patch (TEP) technique.This study provides a complete assessment 
      of the inguinal area in athletes with chronic inguinal pain before and after 
      treatment with the TEP hernia repair technique. METHODS AND ANALYSIS: We describe 
      the rationale and design of an observational cohort study for surgical treatment 
      with the endoscopic TEP hernia repair technique in athletes with a painful groin 
      (inguinal disruption).The study is being conducted in a high-volume, single 
      centre hospital with specialty in TEP hernia repair. Patients over 18 years, 
      suffering from inguinal pain for at least 3 months during or after playing 
      sports, and whom have not undergone previous inguinal surgery and have received 
      no benefit from physiotherapy are eligible for inclusion. Patients with any 
      another cause of inguinal pain, proven by physical examination, inguinal 
      ultrasound, X-pelvis/hip or MRI are excluded.Primary outcome is reduction in pain 
      after 3 months. Secondary outcomes are pain reduction, physical functioning, and 
      resumption of sport (in frequency and intensity). ETHICS AND DISSEMINATION: An 
      unrestricted research grant for general study purposes was assigned to the Hernia 
      Centre. This study itself is not directly subject to the above mentioned research 
      grant or any other financial sponsorship. We intend to publish the outcome of the 
      study, regardless of the findings. All authors will give final approval of the 
      manuscript version to be published.
CI  - Published by the BMJ Publishing Group Limited. For permission to use (where not 
      already granted under a licence) please go to 
      http://www.bmj.com/company/products-services/rights-and-licensing/
FAU - Voorbrood, C E H
AU  - Voorbrood CE
AD  - Department of Surgery, Diakonessenhuis, Utrecht/Zeist, Zeist, The Netherlands.
FAU - Goedhart, E
AU  - Goedhart E
AD  - KNVB/FIFA Medical Centre of Excellence (Sport Medical Centre of the Royal 
      Netherlands Football Association/FIFA Medical Centre of Excellence), Zeist, The 
      Netherlands.
FAU - Verleisdonk, E J M M
AU  - Verleisdonk EJ
AD  - Department of Surgery, Diakonessenhuis, Utrecht/Zeist, Zeist, The Netherlands.
FAU - Sanders, F
AU  - Sanders F
AD  - Department of Radiology, Diakonessenhuis Utrecht/Zeist, Zeist, The Netherlands.
FAU - Naafs, D
AU  - Naafs D
AD  - Department of Radiology, Diakonessenhuis Utrecht/Zeist, Zeist, The Netherlands.
FAU - Burgmans, J P J
AU  - Burgmans JP
AD  - Department of Surgery, Diakonessenhuis, Utrecht/Zeist, Zeist, The Netherlands.
LA  - eng
PT  - Journal Article
PT  - Observational Study
DEP - 20160106
PL  - England
TA  - BMJ Open
JT  - BMJ open
JID - 101552874
SB  - IM
MH  - Athletic Injuries/complications/*surgery
MH  - Chronic Pain/etiology/prevention & control
MH  - Endoscopy/*methods
MH  - Hernia, Inguinal/complications/*surgery
MH  - Herniorrhaphy/*methods
MH  - Humans
MH  - Prospective Studies
MH  - Quality of Life
MH  - Return to Sport
MH  - Surgical Mesh
MH  - Treatment Outcome
PMC - PMC4716196
OTO - NOTNLM
OT  - inguinal disruption
OT  - inguinal pain
OT  - sportsman's hernia
OT  - totally extraperitoneal patch (TEP) technique
EDAT- 2016/01/08 06:00
MHDA- 2016/10/07 06:00
PMCR- 2016/01/06
CRDT- 2016/01/08 06:00
PHST- 2016/01/08 06:00 [entrez]
PHST- 2016/01/08 06:00 [pubmed]
PHST- 2016/10/07 06:00 [medline]
PHST- 2016/01/06 00:00 [pmc-release]
AID - bmjopen-2015-010014 [pii]
AID - 10.1136/bmjopen-2015-010014 [doi]
PST - epublish
SO  - BMJ Open. 2016 Jan 6;6(1):e010014. doi: 10.1136/bmjopen-2015-010014.