Authors: Alexandra Bolocan 1,2, Dan Nicolae Păduraru 1,2, Oana Adelina Ionescu 2, Octavian Andronic 2
Affiliation: 1 IIIrd Emergency General Surgery Department, Emergency University Hospital, Bucharest, Romania
2 “Carol Davila” University of Medicine and Pharmacy, Bucharest, Romania
Inguinodynia occurs in 5-18% of athletes practicing football, hockey and other sports, a fact that can finish their career prematurely. This is a controversial symptom in the clinical assessment of a patient in general and even more so in a patient practicing a performance sport. Inguinal pain can be attributed to a variety of osteoarticular, musculoaponeurotic, abdominal or uro-gynecological pathologies. Differential diagnosis involves multiple, complex investigations, not always available to the clinician. If the clinical appearance is not relevant, considering the physical profile of the patient, the physician may neglect a lesion easily identifiable in a normal patient. The therapeutic management of inguinal pain, until the identification of its etiology, may include physical rest, passive and active physical therapy, intravenously administered corticotherapy, and if the diagnosis of an inguinal parietal defect is confirmed, varied, open or laparoscopic surgery, tissue or alloplastic procedures will be performed.
Choosing the right therapeutic attitude and the right surgical procedure is sometimes difficult, and only a tailor-made, targeted therapy for each patient can lead to remarkable results. However, this paper aims to draw some general directions of the therapeutic attitude.
Keywords: inguinodynia, inguinal hernia, tissue reconstruction, alloplastic procedure.