Role of Dynamic Ultrasound Scan in the Assessment of Groin Prior to Laparoscopic Repair in Patients with Sportsperson’s Groin

P C Munipalle, J Dean, T Garud, Y K S Viswanath

South Tees Hospitals NHS Foundation Trust

Introduction
Persistent groin pain without clinically evident hernia poses a challenge to the attending clinician in patients with Sportsperson’s groin. We report our initial experience of using dynamic ultrasound scan (DUS) as the primary assessment tool and compared the scan results with operative findings.

Methods
All patients clinically suspected with Sportsperson’s groin hernia based on history and clinical findings were subjected to dynamic ultrasound. The results were corroborated with operative findings.

Results
A total 32 groins were assessed by DUS in 20 consecutive young athletes with suspected Sportsperson’s groin. Among these 12 had bilateral and 8 had unilateral groin symptoms. All patients underwent surgery in the form of Transabdominal preperitoneal (TAPP) repair. The intraoperative findings were well corroborated with DUS findings except in two. Two patients who underwent surgery on clinical grounds with preoperative negative dynamic ultrasound scan had unilateral and bilateral hernias respectively. The positive predictive value (PPV) of dynamic ultrasound in diagnosing occult groin hernias is 95%.

Conclusion
Dynamic ultrasound scanning of groin in young athletes with groin pain should be the preferred choice of investigation.


Session: Podium Presentation

Program Number: S024

« Return to SAGES 2013 abstract archive