OC-048 CHRONIC GROIN PAIN. ALGORITHM FOR EVALUATION

Abstract

Abstract Aim Chronic groin pain is a challenge for surgeons. It is the main symptom in pathologies caused by sports activities (Sportsman's Groin) and is also found as a complication after inguinal hernia repair. Currently multivariable analysis reports that : younger age (≤40 years), small hernias (EHS I: <1.5 cm), and preoperative pain; are risk factors for the appearance of postoperative chronic pain. The Manchester Consensus concluded that general surgeons have límited experience on the topic and the difficulty of making randomized trials with high level of evidence The main objective is to describe a diagnostic algorithm to be used in patients with chronic groin pain and those with small hernia that are going to be repaired. Material & Methods A multidisciplinary team had developed an assessment, diagnosis, and treatment algorithm for CGP. The team is composed of surgeons, physiotherapists, orthopedists, and imaging specialists. We implement this algorithm in young patients (16–30) who consult for chronic groin pain, even those with inguinal hernia diagnosis. Results A total of 5,737 patients were assessed by the multidisciplinary team from June 2009 to June 2021. The most frequent clinical entities registered were tendinopathies: iliopsoas-pectineus- related (42.7%) and adductor-related (39.5%). In those patients with postoperative pain, (45%) reported preoperative pain and (91%) were not related to neuropathies. Conclusions The algorithm has proven to be safe and successful. It has been used in patients who consulted with pre and postoperative chronic groin pain, with a high rate of achievement