The SAGES Manual of Groin Pain

This manual captures and summarizes the key elements in management of groin pain, including relevant anatomy, etiologies, diagnostic evaluation tools, imaging, detailed pharmacologic options, interventional modalities and options for operative remediation. The manual separately addresses the management of intrinsic groin pain due to primary disease processes and secondary groin pain due to a prior operation. Current practices, trends in the field, treatment approaches and controversies are addressed. While the primary audience of this book will be general surgeons performing hernia operations and pain management specialists to whom they refer, the SAGES Manual of Groin Pain will serve as a stand alone state-of-the-art resource for all providers who deal with this diagnosis, including primary care providers, sports medicine specialists, gynecologists, urologists, orthopedists, neurologists, physical medicine and rehabilitation specialists, radiologists, physical therapists, industry personnel and importantly, patients who suffer from groin pain who have copious access to health information, but without the filtering, expertise and context provided by the contributors to this manual.

This volume also uniquely provides its audience with narrative first-person accounts of some of the most common and challenging causes of pain, so that others can learn from their presentation, pitfalls, successes and failures. The expertise compiled in this manual will give the readership a pragmatic foundation to optimize the diagnosis and management of our patients with this challenging problem.

• Adductor Tendinitis
• Epididymitis
• Femoral Hernia
• Inguinal Hernia
• Osteitis Pubis
• Varicocele

“This addition to the SAGES Manual series covers in exhaustive detail the evaluation, differential diagnosis, and management of groin pain. … The audience includes a wide variety of practitioners: surgeons and physicians in other specialties including sports medicine and physical medicine and rehabilitation. … This is a much-needed resource. … No other book brings the full spectrum of diagnostic possibilities and therapeutic options together so well. … This book deserves to become a classic in the field.” (Carol Scott-Conner, Doody’s Book Reviews, April, 2016)

• Mount Sinai School of Medicine, Laparoscopic Surgical Center of New York, New York, USA

  Brian P. Jacob

• Division of General Surgery, Lichtenstein Amid Hernia Clinic at UCLA, Santa Monica, USA

  David C. Chen

• FSU College of Medicine, Advanced Hernia Solutions, Daytona Beach, USA

  Bruce Ramshaw

• Beverly Hills Hernia Center, Beverly Hills, USA

  Shirin Towfigh

Brian P Jacob, MD, FACS

Associate Clinical Professor of Surgery, Icahn School of Medicine at Mount Sinai;Partner, Laparoscopic Surgical Center of New York; Regional Medical Director (New York) AngelMD; Founder, International Hernia Collaboration, Inc., New York, New York

David C. Chen, MD

Associate Professor of Clinical Surgery; Clinical Director, Lichtenstein Amid Hernia Clinic, Department of Surgery, David Geffen School of Medicine at UCLA, Santa Monica, California

Bruce Ramshaw, MD, FACS

Co-Director, Advanced Hernia Solutions at Transformative Care Institute; Chief Medical Officer, Surgical Momentum; Chairman, the Bruce Kennedy General Surgery Residency Program at Halifax Health; Associate Clinical Professor, Florida State University, Daytona Beach, Florida 

Shirin Towfigh, MD, FACS

Policies and ethics