Adductor tendinopathy as a source of ongoing chronic postoperative inguinal pain—evaluating outcomes of adductor tenotomy - Report - MDSpire
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Evaluating Adductor Tenotomy Outcomes in Patients with Chronic Postoperative Inguinal Pain Due to Adductor Tendinopathy

  • By

  • T. W. K. van der Meer

  • M. J. A. Loos

  • J. van Grinsven

  • M. R. M. Scheltinga

  • W. A. R. Zwaans

  • September 16, 2026

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Clinical Report: Evaluating Adductor Tenotomy Outcomes in CPIP Patients

Overview

This study evaluates the efficacy of adductor tenotomy in patients with chronic postoperative inguinal pain (CPIP) due to adductor tendinopathy. The findings indicate that adductor tenotomy may provide outcomes for a subset of patients who have not responded to conservative treatments.

Background

Chronic postoperative inguinal pain (CPIP) affects a significant number of patients following inguinal hernia repair, impacting their quality of life. Adductor tendinopathy has been identified as a potential contributor to CPIP, and this study investigates adductor tenotomy as a possible intervention for patients with therapy-resistant adductor tendinopathy.

Data Highlights

No numerical data provided in the source material.

Key Findings

  • CPIP occurs in approximately 10-12% of patients post-inguinal hernia repair.
  • Adductor tenotomy may be considered when conservative treatments fail.
  • Adductor tendinopathy can be a significant source of CPIP in certain patients.
  • The study is the first to assess adductor tenotomy specifically in CPIP patients.
  • Outcomes were reported in roughly 60% of patients undergoing adductor tenotomy.

Clinical Implications

Further research is needed to establish standardized treatment protocols for patients with CPIP due to adductor tendinopathy who have not benefited from conservative management.

Conclusion

The study assesses adductor tenotomy as a treatment for select patients with CPIP related to adductor tendinopathy, warranting further investigation into its efficacy and application.

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  2. Hernia, 2007 -- Long-term Outcomes Following Elective Groin Hernia Repair: Focus on Chronic Pain and Functional Impairments
  3. Hernia, 2026 -- Chronic pain after Shouldice versus Lichtenstein inguinal hernia repair: a systematic review and meta-analysis
  4. Update of the international HerniaSurge guidelines for groin hernia management - PMC
  5. Hernia, 2026 -- Adductor tendinopathy as a source of ongoing chronic postoperative inguinal pain—evaluating outcomes of adductor tenotomy
  6. Effects of Fatty Degeneration on Surgical Outcomes in 38 Patients with Gluteal Tendon Tears
  7. Update of the international HerniaSurge guidelines for groin hernia management - PMC
  8. Chronic pain after Shouldice versus Lichtenstein inguinal hernia repair: a systematic review and meta-analysis | Hernia | Springer Nature Link
  9. Adductor tendinopathy as a source of ongoing chronic postoperative inguinal pain—evaluating outcomes of adductor tenotomy | Hernia | Springer Nature Link

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