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
Clinical Scorecard: Evaluating Adductor Tenotomy Outcomes in Patients with Chronic Postoperative Inguinal Pain Due to Adductor Tendinopathy
At a Glance
Category Detail
Condition Chronic Postoperative Inguinal Pain (CPIP) due to Adductor Tendinopathy Key Mechanisms Chronic inflammatory responses, nerve entrapment, iatrogenic tissue damage Target Population Adults (age ≥ 18 years) with CPIP after inguinal hernia repair Care Setting Tertiary referral centre for complex abdominal wall and groin pathology
Key Highlights
CPIP occurs in approximately 10-12% of patients post-inguinal hernia repair. Adductor tenotomy may be considered when conservative treatments fail. Pain relief is achieved in about two-thirds of patients after surgical interventions. Adductor tendinopathy is characterized by localized pain during adduction or compression. Eligibility for adductor tenotomy requires specific clinical findings compatible with tendinopathy. Guideline-Based Recommendations
Diagnosis
Diagnosis of adductor tendinopathy relies on patient history and physical examination. Management
Conservative measures include pharmacological treatment and physical therapy before considering surgery. Monitoring & Follow-up
Follow-up occurs 6-8 weeks post-surgery to assess outcomes and patient satisfaction. Risks
Potential complications include wound infection, haematomas, and therapeutic failure. Patient & Prescribing Data
Adults with therapy-resistant CPIP and clinical signs of adductor tendinopathy.
Adductor tenotomy is performed as a last resort after conservative therapies.
Clinical Best Practices
Individualize tenotomy selection based on the treating surgeon's expertise. Ensure informed consent regarding the procedure's risks and benefits. Related Resources & Content
