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Trial details imported from ClinicalTrials.gov
Ethics application status
A Randomised, Blinded Study on Laparoscopic Mesh Reinforcement for Chronic Groin Pain
A Randomised, Blinded Study on Laparoscopic Mesh Reinforcement for Chronic Groin Pain.
Universal Trial Number (UTN)
Chronic Groin Pain
Description of intervention(s) / exposure
Treatment: Surgery - Pre peritoneal mesh placement
Treatment: Surgery - Laparoscopy
Experimental: Mesh placed in pre peritoneal plane -
Active Comparator: No mesh placed -
Treatment: Surgery: Pre peritoneal mesh placement
Treatment: Surgery: Laparoscopy
Intervention code 
Comparator / control treatment
Primary outcome 
Return to normal activities
Key inclusion criteria
- Groin pain (unilateral or bilateral) for at least 4 months. In this way, patients with
temporary symptoms will be excluded from undergoing unnecessary surgery.
- Tenderness over pubic tubercle or superficial inguinal ring.
Both males and females
Can healthy volunteers participate?
Key exclusion criteria
- Aged less than 18 years Aged more than 50 years - due to increased incidence of
sacro-iliac and hip pathology.
- Bulge, lump or cough impulse consistent with inguinal or femoral hernia on clinical
- Patients unwilling or unable to provide informed consent. Medically unfit for general
- Pregnant women
- Diabetes - due to diabetic neuropathy
- Steroid use
- QST suggestive of nerve entrapment.
Allocation to intervention
Randomised controlled trial
Procedure for enrolling a subject and allocating the treatment (allocation concealment
Methods used to generate the sequence in which subjects will be randomised (sequence
Masking / blinding
Blinded (masking used)
Who is / are masked / blinded?
The people receiving the treatment/s
The people administering the treatment/s
The people assessing the outcomes
Statistical methods / analysis
Reason for early stopping/withdrawal
Accrual to date
Recruitment hospital 
Royal Hobart Hospital - Hobart
Recruitment postcode(s) 
Royal Hobart Hospital
Ethics application status
Chronic groin pain is a frequent cause for referral to general surgeons. In some cases this
pain may be due to the presence of a hernia. However, if on clinical examination there is no
palpable lump or bulge, the cause of the pain may be difficult to elucidate. Some of these
patients may have the diagnosis of sportsman's groin. Other names which have been attached to
this condition include Gilmores groin and sportsmans hernia. These conditions are more
commonly associated with sportsmen and women but those who do not play sport may also receive
this diagnosis. Sportsman's groin is thought to be a syndrome of weakness of the posterior
inguinal wall without a clinically recognisable hernia. Differing explanations for
sportsman's groin include avulsion of the conjoint tendon from the pubic tubercle, weakening
of the transversalis fascia, tears in the internal or external oblique, superficial inguinal
ring dilatation and abnormalities of the rectus abdominus insertion.
There is some evidence that pre peritoneal mesh placement in these patients may be
beneficial. The theory being that the mesh prevents pressure transmission to the damages
structures, allowing them to heal more rapidly.
Aim. To assess the potential benefit of pre peritoneal mesh placement using the TAPP
technique in patients with chronic groin pain.
Trial related presentations / publications
Stuart R Walker, MBBS DM