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.



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

President, Beverly Hills Hernia Center, Beverly Hills, California

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