BACKGROUND: Recently new disease process, often referred to as @entity2587 ( @entity2587 ), has been acknowledged by the medical community. The @entity1 suffering from this ailment present with unilateral or bilateral chronic groin @entity158 associated with physical activity without a clear diagnosis of a groin @entity547 . Though physical therapy and medical treatments are considered first line remedies, some believe that surgical treatment may have better, quicker, and more durable outcomes and procedures aimed at groin reinforcement seem to relieve most of symptoms in the majority of the @entity1 . Despite many surgeons consistently noting rectus insertion or adductor thinning, multiple @entity154 are often seen during dissections and the clinical significance of these findings is still not known. MATERIALS AND METHODS: Between 2007 and 2011, 40 @entity1 underwent an extra-peritoneal laparoscopic reinforcement of rectus abdominals and insertion of adductor muscles for @entity2587 . All @entity1 underwent wide and bilateral groin dissection and the findings were cataloged. RESULTS: All of the @entity1 presented with groin defects upon wide dissection. Thirty-four @entity1 (85  %) presented with small bilateral indirect inguinal defects and 28 (70  %) of these @entity1 did not have any additional defects. Five @entity1 (12.5  %) were found to have only @entity169 . One @entity1 presented with a small direct defect. In addition to these defects, five @entity1 (12.5  %) had additional unilateral @entity18659 , whereas no @entity1 had solitary femoral @entity154 . CONCLUSION: @entity2587 is a new diagnostic entity with poorly understood etiology. It mostly affects young active adults, often involved in competitive sports and surgical methods may be most effective at achieving the cure. In our experience all of the @entity1 presented with groin defects, though not all were the same. It is our belief that these defects, although likely not the only component, play a significant role in the pathophysiology of @entity2587 .

Groin defects seen at extra-peritoneal laparoscopic dissection during surgical treatment of XXXX .

@entity1 :: ('9606', 'Species') :: ['patients', 'patient'] @entity154 :: ('MESH:D000013', 'Disease') :: ['hernia defects'] @entity2587 :: ('MESH:D001265', 'Disease') :: ['AP', 'athletic pubalgia'] @entity18659 :: ('MESH:D006550', 'Disease') :: ['femoral hernias'] @entity158 :: ('MESH:D010146', 'Disease') :: ['pain'] @entity547 :: ('MESH:D006547', 'Disease') :: ['hernia'] @entity169 :: ('MESH:D006552', 'Disease') :: ['unilateral inguinal hernia defects']
@entity2587 :: (MESH:D001265,Disease) :: ['athletic pubalgia']
