Preoperative Imaging in Hernia Surgery
Hernia diseases continue to be one of the main problems managed by General Surgeons with increasing incidence over time (Poulose et al., Hernia 16:179–83, 2012). Increasingly complex patients, combined with a multitude of different repair techniques make detection and characterization of new hernia defects challenging. Even small defects can cause significant pain and lead to incarceration, yet they can be very difficult to detect on physical exam alone. Likewise, large defects may be easily detectable, yet can represent extremely complex deviations from normal anatomy, especially in the setting of the multiply recurrent hernia. The time-honored evaluation of physical exam has a reported sensitivity of only 77 % in detecting incisional hernias; this further emphasizes that rapid, accurate, and cost-effective imaging is of critical importance to today’s hernia surgeon (Baucom et al., J Am Coll Surg 218:363–6, 2014).
KeywordsHernia inguinal Hernia femoral Hernia obturator Hernia ventral Abdominal wall Imaging Radiology Detection Computed tomography Magnetic resonance imaging Ultrasonography Herniography Dynamic Abdominal Sonography for Hernia (DASH)
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