Abstract
The diagnosis of inguinal hernias is typically confirmed by physical examination. In some cases, the examination is non-diagnostic and so imaging may help confirm the presence of an inguinal hernia. In other cases, the patient may have a more complex situation, such as groin pain of unknown etiology, a rare pelvic hernia such as a femoral or obturator hernia, and/or had a prior inguinal hernia repair that failed. In these situations, imaging can help the surgeon plan the operation and thereby help provide informed consent to the patient. These imaging modalities commonly include ultrasound, CT scan, and MR imaging. The modality of imaging, how it is ordered, how it is performed, and the quality of its interpretation can have a direct impact on the diagnosis and plan of care for the patient.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
van den Berg JC, de Valois JC, Go PM, Rosenbusch G. Detection of groin hernia with physical examination, ultrasound, and MRI compared with laparoscopic findings. Invest Radiol. 1999;34(12):739–43.
Ng TT, Hamlin JA, Kahn AM. Herniography: analysis of its role and limitations. Hernia. 2009;13(1):7–11.
Heise CP, Sproat IA, Starling JR. Peritoneography (herniography) for detecting occult inguinal hernia in patients with inguinodynia. Ann Surg. 2002;235(1):140–4.
Ekberg O. Complications after herniography in adults. Am J Roentgenol. 1983;140(3):491–5.
White JJ, Parks LC, Haller Jr JA. The inguinal herniogram: a radiologic aid for accurate diagnosis of inguinal hernia in infants. Surgery. 1968;63(6):991–7.
Leander P, Ekberg O, Sjöberg S, Kesek P. MR imaging following herniography in patients with unclear groin pain. Eur Radiol. 2000;10(11):1691–6.
Højer AM, Rygaard H, Jess P. CT in the diagnosis of abdominal wall hernias: a preliminary study. Eur Radiol. 1997;7(9):1416–8.
Garvey JF. Computed tomography scan diagnosis of occult groin hernia. Hernia. 2012;16(3):307–14.
Miller J, Cho J, Michael MJ, Saouaf R, Towfigh S. Role of imaging in the diagnosis of occult hernias. JAMA Surg. 2014;149(10): 1077–80.
Shadbolt CL, Heinze SB, Dietrich RB. Imaging of groin masses: inguinal anatomy and pathologic conditions revisited. Radiographics. 2001;21 Spec No: S261-71.
Wagner JP, Brunicardi FC, Amid PK, Chen DC. Inguinal hernias. In: Brunicardi FC, Andersen DK, Billiar TR, Dunn DL, Hunter JG, Matthews JB, Pollock RE, editors. Schwartz’s principles of surgery. 10th ed. New York: McGraw-Hill; 2015. p. 1495–519.
Neumayer L, Towfigh S. Inguinal hernia. In: Cameron JL, Cameron AM, editors. Current surgical therapy. 11th ed. Philadelphia: Elsevier; 2014. p. 531–6.
Robinson A, Light D, Nice C. Meta-analysis of sonography in the diagnosis of inguinal hernias. J Ultrasound Med. 2013;32(2): 339–46.
Simons MP, Aufenacker T, Bay-Nielsen M, Bouillot JL, Campanelli G, Conze J, et al. European Hernia Society guidelines on the treatment of inguinal hernia in adult patients. Hernia. 2009;13(4): 343–403.
Miller JM, Ishimitsu DN, Saouaf R. In: Jacob BP, Chen DC, Ramshaw B, Towfigh S, editors. The SAGES manual of groin pain. Cham: Springer; 2016. p. 257–65.
Yoneyama M, Takahara T, Kwee TC, Nakamura M, Tabuchi T. Rapid high resolution MR neurography with a diffusion-weighted pre-pulse. Magn Reson Med Sci. 2013;12(2):111–9.
Robinson A, Light D, Kasim A, Nice C. A systematic review and meta-analysis of the role of radiology in the diagnosis of occult inguinal hernia. Surg Endosc. 2013;27(1):11–8.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2017 Springer International Publishing Switzerland
About this chapter
Cite this chapter
Towfigh, S., Shafik, Y. (2017). Diagnostic Considerations in Inguinal Hernia Repair. In: Hope, W., Cobb, W., Adrales, G. (eds) Textbook of Hernia. Springer, Cham. https://doi.org/10.1007/978-3-319-43045-4_6
Download citation
DOI: https://doi.org/10.1007/978-3-319-43045-4_6
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-319-43043-0
Online ISBN: 978-3-319-43045-4
eBook Packages: MedicineMedicine (R0)