Congenital Inguinal Hernia and Inguinal Herniography

Jj, White; Ja, Haller; Jp, Dorst

doi:10.1016/s0039-6109(16)39188-5

Cited by 51 publications

(7 citation statements)

References 10 publications

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“…Some report a high accuracy (95.0% to 99.5%) and a low false-negative rate (0.5% to 4.0%). 3,42,43 Others report a low sensitivity (82%) and specificity (64%) with a predictive value of 89%. 24 Furthermore, in 5% to 6% of herniographies, complications (bowel perforation and so forth) occur.…”

Section: Discussionmentioning

confidence: 99%

Endoscopic Evaluation and Treatment of Groin Pain in the Athlete

et al. 2004

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Section: Discussionmentioning

confidence: 99%

Endoscopic Evaluation and Treatment of Groin Pain in the Athlete

et al. 2004

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“…2,3 More recently, herniography has also been applied to the adult population. In this regard it can be used to evaluate patients for acute, chronic, or recurrent hernia.…”

Section: Discussionmentioning

confidence: 99%

Peritoneography (Herniography) for Detecting Occult Inguinal Hernia in Patients with Inguinodynia

Heise

Sproat²,

Starling³

2002

Annals of Surgery

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ObjectiveTo evaluate the usefulness of peritoneography in patients referred with inguinal pain (inguinodynia) and clinically absent inguinal hernia on physical examination. Summary Background DataIn patients with chronic groin pain, peritoneography is a seldom-used yet available technique that can detect an occult inguinal hernia. The value of peritoneography in the diagnosis of occult inguinal hernia has been previously shown. MethodsDuring a 60-month period, 80 consecutive patients with complaints of persistent inguinal pain (inguinodynia) without evidence of hernia on clinical examination were referred for outpatient evaluation by peritoneography. Twenty-nine patients had prior inguinal surgery in the region of their current pain. Peritoneography was performed using a midline or paraumbilical approach. Radiographs were obtained with patients in prone and prone oblique positions with the head elevated 20°t o 25°, both with and without provocative maneuvers. All available records were retrospectively reviewed for radiographic findings and outcome. ResultsOf the 80 patients undergoing peritoneography, 36 (45%) were diagnosed radiographically to have inguinal hernias that were not detectable clinically. Twenty-seven of these patients subsequently underwent inguinal exploration, and a hernia was confirmed in 24 (89%). Of the patients having prior inguinal surgery in the region of their pain, 12/29 (41%) were diagnosed by peritoneography with a hernia. Two complications (2.5%), both colon perforations that did not require significant intervention, occurred as a result of peritoneography. ConclusionsPeritoneography is highly reliable for detecting clinically occult inguinal hernia and has a low complication rate. Its usefulness is shown in a prospective consecutive series for detection of occult hernias in patients with chronic inguinal pain. The authors conclude that peritoneography is a safe and useful diagnostic test in the setting of persistent inguinal pain and a negative clinical examination.

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“…Using positive contrast peritoneography on 100 human patients, the accuracy of the herniogram is 97 %, compared to 59 % with physical examination [6], Routine contralateral surgical exploration disclosed a hernia or patent vaginal process on the opposite side in 44 % of in fants and children. This meant that exploration of the opposite groin was unnecessary in 56% [6], We use positive contrast peritoneography to define which animal has bilateral inguinal hernias and do not routinely explore both sides if the study shows a unilateral inguinal hernia.…”

Section: Discussionmentioning

confidence: 97%

“…This meant that exploration of the opposite groin was unnecessary in 56% [6], We use positive contrast peritoneography to define which animal has bilateral inguinal hernias and do not routinely explore both sides if the study shows a unilateral inguinal hernia. We have observed no signi ficant complications from this procedure despite injection into the anterior abdominal wall, the bladder, and small bowel.…”

Section: Discussionmentioning

confidence: 99%