Importance of the physical exam: double-blind randomized controlled trial of radiologic interpretation of ventral hernias after selective clinical information

Cherla, Deepa V.; Bernardi, Karla; Blair, Katherine J.; Chua, Steven S.; Hasapes, Joseph P.; Kao, Lillian S.; Ko, Tien C.; Matta, Eduardo J.; Moses, Maya L.; Shiralkar, Kaustubh; Surabhi, Venkateswar R.; Tammisetti, Varaha S.; Viso, Cristina P.; Liang, Mike K.

doi:10.1007/s10029-018-1856-3

Cited by 14 publications

(4 citation statements)

References 16 publications

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“…The perception of the lump or other symptoms by the patient are of great importance in diagnosis and treatment. Additionally, several studies have been conducted to identify the normal versus enlarged distance between the rectus muscles [5,6]. Patients with this condition often present with a midline bulge with or without other symptoms [7].…”

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confidence: 99%

"Preaponeurotic Endoscopic Repair for the Management of Diastasis Recti"

Velasteguí¹

2022

BJSTR

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Background: Diastasis recti is an increase in the distance between the rectus abdominis muscles in the midline caused by weakness in the anterior abdominal wall. Patients with diastasis recti commonly present with a midline bulge with or without other symptoms. The preaponeurotic endoscopic repair is performed with a suprapubic approach and in both iliac fossae. A new preaponeurotic cavity is created with dissection of the subcutaneous cellular tissue, followed by rectification with barbed suture.Methodology: A narrative review was carried out through various databases from January 2012 to February 2022; the search and selection of articles was carried out in journals indexed in English. The following keywords were used: Endoscopic repair; preaponeurotic; diastasis recti; physiotherapy.Results: Diastasis recti is an increase in the distance between the rectus abdominis muscles in the midline caused by weakness in the anterior abdominal wall. Currently there are different therapeutic approaches for diastasis recti, among which we can highlight physiotherapy and surgical approach which can be open surgery, laparoscopic surgery and robot-assisted surgery. The preaponeurotic endoscopic repair allows us to resolve the parietal defect with the placement of a reinforcement supraaponeurotic prosthesis. Conclusion:His review offers updated and detailed information on the treatment options that exist to date, as well as highlighting the importance of preaponeurotic endoscopic repair

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Section: Introductionmentioning

confidence: 99%

"Preaponeurotic Endoscopic Repair for the Management of Diastasis Recti"

Velasteguí¹

2022

BJSTR

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“…Femoral hernias is a rare hernia that is more common in women, possibly because of pregnancy (4) . Umbilical and paraumbilical hernias involve protrusion of intra-abdominal contents through a weakness at the site of passage of the umbilical cord through the abdominal wall (5) .…”

Section: Introductionmentioning

confidence: 99%

“…Incisional hernia is an important type of hernia that is located at the scar from previous surgery as a delayed complication of abdominal surgery (4) .…”

Section: Introductionmentioning

confidence: 99%

Assessment of Complicated Anterior Abdominal Wall Hernia by Ultrasonography and Colour Doppler

Hamid

Khattab

Isamail

et al. 2021

The Egyptian Journal of Hospital Medicine

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Background: A hernia is defined as a protrusion from a structure through the normally tissues containing it, either a focal or diffuse defects in the tissues with many types including: inguinal, femoral, umbilical and paraumbilical, epigastric and incisional hernias. Objective: This study aimed to evaluate anterior abdominal wall hernia using ultrasound and color Doppler. Patients and methods: An interventions study included (48) patients who were referred from the Surgery Department, Zagazig University Hospitals for sonographic evaluation of the abdominal wall and the abdomen when their clinical presentations were suggestive of abdominal wall hernia obstruction, either progressed or not progressed to bowl obstruction, when their physical examinations were inconclusive or when surgeons believed it was important to determine the contents of a suspected hernia preoperatively. Results: The mean age of the studied patients was 47.5 ± 21.88 years old, with a range from 3 months to 66 years old, less than ½ of the studied patients were males (41.7%) and 58.3 % were females. About 100% of the studied hernias were irreducible containing omentum, while hernias were containing bowel in 95.8% of cases, 41.7 % of cases contained free fluid in hernia sac, 47.8% of the studied patients had absent bowel peristalsis. Comparing the ultrasound finding with the operative data revealed that ultrasound had 100% sensitivity, while accuracy in diagnosis of peristalsis, bowel irreducibility, bowel thickness ranged from 93.4% to 98.8%. Conclusion: High-resolution ultrasonography (US) is an efficient tool for detecting the presence of abdominal wall hernias and accurately detecting the content, and the possible associated complications.

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“…ncreasing age is associated with decreasing various organ systems function and because of loss of strength of the abdominal wall and conditions associated with increased intra-abdominal pressure, inguinal hernias are common in the elderly. [1,2] Whereas, it is found that emergency hernia repair in patients more than 65 years of age is a serious problem and carries a high risk of complications in the presence of coexisting diseases. [3] Based on US, UK, Canadian, and Australian incidence statistics, which extrapolated using the population of the country, estimation of the incidence of inguinal hernia in Malaysia is about 0.18%.…”

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confidence: 99%

Untitled

Iqbal¹

2020

AJP

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Objective: The objective of the study was to study the surgical management of inguinal hernia (groin hernia) among geriatric (elderly) patients. Materials and Methods: A retrospective study was conducted from December 2016 to August 2018 in the surgical ward of a university hospital in Malaysia. Geriatric patients operated for surgery during the study period were recruited in the study. A total of 116 cases operated for groin hernia with or without comorbidities and their influence on the overall results of surgical interventions were studied. Results: The mean age of the patients was 71.02 ± 3.1 years, of whom 94 (81%) were male and 22 (19%) were female. In 66 (56.9%) patients, the hernias were simple, while 21 (18.1%) had an obstructive inguinal hernia. In 17 (14.7%) patients, the hernia was incarcerated while 12 cases presented had strangulations. Comorbidities were present in 97 (83.6%) patients. No mortality was found either in elective or in emergency surgery. Conclusion: Comorbidities, type of surgery (elective or emergency), type of hernia (simple or complicated), and age of the patients can make surgery more challenging in the geriatric population.

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Importance of the physical exam: double-blind randomized controlled trial of radiologic interpretation of ventral hernias after selective clinical information

Cited by 14 publications

References 16 publications

"Preaponeurotic Endoscopic Repair for the Management of Diastasis Recti"

"Preaponeurotic Endoscopic Repair for the Management of Diastasis Recti"

Assessment of Complicated Anterior Abdominal Wall Hernia by Ultrasonography and Colour Doppler

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