Pre- and postsurgical imaging findings of abdominal wall hernias based on the European Hernia Society (EHS) classification

Jaramillo, Felipe Aluja; Cifuentes-Sandoval, Sebastián; Gutiérrez, Fernando R.; Bhalla, Sanjeev; Menias, Christine O.

doi:10.1007/s00261-021-03211-8

Cited by 2 publications

(1 citation statement)

References 45 publications

(119 reference statements)

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“…10 11 Hernia studies are variable in whether their outcome is defined using clinically significant or radiologically identified hernias. 12 The European Hernia Society defines an incisional hernia as “any abdominal wall gap with or without a bulge in the area of a postoperative scar perceptible or palpable by clinical examination or imaging.” 12…”

Section: Herniamentioning

confidence: 99%

Extraction Site in Minimally Invasive Colorectal Surgery

Paruch

2023

Clin Colon Rectal Surg

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The widespread adoption of minimally invasive colorectal surgery has led to improved patient recovery and outcomes. Specimen extraction sites remain a major source of pain and potential postoperative morbidity. Careful selection of the extraction site incision may allow surgeons to decrease postoperative pain, infectious complications, or rates of hernia formation. Options include midline, paramedian, transverse, Pfannenstiel, and natural orifice sites. Patient, disease, and surgeon-related factors should all be considered when choosing a site. This article will review different options for specimen extraction sites.

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Section: Herniamentioning

confidence: 99%

Extraction Site in Minimally Invasive Colorectal Surgery

Paruch

2023

Clin Colon Rectal Surg

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Imaging Insights Into Abdominal Wall Function

et al. 2022

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PurposeThe successful repair of any complex ventral hernia requires a thorough understanding of the underlying anatomical defect and its functional context. We describe an improved “functional” approach to CT imaging of the abdominal wall that can facilitate this understanding and assist surgical planning.MethodsThis invited article reports the observational experience gained from the functional abdominal wall CT examinations of 88 patients who underwent complex ventral hernia repair using pre-operative Botulinum toxin A (BTA) infiltration of the lateral oblique abdominal muscles as well as a further eight patients with diastasis rectus abdominis who were examined to exclude ventral hernia.ResultsThe use of a functional CT protocol which supplements resting images with additional “crunching” images (acquired with the abdominal wall muscles all strongly contracted) can significantly improve the demonstration of ventral hernia defects. Crunching acquisitions can also help differentiate true hernias from dysfunctional bulges, identify muscle denervation or atrophic changes, reveal otherwise occult hernias that may be missed on resting or Valsalva images alone, and assist the pre-operative assessment of BTA effect.ConclusionA more functional approach to pre-operative CT imaging of the abdominal wall can significantly improve the understanding of complex ventral hernia defects and help formulate effective surgical plans that achieve low recurrence rates and good functional outcomes.

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Pre- and postsurgical imaging findings of abdominal wall hernias based on the European Hernia Society (EHS) classification

Cited by 2 publications

References 45 publications

Extraction Site in Minimally Invasive Colorectal Surgery

Extraction Site in Minimally Invasive Colorectal Surgery

Imaging Insights Into Abdominal Wall Function

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