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The use, value and safety of herniography
J R Sutcliffe1, O M Taylor, N S Ambrose
1Department of General Surgery, St. James's Hospital, Leeds, UK.
Aims:
To assess the safety, sensitivity and specificity of out-patient herniography when used to diagnose hernias in the presence of a normal or equivocal physical examination.
Materials And Methods:
This retrospective study reviewed the symptoms, clinical findings, radiological findings, surgical findings and clinical outcome of 112 patients referred for herniography over a 5-year period.
Results:
No significant complications were encountered. Thirty hernias were diagnosed. There was one false-positive and one false-negative examination giving herniography a sensitivity of 96.6% and a specificity of 98.4%.
Conclusion:
Herniography is a sensitive, specific, safe and reliable investigation which should be available to and used by all surgeons who perform hernia repair operations.