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Radiologic investigation after laparoscopic inguinal hernia repair
Martin Larmark1, Olle Ekberg, Agneta Montgomery
1Department of Diagnostic Radiology, Malmö University Hospital, 205 02 Malmö, Sweden.
European Radiology
|May 22, 2003
Summary
Postoperative radiology after laparoscopic inguinal hernia repair is uncommon. When performed, significant findings like sinus tracts, hematomas, bowel obstruction, or hernia recurrence can be detected, requiring radiologist familiarity.
Area of Science:
- Radiology
- Surgical Oncology
- Gastroenterology
Background:
- Laparoscopic inguinal hernia repair is increasingly common.
- Radiologists need to understand postoperative imaging findings specific to this technique.
Purpose of the Study:
- To evaluate the utilization and findings of postoperative radiology after laparoscopic herniorrhaphy.
- To familiarize radiologists with potential postoperative complications and imaging characteristics.
Main Methods:
- Retrospective evaluation of postoperative radiologic examinations for laparoscopic herniorrhaphy.
- Inclusion of 538 groins operated between 1992 and 1998.
- Analysis of imaging modalities including ultrasound, herniography, plain films, CT, and fistulography.
Main Results:
- Only 3.9% of patients underwent postoperative radiologic examination.
- Significant findings included sinus tract (1), hematomas (2), small bowel obstruction (1), and hernia recurrence (1).
- Four insignificant seromas were also identified.
Conclusions:
- Radiologic examination is rarely indicated for symptoms after laparoscopic herniorrhaphy.
- Radiologists must be aware of the spectrum of findings and potential pitfalls in postoperative imaging following this procedure.