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Is herniography useful?

J P Garner1, S Patel, J Glaves

  • 1Department of Surgery, Chesterfield and North Derbyshire Royal Hospital, Calow, North Derbyshire, S44 5BL, UK. jeffgarner@doctors.org.uk

Hernia : the Journal of Hernias and Abdominal Wall Surgery
|December 13, 2005
PubMed
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Herniography accurately diagnoses occult hernias, reducing unnecessary groin explorations. This imaging technique offers a safe and effective alternative to surgery for patients with obscure groin pain.

Area of Science:

  • Radiology
  • Surgical Diagnosis
  • Gastroenterology

Background:

  • Herniography is underutilized in the UK for diagnosing occult hernias.
  • Traditional UK approach involves surgical exploration for suspected groin hernias.
  • Herniography demonstrates high sensitivity and specificity for occult hernias.

Purpose of the Study:

  • To assess herniography's impact on reducing unnecessary groin explorations.
  • To evaluate herniography's role in discharging patients without hernias.
  • To analyze the utility of herniography in a district general hospital setting.

Main Methods:

  • Retrospective review of 90 patient case notes referred for herniography.
  • Analysis of 87 completed herniography examinations over 18 months.

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  • Data collected from a single UK district general hospital.

    • Main Results:

    • 23 hernias diagnosed in 20 patients; 13 underwent successful repair.
    • No false positive examinations; two false negatives identified.
    • No complications reported; 24 patients discharged, 30 referred to other specialties.

    Conclusions:

    • Herniography is a valuable tool for assessing obscure groin pain and occult hernias.
    • It reliably excludes hernias, avoiding unnecessary surgical exploration.
    • Negative herniograms allow patient reassurance, discharge, or referral to other specialties.