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[Diagnosis of hernia using peritoneography]
1Abteilung für Röntgendiagnostik, Krankenhaus Bruchsal, Akademisches Lehrkrankenhaus der Universität Heidelberg.
Summary
Peritoneography effectively diagnoses abdominal wall, groin, or pelvic floor hernias and post-operative recurrences. This straightforward radiological exam provides certainty in diagnosis for outpatients.
Area of Science:
- Radiology
- Surgical Diagnosis
Background:
- Ill-defined abdominal wall, groin, or pelvic floor complaints often warrant diagnostic imaging.
- Clinical examination may not always detect subtle hernias or post-operative recurrences.
Purpose of the Study:
- To evaluate the utility of peritoneography in diagnosing hernias.
- To assess peritoneography's effectiveness in identifying post-operative hernia recurrences.
Main Methods:
- Peritoneography was conducted on 1200 patients presenting with abdominal, groin, or pelvic floor symptoms.
- The study included pre-operative and post-operative evaluations for hernia and recurrence detection.
Main Results:
- Abnormalities were detected in 53.5% of 750 patients examined for initial hernia diagnosis.
- A recurrence or contralateral hernia was identified in 44% of 450 post-operative patients.
Conclusions:
- Peritoneography is a reliable method for definitively demonstrating or excluding hernias and recurrences.
- This outpatient radiological procedure is technically simple, quick, and patient-friendly.