[Peritoneography for identification of non palpable herniation]

Area of Science:

• Radiology
• Diagnostic Imaging
• Surgical Outcomes

Background:

• Non-palpable hernias can cause significant inguinal pain of unknown origin.
• Recurrent hernias after surgery and umbilical hernias in obese patients are challenging to diagnose.
• Abdominal wall hernias can occur following trauma.

Purpose of the Study:

• To evaluate the effectiveness of peritoneography with trijodic contrast medium for diagnosing various types of hernias.
• To assess its utility in cases of unknown inguinal pain, post-surgical recurrence, and post-traumatic abdominal wall defects.

Main Methods:

• Peritoneography was performed using a trijodic contrast medium.
• The study included 154 outpatients.
• Technique and radiological symptoms were documented.

Main Results:

• Peritoneography proved effective in identifying non-palpable inguinal hernias.
• The method was useful for detecting recurrent hernias post-surgery.
• Diagnosis of non-palpable umbilical hernias in adipose patients and post-traumatic abdominal wall hernias was facilitated.
• Clinical investigation missed hernias in 25% of patients.

Conclusions:

• Peritoneography with trijodic contrast medium is a valuable diagnostic tool for non-palpable hernias.
• It aids in identifying hernias missed by clinical examination, especially in challenging patient populations.
• The technique is beneficial for recurrent and post-traumatic hernias.