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Herniography following indirect hernioplasty using the Marlex "mesh plug" technique
1Department of Surgery, Cedars-Sinai Medical Center, Los Angeles, California, USA.
The American Surgeon
|November 1, 1995
Summary
Herniorrhaphy without ligating the hernia sac does not cause false positive herniograms. Herniography remains a valuable diagnostic tool for persistent symptoms after such procedures.
Area of Science:
- Surgical techniques
- Diagnostic imaging
Background:
- Indirect inguinal herniorrhaphy is increasingly performed without ligating or resecting the hernia sac.
- Concerns exist regarding potential diagnostic inaccuracies, such as false positives in herniography, following this technique.
Purpose of the Study:
- To investigate if indirect inguinal herniorrhaphy without sac ligation leads to false positive herniograms.
- To determine if the unresected hernia sac causes abnormal findings on herniography.
Main Methods:
- Herniography was performed on five patients who previously underwent indirect inguinal hernia repair using the mesh plug technique without sac ligation.
- Diagnostic accuracy of herniography was assessed in these specific cases.
Main Results:
- No false positive herniograms were observed in patients who had undergone the procedure.
- The unresected, inverted hernia sacs were not visualized within the peritoneal cavity during herniography.
Conclusions:
- Herniorrhaphy without ligation or resection of the indirect hernia sac does not result in false positive herniograms.
- Herniography remains a useful diagnostic method for evaluating persistent or recurrent symptoms post-hernia repair when the sac is intact.