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Herniography: a review of 333 herniograms
1Tower Imaging, Cedars-Sinai Medical Center, Los Angeles, California 90048, USA.
The American Surgeon
|October 9, 1998
Summary
Herniography is more sensitive than physical examination (PE) for diagnosing hernias, especially inguinal hernias. This imaging technique can reduce unnecessary surgeries when hernia diagnosis is uncertain after PE.
Area of Science:
- Radiology
- Surgical Diagnosis
Background:
- Physical examination (PE) can be inconclusive for diagnosing hernias.
- Herniography is an imaging technique used when PE is uncertain.
Purpose of the Study:
- To evaluate the diagnostic accuracy of herniography compared to PE.
- To determine the utility of herniography in reducing unnecessary surgical procedures.
Main Methods:
- Retrospective review of 333 herniographic studies in 306 patients.
- Comparison of herniogram findings with physical examination and operative results.
Main Results:
- Herniography demonstrated higher sensitivity for hernia diagnosis than PE.
- 56 of 57 patients undergoing surgery had concordant findings between herniography and PE.
- One case of incisional hernia was missed by herniography.
Conclusions:
- Herniography is a valuable tool when hernia diagnosis is uncertain based on PE.
- Increased use of herniography may decrease the rate of unnecessary surgeries.