Inguino-crural hernias: preoperative diagnosis and post-operative follow-up by high-resolution ultrasonography. A personal experience


COD: 2002_01_065-068 Categorie: ,

P. Dattola, A. Alberti, A. Dattola, G. Giannetto, G. Basile, M. Basile

Ann. Ital. Chir., LXXIII, 1, 2002

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Background: Hernia is an important pathology with an incidence of 5% in world population. The more affect region is the inguino-femoral. Normally the diagnosis was based on the clinical exam. A short time ago the high resolution ultrasonographic study was introducted. The purpose of our study was to value the sensitivity of US-HR in the preoperative diagnosis, in the postoperative follow-up and to compare the results to clinical exam.
Methods: 140 patients affect by inguino-femoral hernia underwent this study, 112 inguinal hernias, 28 femoral, 8 pediatric patients. 106 patients underwent repair through the prosthesis, in 34 Halstad-Postempsky’s technique was carried out. Ultrasonography studied: a) inguino-femoral region, cord and scrotum (the study was effected in basal condition and through Valsalva’s manoeuver, decubitus changes); b) hernia content (omenutm, bowel); c) hernial orifice and of hernial content’s transit (direct or indirect); d) the relation with the inguinal ligament; e) the vascularization (power-doppler) and the pathological situation (presence or absence of liquid in the sac, parietal thickness, presence/ absence of peristalsis), in case of hernia complication; f ) the presence/absence of simultaneous pathologies (hydrocele, varicocele, cord’s cyst).


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