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2000, Number 3

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Cir Gen 2000; 22 (3)

Herniography in the hard to diagnose inguinal hernia

Vázquez GA, Vargas JA, Huerta LH, Flores AT, Escalona MR
Full text How to cite this article

Language: Spanish
References: 13
Page: 213-215
PDF size: 179.25 Kb.


Key words:

Hernia, inguinal hernia, surgery, radiology.

ABSTRACT

Objective: To evaluate the use of herniography in our conditions, as a diagnostic support in patients with inguinal hernia without clinical evidences.
Setting: Third level health care hospital.
Design: Prospective, longitudinal, observational study without control group.
Patients and methods: We studied 17 patients with a hard to diagnose inguinal hernia, using the herniography method described by Ekberg, Gullmo, Oh, Smedberg. Patients were 9 men and 8 women, ranging in age from 20 to 74 years. Indication for the herniography was pain in the inguinal region with suspected hernia.
Results: The study was satisfactory in 14 patients and failed in 3 patients. From the 14 patients with satisfactory results, 20 hernias were diagnosed in 11 patients and diagnosis was discarded in three. No complications occurred.
Conclusion: Herniography is useful to evidence a hard to diagnose inguinal hernia.


REFERENCES

  1. Ekberg O. Inguinal herniography in adults: techniques normal anatomy, and diagnostic criteria for hernias. Radiology 1981; 138: 31-6.

  2. Gullmo A, Broome A, Smedberg S. Herniografía. Clín Quir Norte Am 1984; 64: 229-44.

  3. Oh KS, Dorst JP, White JJ, Haller JA Jr, Heller RM, James AE Jr, et al. Positive-contrast peritoneography and herniography. Radiology 1973; 108: 647-54.

  4. Smedberg SG, Brome AE, Gullmo A, Roos H. Herniography in athletes with groin pain. Am J Surg 1985; 149: 378-82.

  5. Ekberg O, Blomquist P, Olsson S. Positive contrast herniography in adult patients with obscure groin pain. Surgery 1981; 89: 532-5.

  6. Hall C, Hall PN, Wingate JP, Neoptolemos JP. Evaluation of herniography in the diagnosis of an occult abdominal wall hernia in symptomatic adults. Br J Surg 1990; 77: 902-6.

  7. Ekberg O, Complications after herniography in adults. AJR Am J Roentgenol 1983; 140: 491-5.

  8. Nyhus LM. Herniography Hernia, 4ª. Ed. J.B. Lippincott, Philadelphia; 1995: 525-33.

  9. Van den Berg JC, Strijk SP. Groin hernia: role of herniography. Radiology 1992; 184: 191-4.

  10. White JJ. Herniography: a perspective. Surgery 1978; 83: 363-4.

  11. Oh KS, Condon VR, Darst JP, Grajo G. Peritoneographic demostration of femoral hernia. Radiology 1978; 127: 209-11.

  12. Leape LL. Herniograms: a commentary. Surgery 1978; 83: 361-2.

  13. MC Arthur DC, Grieve DC, Thomson AM, Greig JD, Nixon SJ. Herniography for groin pain of uncertain origin. Br J Surg 1997; 84: 684-5.




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Cir Gen. 2000;22