Learning objectives
1-CT techniques to assess abdominal hernia
2-What surgeons want to know?
3- Associated complications
Background
Abdominal wall hernias are a common and may be associated with complications as strangulation,
incarceration,
or trauma.
They should be surgically repair even if they are asymptomatic because of the risk of developing complications.
Findings and procedure details
CT Techniques;
Supine images were acquired from the diaphragm to the pubic symphysis (table speed,
10 mm/sec; collimation,
2.5 mm) during a single breath-hold and reconstructed at 2.5-mm intervals.
Postural maneuvers (e.g.,
prone or lateral decubitus positioning) and maneuvers to increase intraabdominal pressure (e.g.,
straining or Valsalva maneuver) are not routinely performed,
although they may help depict subtle anterior hernias.(1)
What surgeons want to know?(2)
Imaging is performed for determination :
Type of hernia
Hernial size
The presence or absence of prior mesh or associated...
Conclusion
Preoperative CT imaging is mandatory for hernial assement .
References
1.
Aguirre D,
Casola G,
Sirlin C.
Abdominal Wall Hernias: MDCT Findings.
American Journal of Roentgenology.
2004;183(3):681-690.https://pubs.rsna.org/doi/full/10.1148/rg.256055018
2-Parikh K,
Al-Hawary M,
Millet J,
Burney R,
Finks J,
Maturen K.
Incisional Hernia Repair: What the Radiologist Needs to Know.
American Journal of Roentgenology.
2017;209(6):1239-1246.
3-Muysoms F,
Miserez M,
Berrevoet F,
Campanelli G,
Champault G,
Chelala E et al.
Classification of primary and incisional abdominal wall hernias.
Hernia.
2009;13(4):407-414.
4-Lee G,
Cohen A.
CT imaging of abdominal hernias.
American Journal of Roentgenology.
1993;161(6):1209-1213.
5.
Aguirre D,
Santosa...