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The sensitivity of ultrasound in the clinical diagnosis of inguinal hernias in adults: a comparative study

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Abstract

Objective

Ultrasonography (US) is a non-invasive, non-ionizing radiation modality highly successful at diagnosing inguinal hernia. The aim of this study is to demonstrate the accuracy of ultrasound in evaluating defects of fascia in inguinal hernias and compare with surgical findings.

Material and methods

A total of 33 patients with a sonographic diagnosis of an inguinal hernia are included to study. After US, all patients underwent a blinded surgery and the surgical findings are compared with the US results.

Results

The sensitivity of US was found to be 100% and 80% for indirect and direct types, respectively. The mean size of the defect was found to be 22 mm (max: 70 mm, min: 6 mm) with US; and 27 mm (max: 50 mm, min: 4 mm) at surgery. The size of defects at US and in surgery were correlated with each other (p = 0.001).

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References

  1. Burkhardt JH, Arshanskiy Y, Munson JL, Scholz FJ (2011) Diagnosis of inguinal region hernias with axial CT: the lateral crescent sign and other key findings. Radiographics 31(2):E1–E12

    Article  Google Scholar 

  2. Robinson A, Light D, Kasim A, Nice C (2013) A systematic review and meta-analysis of the role of radiology in the diagnosis of occult inguinal hernia. Surg Endosc 27(1):11–18

    Article  Google Scholar 

  3. Arend CF (2013) Static and dynamic sonography for diagnosis of abdominal wall hernias. J Ultrasound Med 32(7):1251–1259

    Article  Google Scholar 

  4. van den Berg JC (2002) Inguinal hernias: MRI and ultrasound. Semin Ultrasound CT MR 23(2):156–173

    Article  Google Scholar 

  5. Duarte BHF, Iamarino APM, Gabor S, Favaro ML, Juliano Y, Novo NF et al (2019) Accuracy of the ultrasound examination in patients with inguinal hernia. Rev Col Bras Cir 46(2):2108

    Article  Google Scholar 

  6. Jansen CJ, Yielder PC (2018) Evaluation of hernia of the male inguinal canal: sonographic method. J Med Radiat Sci 65(2):163–168

    Article  Google Scholar 

  7. Bradley M, Morgan D, Pentlow B, Roe A (2003) The groin hernia—an ultrasound diagnosis? Ann R Coll Surg Engl 85(3):178–180

    Article  Google Scholar 

  8. Simons MP, Aufenacker T, Bay-Nielsen M, Bouillot JL, Campanelli G, Conze J et al (2009) European Hernia Society guidelines on the treatment of inguinal hernia in adult patients. Hernia 13(4):343–403

    Article  CAS  Google Scholar 

  9. van den Berg JC, de Valois JC, Go PM, Rosenbusch G (1999) Detection of groin hernia with physical examination, ultrasound, and MRI compared with laparoscopic findings. Invest Radiol 34(12):739–743

    Article  Google Scholar 

  10. Kim B, Robinson P, Modi H, Gupta H, Horgan K, Achuthan R (2015) Evaluation of the usage and influence of groin ultrasound in primary and secondary healthcare settings. Hernia 19(3):367–371

    Article  CAS  Google Scholar 

  11. Matthews RD, Neumayer L (2008) Inguinal hernia in the 21st century: an evidence-based review. Curr Probl Surg 45(4):261–312

    Article  Google Scholar 

  12. Piga E, Zetner D, Andresen K, Rosenberg J (2020) Imaging modalities for inguinal hernia diagnosis: a systematic review. Hernia 24(5):917–926

    Article  CAS  Google Scholar 

  13. Babkova IV, Bozhko VV (1999) Ultrasound assessment in diagnosis of uncomplicated inguinal hernia. Khirurgiia (Mosk) 2:46–50

    Google Scholar 

  14. Li B, Qin C, Yu J, Gong D, Nie X, Li G et al (2021) Totally endoscopic sublay (TES) repair for lateral abdominal wall hernias: technique and first results. Hernia 25(2):523–533

    Article  CAS  Google Scholar 

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Funding

The authors declared that this study has received no financial support.

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Authors and Affiliations

  1. Clinic of General Surgery, Kartal Dr Lütfi Kırdar City Hospital, Health Sciences University, Istanbul, Turkey

    Mehmet Ali Gök

  2. Clinic of Radiology, Kartal Dr Lütfi Kırdar City Hospital, Health Sciences University, Istanbul, Turkey

    Ayşegül Karadayı Büyüközsoy

  3. Department of General Surgery, Dicle University School of Medicine, Diyarbakır, Turkey

    Mehmet Tolga Kafadar

Authors
  1. Mehmet Ali Gök
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  2. Ayşegül Karadayı Büyüközsoy
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  3. Mehmet Tolga Kafadar
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Contributions

Concept: MAG; Design: MAG, MTK; Supervision: AKB, Funding: MAG, AKB; Materials: MAG, AKB; Data Collection and/or Processing: MAG, AKB; Analysis and/or Interpretation: AKB, MTK; Literature Review: MTK; Writer: MAG, AKB, MTK; Critical Review: MTK.

Corresponding author

Correspondence to Mehmet Tolga Kafadar.

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Conflict of interest

No conflict of interest was declared by the authors.

Ethical approval

This study was approved by Health Sciences University Kartal Dr Lütfi Kırdar City Hospital Institutional Ethics Committee (Protocol number: 514/196/1- 24.02.2021).

Informed consent

Written informed consent was obtained from patient who participated in this study.

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Gök, M.A., Büyüközsoy, A.K. & Kafadar, M.T. The sensitivity of ultrasound in the clinical diagnosis of inguinal hernias in adults: a comparative study. J Ultrasound 25, 655–658 (2022). https://doi.org/10.1007/s40477-021-00641-4

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  • DOI: https://doi.org/10.1007/s40477-021-00641-4

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