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C-3116 - Comparison between ultrasound and surgical findings in the evaluation of equivocal groin hernias

P. R. Jayaram, J. Barrett; Bury St Edmunds/UK Type: Scientific Exhibit
Area of Interests: Colon, Anatomy, Abdomen
Imaging Technique: Ultrasound
Procedures: Comparative studies, Audit and standards, Diagnostic procedure
Special Focus: Hernia
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Aims and objectives: Groin masses and pain are a common complaint among both genders. They are frequently caused by hernias, and commonly contain fat or bowel. These may be reducible or non-reducible, with the potential to strangulate and cause ischaemia or bowel obstruction in cases of hernias containing bowel content.[...]

Methods and materials: A retrospective review was performed of all patients who underwent a groin ultrasound scan between June 2011 and June 2015. Their images, reports, and surgical operation notes, if any, were obtained from the hospital electronic database. The sole inclusion criterion was the word ‘hernia’ in the refe[...]

Results: 677 scans were included this study (M=506, F=171, F:M ratio=2.96:1). The mean age was 56.7 years (range 18-93 years). 430 requests came directly from General Practitioners while 347 requests were from hospital-based General Surgeons. Registrars performed 24 scans (3.5%) while the remainder were pe[...]

Conclusion: The closest study done by Depasquale comparing ultrasound and surgical findings obtained a positive predictive value of 94%, with 62 patients undergoing surgery (4). 83% of the scans in this study were performed by one operator. We present a much larger cohort with 143 patients undergoing surgery an[...]

Personal information:

References: 1. Alam A, Nice C, Uberoi R. The accuracy of ultrasound in twhe diagnosis of clinically occult groin hernias in adults. Eur Radiol. 2005; 15: 2457-2461.   2. Van den Berg JC, De Valois JC, Go P, et. al. Detection of groin hernia with physical examination, ultrasound, and MRI compared with lapar[...]

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