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Journal of Ultrasound in Medicine, Vol 14, Issue 9 679-684, Copyright © 1995 by American Institute of Ultrasound in Medicine


CLINICAL TRIAL

Sonography in the postoperative evaluation of laparoscopic inguinal hernia repair

A. Furtschegger, P. Sandbichler, W. Judmaier, H. Gstir, E. Steiner and G. Egender
Department of Radiology, Hall Hospital, Tyrol, Austria.

We evaluated the use of sonography as a means of assessing hernial occlusion and possible postoperative changes such as hematomas or seromas in the inguinal and scrotal regions after 1139 laparoscopic repairs of hernias between August 1992 and November 1994. Changes after laparoscopic hernia repair were found in 307 patients (27%). Hematomas or seromas were seen in 132 patients, protrusion of the prosthetic mesh in 17, mesh infection in two, and small bowel entrapment in an insufficient peritoneal suture in two. Recurrences were diagnosed correctly in six patients, mobile preperitoneal lipomas in five. Sonography is useful in the evaluation of complications after laparoscopic hernia repair, including recurrent hernia. In the absence of symptoms, sonography is not indicated.


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