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