Objectives: To evaluate the clinic value of ultrasound (US) in the diagnosis of muscle herniation.
Methods: This retrospective study was performed on 26 patients with muscle herniation confirmed by surgery. All patients were examined by US and magnetic resonance imaging (MRI) preoperatively. The final histopathologic findings were retrospectively compared with the results of US and MRI.
Results: The accuracy of ultrasonography and MRI were 92.3%(24/26) and 84.6%(22/26) respectively. There was no significant difference between two methods (χ=0.25, P>0.05).
Conclusions: US can be used to observe the shape, size, location, internal echo and fascial defect of the mass of muscle herniation in a dynamical way. Ultrasound is a convenient method with high accuracy, it can be used as the first choice of imaging modality for the diagnosis of muscle herniation.
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http://dx.doi.org/10.1016/j.ejrad.2017.06.026 | DOI Listing |
Hernia
March 2025
Division of Trauma, Critical Care, and General Surgery, Mayo Clinic, Rochester, MN, USA.
Purpose: Trocar site hernias impact 1-10% of patients undergoing a laparoscopic cholecystectomy, typically at the 10 mm port site. Risk factors identified for trocar site hernias include obesity and age; however, little is known about the impact of pre-existing diastasis rectus abdominus (DRA) on trocar site hernia rates. Therefore, we aimed to determine the impact of pre-operative DRA on trocar site hernia rates after laparoscopic cholecystectomy.
View Article and Find Full Text PDFHernia
March 2025
University of Tennessee Graduate School of Medicine, Knoxville, TN,, 37920, USA.
Introduction: Abdominal wall reconstruction (AWR) is associated with significant post-operative pain for which there is no standardized treatment regimen. Quadratus lumborum (QL) blocks have not been studied in open ventral hernia repair. This study reviews our institution's experience with QL blocks in open AWR.
View Article and Find Full Text PDFHernia
March 2025
Department of Surgery, Montefiore Medical Center, New York, NY, 10641, USA.
Background: Postoperative pain remains a common concern following ventral hernia repair (VHR), especially for open procedures. We aim to assess the effectiveness of the Transversus Abdominis Plane (TAP) block for the management of postoperative pain following VHR.
Methods: Cochrane, EMBASE, and PubMED, MEDLINE, and Web of Science were systematically searched for studies comprising adults undergoing VHR with preoperative TAP block, compared to placebo and epidural analgesia.
Objective: L5/S1 segment is one of the most common lumbar degenerative segments with high clinical failure rate. When the clinically responsible segment consists of one or more segments including L4/L5 segment, whether to merge the severely degraded L5/S1 segment together is a common problem plaguing clinicians. Therefore, the purpose of this study was to explore the risk factors for preoperative adjacent segment degeneration L5/S1 segment occuring Postoperative adjacent segment disease(ASDis), analyze the correlation between the high risk factors and the occurrence of adjacent segment disease, clarify the preventive measures and direction, and provide references for clinical selection of personalized treatment.
View Article and Find Full Text PDFCureus
February 2025
Orthopaedic Surgery, Louisiana State University Health Sciences Center, New Orleans, USA.
Athletic pubalgia is a relatively uncommon injury that is not fully understood. There are few high-level studies comparing treatments of athletic pubalgia, and this investigation seeks to utilize original articles to compare two common techniques for treatment of athletic pubalgia. The purpose of this study is to compare two prominent procedures, i.
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