Value of CT after laparoscopic repair of postsurgical ventral hernia

Gossios, K.; Zikou, Anastasia; Vazakas, P.; Passas, G.; Glantzouni, A.; Glantzounis, George; Kontogiannis, Demetrios S.; Tsimoyiannis, Evangelos C.

doi:10.1007/s00261-001-0156-y

Cited by 26 publications

(13 citation statements)

References 7 publications

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“…Radiologic imaging can be used to establish the right diagnosis. The use of CT-scans to distinguish between bulging or recurrence can be challenging because polypropylene meshes are visible lines with densities similar to adjacent muscle and can better be identified with ultrasound [10] , [11] , [12] . When performing surgical repair for symptomatic bulging it is often not necessary to remove the implanted mesh when incorporation is sufficient.…”

Section: Discussionmentioning

confidence: 99%

Mesh expansion as the cause of bulging after abdominal wall hernia repair

Deerenberg

Verhelst

Hovius

et al. 2016

International Journal of Surgery Case Reports

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HighlightsSwelling of the abdominal wall after abdominal wall reconstruction can be caused by a recurrence or bulging of the mesh.CT-scan can be useful to distinguish between a true recurrence or bulging of the mesh.Bulging of a mesh can be caused by pore enlargement and expansion of the mesh.The distinction between a recurrence and bulging of the mesh is therapeutically irrelevant in symptomatic patients.Mesh characteristics should be considered when choosing a feasible and suitable mesh for abdominal wall reconstruction.

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Section: Discussionmentioning

confidence: 99%

Mesh expansion as the cause of bulging after abdominal wall hernia repair

Deerenberg

Verhelst

Hovius

et al. 2016

International Journal of Surgery Case Reports

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“…This method is limited to the assessment of adhesions at the anterior abdominal wall; the whole abdominal and pelvic cavity cannot be investigated, and the thin prothetic mesh material itself cannot be assessed at all because of the lack of echogenic properties [22]. On CT images the ePTFE mesh can be delineated directly like in our MR studies [23]. CT can also demonstrate typical adhesion-related complications like hernia recurrence, seroma or strangulated obstruction or bowel ischemia [24,25].…”

Section: Introductionmentioning

confidence: 95%

Functional cine MRI of the abdomen for the assessment of implanted synthetic mesh in patients after incisional hernia repair: initial results

et al. 2007

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The aim of our study was to develop a method that allows the visualisation and evaluation of implanted mesh in patients after incisional hernia repair with MRI. Furthermore, we assessed problems typically related with mesh implantation like adhesions and muscular atrophy. We enrolled 28 patients after incisional hernia repair. In 10 patients mesh implantation was done by laparoscopy (expanded polytetrafluoroethylene=ePTFE mesh) and in 18 by laparotomy (polypropylene mesh). Functional MRI was performed on a 1.5-T system in supine position. Sagittal and axial TrueFISP images of the entire abdomen were acquired with the patient repeatedly straining. Evaluation included: correct position and intact fixation of the mesh, furthermore visceral adhesions, recurrent hernia and atrophy of the rectus muscle. The ePTFE mesh was visible in all cases; the polypropylene mesh was not detectable. In seven of the ten ePTFE meshes the fixation was not intact; two recurrent hernias were detected. Twenty of 28 patients had intraabdominal adhesions. In 5 cases mobility of the abdominal wall was reduced, and 16 patients showed an atropy of the rectus muscle. Functional cine MRI is a suitable method for follow-up studies in patients after hernia repair. ePTFE meshes can be visualized directly, and typical complications like intestinal adhesions and abdominal wall dysmotility can be assessed reliably.

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“…In this sense our study seeks to provide a new concept in the imaging diagnosis and treatment of the laparoscopic abdominal wall hernias. It is true that the CT studies, both in the pre and postoperative course, have been useful [10] [11] and recommended [5], but only some MRI studies have been reported by the radiologists in the diagnosis of both inguinal and incisional hernias [4] [12] [19].…”

Section: Discussionmentioning

confidence: 99%

The Usefulness of Magnetic Resonance Imaging in the Preoperative Study and Postoperative Control in the Laparoscopic Treatment of the Incisional Hernia

Olmo¹,

García-Vallejo²,

Gestal³

et al. 2015

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Background and Objectives: The aim of this study is to evaluate the usefulness of Magnetic Resonance Imaging (MRI) for planning surgery and postoperative control of complex cases of abdominal wall hernia. Methods: Included in a prospective data base with more than 350 patients treated in two centers, a prospective study over ten patients with complex incisional hernias was designed. In all cases, preoperative diagnosis study and postoperative imaging control by MR Imaging were established. In the early and late follow-up controls, local and general complications were specifically noted and studied by MRI in each case. Results: The preoperative MRI was effective method for an adequate understanding of the defects and hernia sack content. In the postoperative control, the MRI was useful in the follow-up of the mesh integration, detection of complications and diagnosis of the relapsing. Conclusion: In our experience the MRI test is specially recommended in the preoperative workup of complex cases of incisional hernia.

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Value of CT after laparoscopic repair of postsurgical ventral hernia

Abstract: Preliminary results suggest that CT is a useful imaging tool in patients with laparoscopic repair of incisional vetral hernia. It showed the correct site of the mesh, subclinical fluid collections in the abdominal wall, and recurrent hernia.

Cited by 26 publications

References 7 publications

Mesh expansion as the cause of bulging after abdominal wall hernia repair

Mesh expansion as the cause of bulging after abdominal wall hernia repair

Functional cine MRI of the abdomen for the assessment of implanted synthetic mesh in patients after incisional hernia repair: initial results

The Usefulness of Magnetic Resonance Imaging in the Preoperative Study and Postoperative Control in the Laparoscopic Treatment of the Incisional Hernia

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