THE VALUE OF DIAGNOSTIC ULTRASOUND FOR DETECTING OCCULT INGUINAL HERNIA IN PATIENTS WITH GROIN PAIN

Vincenzo Davide Palumbo, Giovanni Tomasello, Giuseppe Buscemi, Giuseppe Damiano, Salvatore Buscemi, Attilio Ignazio Lo Monte, Emanuele Sinagra, Salvatore Fazzotta, Antonio Bruno, Giovanni Tomasello, Vincenzo Davide Palumbo

Risultato della ricerca: Article

2 Citazioni (Scopus)

Abstract

Aims: chronic groin pain caused by an occult hernia can be a difficult clinical diagnosis and may require additional investiga- tive modalities. The aim of this study was to demonstrate the accuracy of ultrasound in diagnosing occult hernia in patients with recurrent inguinal pain and a negative clinical examination.Patients and methods: over a period of three years, a total of 76 patients were referred for ultrasound examination with clini- cally suspected occult inguinal hernia. Patients with positive US scans were offered surgery, while those with negative US findings were offered further imaging or other diagnostic tests. The ultrasound examination of the inguinal region was conducted using a 5- 10 MHz linear probe. The scan was performed with the patient in the supine and erect positions, in a relaxed state, as well as during coughing and during a Valsalva manoeuvre.Results: overall, ultrasound diagnosed 31 inguinal hernias and all 31 patients with positive scans underwent surgery. Surgery confirmed the ultrasound diagnosis in 30 patients, having only 1/31 no hernia at operation (100% ultrasound sensitivity and 96.9% specificity). Patients undergoing surgery showed complete symptom resolution at a three-month follow-up.Conclusions: this study confirms that ultrasound is capable of accurately diagnosing groin hernia and this may justify its use in patients with chronic groin pain due to a suspected occult hernia
Lingua originaleEnglish
pagine (da-a)493-496
Numero di pagine4
RivistaActa Medica Mediterranea
Volume30
Stato di pubblicazionePublished - 2014

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Groin
Inguinal Hernia
Ultrasonography
Pain
Hernia
Chronic Pain
Valsalva Maneuver
Supine Position
Routine Diagnostic Tests
Sensitivity and Specificity

All Science Journal Classification (ASJC) codes

  • Medicine(all)

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THE VALUE OF DIAGNOSTIC ULTRASOUND FOR DETECTING OCCULT INGUINAL HERNIA IN PATIENTS WITH GROIN PAIN. / Palumbo, Vincenzo Davide; Tomasello, Giovanni; Buscemi, Giuseppe; Damiano, Giuseppe; Buscemi, Salvatore; Lo Monte, Attilio Ignazio; Sinagra, Emanuele; Fazzotta, Salvatore; Bruno, Antonio; Tomasello, Giovanni; Palumbo, Vincenzo Davide.

In: Acta Medica Mediterranea, Vol. 30, 2014, pag. 493-496.

Risultato della ricerca: Article

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title = "THE VALUE OF DIAGNOSTIC ULTRASOUND FOR DETECTING OCCULT INGUINAL HERNIA IN PATIENTS WITH GROIN PAIN",
abstract = "Aims: chronic groin pain caused by an occult hernia can be a difficult clinical diagnosis and may require additional investiga- tive modalities. The aim of this study was to demonstrate the accuracy of ultrasound in diagnosing occult hernia in patients with recurrent inguinal pain and a negative clinical examination.Patients and methods: over a period of three years, a total of 76 patients were referred for ultrasound examination with clini- cally suspected occult inguinal hernia. Patients with positive US scans were offered surgery, while those with negative US findings were offered further imaging or other diagnostic tests. The ultrasound examination of the inguinal region was conducted using a 5- 10 MHz linear probe. The scan was performed with the patient in the supine and erect positions, in a relaxed state, as well as during coughing and during a Valsalva manoeuvre.Results: overall, ultrasound diagnosed 31 inguinal hernias and all 31 patients with positive scans underwent surgery. Surgery confirmed the ultrasound diagnosis in 30 patients, having only 1/31 no hernia at operation (100{\%} ultrasound sensitivity and 96.9{\%} specificity). Patients undergoing surgery showed complete symptom resolution at a three-month follow-up.Conclusions: this study confirms that ultrasound is capable of accurately diagnosing groin hernia and this may justify its use in patients with chronic groin pain due to a suspected occult hernia",
author = "Palumbo, {Vincenzo Davide} and Giovanni Tomasello and Giuseppe Buscemi and Giuseppe Damiano and Salvatore Buscemi and {Lo Monte}, {Attilio Ignazio} and Emanuele Sinagra and Salvatore Fazzotta and Antonio Bruno and Giovanni Tomasello and Palumbo, {Vincenzo Davide}",
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T1 - THE VALUE OF DIAGNOSTIC ULTRASOUND FOR DETECTING OCCULT INGUINAL HERNIA IN PATIENTS WITH GROIN PAIN

AU - Palumbo, Vincenzo Davide

AU - Tomasello, Giovanni

AU - Buscemi, Giuseppe

AU - Damiano, Giuseppe

AU - Buscemi, Salvatore

AU - Lo Monte, Attilio Ignazio

AU - Sinagra, Emanuele

AU - Fazzotta, Salvatore

AU - Bruno, Antonio

AU - Tomasello, Giovanni

AU - Palumbo, Vincenzo Davide

PY - 2014

Y1 - 2014

N2 - Aims: chronic groin pain caused by an occult hernia can be a difficult clinical diagnosis and may require additional investiga- tive modalities. The aim of this study was to demonstrate the accuracy of ultrasound in diagnosing occult hernia in patients with recurrent inguinal pain and a negative clinical examination.Patients and methods: over a period of three years, a total of 76 patients were referred for ultrasound examination with clini- cally suspected occult inguinal hernia. Patients with positive US scans were offered surgery, while those with negative US findings were offered further imaging or other diagnostic tests. The ultrasound examination of the inguinal region was conducted using a 5- 10 MHz linear probe. The scan was performed with the patient in the supine and erect positions, in a relaxed state, as well as during coughing and during a Valsalva manoeuvre.Results: overall, ultrasound diagnosed 31 inguinal hernias and all 31 patients with positive scans underwent surgery. Surgery confirmed the ultrasound diagnosis in 30 patients, having only 1/31 no hernia at operation (100% ultrasound sensitivity and 96.9% specificity). Patients undergoing surgery showed complete symptom resolution at a three-month follow-up.Conclusions: this study confirms that ultrasound is capable of accurately diagnosing groin hernia and this may justify its use in patients with chronic groin pain due to a suspected occult hernia

AB - Aims: chronic groin pain caused by an occult hernia can be a difficult clinical diagnosis and may require additional investiga- tive modalities. The aim of this study was to demonstrate the accuracy of ultrasound in diagnosing occult hernia in patients with recurrent inguinal pain and a negative clinical examination.Patients and methods: over a period of three years, a total of 76 patients were referred for ultrasound examination with clini- cally suspected occult inguinal hernia. Patients with positive US scans were offered surgery, while those with negative US findings were offered further imaging or other diagnostic tests. The ultrasound examination of the inguinal region was conducted using a 5- 10 MHz linear probe. The scan was performed with the patient in the supine and erect positions, in a relaxed state, as well as during coughing and during a Valsalva manoeuvre.Results: overall, ultrasound diagnosed 31 inguinal hernias and all 31 patients with positive scans underwent surgery. Surgery confirmed the ultrasound diagnosis in 30 patients, having only 1/31 no hernia at operation (100% ultrasound sensitivity and 96.9% specificity). Patients undergoing surgery showed complete symptom resolution at a three-month follow-up.Conclusions: this study confirms that ultrasound is capable of accurately diagnosing groin hernia and this may justify its use in patients with chronic groin pain due to a suspected occult hernia

UR - http://hdl.handle.net/10447/90083

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JO - Acta Medica Mediterranea

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