Details

Autor(en) / Beteiligte

• Niebuhr, Henning
• König, Anita
• Pawlak, Maciej
• Sailer, Marco
• Köckerling, Ferdinand
• Reinpold, Wolfgang

Titel

Groin hernia diagnostics: dynamic inguinal ultrasound (DIUS)

Ist Teil von

• Langenbeck's archives of surgery, 2017-11, Vol.402 (7), p.1039-1045

Ort / Verlag

Berlin/Heidelberg: Springer Berlin Heidelberg

Erscheinungsjahr

2017

Quelle

MEDLINE

Beschreibungen/Notizen

• Purpose Although clinical examination is the gold standard for the diagnosis of groin hernia, imaging procedures can improve the detection of femoral hernias, incipient hernias, and less-common types of hernias (e.g., an obturator hernia). The aim of this study is to evaluate the sensitivity and specificity of dynamic inguinal ultrasound (DIUS). Materials and methods Between July 2010 and June 2015, 4951 clinical and ultrasound examinations of the groin area were conducted at the Hanse-Hernienzentrum in Hamburg, Germany. The ultrasonographic findings were prospectively evaluated to determine the number of inguinal and femoral hernia diagnoses that were ultrasonically confirmed and also to consider cases in which clinical examination overlooked these diagnoses. The results were compared with the intraoperative findings. Results The results show that standardized ultrasound examination of the groin area with high-frequency, small-part linear transducers also serves to accurately display femoral and small or occult groin hernias. The high-level specificity (0.9980) and sensitivity (0.9758) are proof of the procedure’s quality. Conclusions To ensure high-quality hernia treatment, regular use of standardized ultrasound examinations is recommended.