Artikel
Groin Hernia Diagnostics: Dynamic Inguinal Ultrasound (DIUS)
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Autoren
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Henning Niebuhr
- Hansechirurgie Hamburg, Hanse Hernienzentrum Hamburg, Hamburg, Deutschland
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Anita König
- Bethesda Krankenhaus Bergedorf, Abteilung für Anästhesiologie, Hamburg, Deutschland
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Maciej Pawlak
- Medical University of Gdańsk, Department of Cardiac and Vascular Surgery, Gdansk, Poland
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Marco Sailer
- Bethesda Krankenhaus Bergedorf, Klinik für Chirurgie, Hamburg, Deutschland
| Veröffentlicht: | 21. April 2016 |
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Gliederung
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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 present a standardized technique of ultrasound examination of the groin area and to retrospectively evaluate the sensitivity and specificity of dynamic inguinal ultrasound (DIUS).
Materials and methods: Between July 2010 and January 2013, 2063 clinical and ultrasound examinations of the groin area were conducted at the Hanse-Hernienzentrum in Hamburg, Germany. The ultrasonographic findings were retrospectively 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 intra-operative findings.
Results: The results show that standardized ultrasound examination of the groin area with high-frequency, small-part linear transducers also serve to display femoral and small or occult groin hernias accurately. The high-level specificity (0.9980) and sensitivity (0.9758) are proof of the procedure’s quality.
Conclusion: To ensure high-quality hernia treatment, regular use of standardized ultrasound examinations is recommended.
