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130. Kongress der Deutschen Gesellschaft für Chirurgie

Deutsche Gesellschaft für Chirurgie

30.04. - 03.05.2013, München

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3D mesh reconstruction after inguinal hernia repair by MRI

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  • Nicolas Kuehnert - Universitätsklinikum Aachen, Transplantations- und Viszeralchirurgie, Aachen
  • Jens Otto - Universitätsklinikum Aachen, Transplantations- und Viszeralchirurgie, Aachen
  • Alexander Ciritsis - Universitätsklinikum Aachen, Klinik für Diagnostische und Interventionelle Radiologie, Aachen
  • Nils. A. Kraemer - Universitätsklinikum Aachen, Klinik für Diagnostische und Interventionelle Radiologie, Aachen
  • Uwe Klinge - Universitätsklinikum Aachen, Transplantations- und Viszeralchirurgie, Aachen
  • Ulf Peter Neumann - Universitätsklinikum Aachen, Transplantations- und Viszeralchirurgie, Aachen
  • Klaus-Joachim Conze - Universitätsklinikum Aachen, Transplantations- und Viszeralchirurgie, Aachen

Deutsche Gesellschaft für Chirurgie. 130. Kongress der Deutschen Gesellschaft für Chirurgie. München, 30.04.-03.05.2013. Düsseldorf: German Medical Science GMS Publishing House; 2013. Doc13dgch219

doi: 10.3205/13dgch219, urn:nbn:de:0183-13dgch2197

Published: April 26, 2013

© 2013 Kuehnert et al.
This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by-nc-nd/3.0/deed.en). You are free: to Share – to copy, distribute and transmit the work, provided the original author and source are credited.

Outline

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Introduction: The purpose of this study was to present the first MRI visible mesh for postoperative 3D reconstruction in patients undergoing laparoscopic transabdominal preperitoneal (TAPP) or Lichtenstein hernia repairs.

Material and methods: 20 patients with a groin hernia were randomized prospectively to undergo Lichtenstein or laparoscopic TAPP repair. Patients were examined immediately after operation and after 3 months via MRI to demonstrate 3D reconstruction and the behavior of the implant in time.

Results: 3D reconstruction was easily done in all patients after Lichtenstein and TAPP repair. Details such as mesh fixation, localization, shrinkage, migration and post-operative folding are accurately visible. No hernia recurrence occured 3 months after operation. The Lichtenstein repair and TAPP repair showed a typical method-specific anatomical drapability after implantation.

Conclusion: Our study presents the first MRI visible mesh for postoperative 3D reconstruction in patients undergoing laparoscopic transabdominal preperitoneal or Lichtenstein hernia repairs. Now we are in a position to examine the behavior of implanted mesh devices and thus to revolutionize the hernia research.