Abstract：
INTRODUCTION:The aim of this study is to ascertain the accuracy of diagnostic ultrasound in the assessment of the occult abdominal and groin herniae. The authors have previously demonstrated its efficacy in diagnosing the type of clinical groin herniae but occult herniae provide a further diagnostic problem. PATIENTS AND METHODS:A total of 113 consecutive patients were referred prospectively for ultrasound examinations with clinically suspected occult herniae. All positive scans were offered surgery whilst the negative results were offered further imaging or other diagnostic tests depending on the clinical criteria. The end point for negative scans was based on 18-month follow-up or resolution of symptoms. RESULTS:Overall, 59 scans showed positive results for herniae and 56 of these had surgery. In the other three patients, two refused an operation, and one had no hernia detected at operation. In the remaining 57 scans, ultrasound offered alternative soft tissue diagnoses in 23 patients and surgical/endoscopic diagnoses accounted for a further 8 patients. CONCLUSIONS:Ultrasound offered a diagnosis for the symptomology in 82 patients (70.6%) of which 59 were herniae. The positive predictive value for hernia is 98.3%. Twenty-six patients with no diagnosis or confirmation of herniae on follow-up showed symptom resolution in 22 cases, and four patients were treated by the pain clinic.
journal_name
Ann R Coll Surg Engljournal_title
Annals of the Royal College of Surgeons of Englandauthors
Bradley M,Morgan J,Pentlow B,Roe Adoi
10.1308/003588406X95110subject
Has Abstractpub_date
2006-03-01 00:00:00pages
165-7issue
2eissn
0035-8843issn
1478-7083journal_volume
88pub_type
杂志文章abstract：:The early experience with total prosthetic replacement of the hip from the making up of the first models in 1940 and the actual insertion of a small series in 1951 is described. The introduction of modified designs and the teething troubles experienced with them is dealt with, including the use of acrylic cement as a ...
journal_title：Annals of the Royal College of Surgeons of England
pub_type： 历史文章,杂志文章
doi：
更新日期：1974-02-01 00:00:00
abstract：:Accessory nerve injury produces considerable disability. The nerve is most frequently damaged as a complication of radical neck dissection, cervical lymph node biopsy and other surgical procedures. The problem is frequently compounded by a failure to recognise the error immediately after surgery when surgical repair h...
journal_title：Annals of the Royal College of Surgeons of England
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更新日期：1996-03-01 00:00:00
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journal_title：Annals of the Royal College of Surgeons of England
pub_type： 杂志文章
doi：10.1308/003588415X14181254790563
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journal_title：Annals of the Royal College of Surgeons of England
pub_type： 杂志文章
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更新日期：2002-01-01 00:00:00
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journal_title：Annals of the Royal College of Surgeons of England
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journal_title：Annals of the Royal College of Surgeons of England
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更新日期：1974-08-01 00:00:00
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journal_title：Annals of the Royal College of Surgeons of England
pub_type： 杂志文章
doi：
更新日期：1993-01-01 00:00:00
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journal_title：Annals of the Royal College of Surgeons of England
pub_type： 杂志文章
doi：
更新日期：1993-01-01 00:00:00
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doi：10.1308/003588414X13946184902361
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journal_title：Annals of the Royal College of Surgeons of England
pub_type： 杂志文章
doi：
更新日期：2002-05-01 00:00:00
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journal_title：Annals of the Royal College of Surgeons of England
pub_type： 杂志文章
doi：
更新日期：1996-11-01 00:00:00
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journal_title：Annals of the Royal College of Surgeons of England
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更新日期：2000-05-01 00:00:00
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journal_title：Annals of the Royal College of Surgeons of England
pub_type： 杂志文章
doi：10.1308/003588412X13373405384891
更新日期：2012-09-01 00:00:00
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journal_title：Annals of the Royal College of Surgeons of England
pub_type： 杂志文章
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更新日期：1983-11-01 00:00:00
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journal_title：Annals of the Royal College of Surgeons of England
pub_type： 杂志文章
doi：10.1308/003588408X318110
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journal_title：Annals of the Royal College of Surgeons of England
pub_type： 杂志文章
doi：10.1308/003588414X13814021679997
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journal_title：Annals of the Royal College of Surgeons of England
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doi：
更新日期：1993-07-01 00:00:00
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journal_title：Annals of the Royal College of Surgeons of England
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更新日期：1994-03-01 00:00:00
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journal_title：Annals of the Royal College of Surgeons of England
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更新日期：1998-05-01 00:00:00
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journal_title：Annals of the Royal College of Surgeons of England
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更新日期：1991-07-01 00:00:00
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journal_title：Annals of the Royal College of Surgeons of England
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更新日期：2016-05-01 00:00:00
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journal_title：Annals of the Royal College of Surgeons of England
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journal_title：Annals of the Royal College of Surgeons of England
pub_type： 杂志文章
doi：10.1308/10.1308/147870811X602122
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