Diagnostic and Interventional Radiology
Emergency Radiology - Pictorial Essay

Multidetector CT of expected findings and complications after contemporary inguinal hernia repair surgery

1.

Department of Radiology, Luigi Sacco University Hospital, Milan, Italy

Diagn Interv Radiol 2016; 22: 422-429
DOI: 10.5152/dir.2016.15578
Read: 789 Downloads: 216 Published: 03 September 2019

Abstract

Inguinal hernia repair (IHR) with prosthetic mesh implantation is the most common procedure in general surgery, and may be performed using either an open or laparoscopic approach. This paper provides an overview of contemporary tension-free IHR techniques and materials, and illustrates the expected postoperative imaging findings and iatrogenic injuries. Emphasis is placed on multidetector CT, which represents the ideal modality to comprehensively visualize the operated groin region and deeper intra-abdominal structures. CT consistently depicts seroma, mesh infections, hemorrhages, bowel complications and urinary bladder injuries, and thus generally provides a consistent basis for therapeutic choice. Since radiologists are increasingly requested to investigate suspected iatrogenic complications, this paper aims to provide an increased familiarity with early CT studies after IHR, including complications and normal postoperative appearances such as focal pseudolesions, in order to avoid misinterpretation and inappropriate management. 

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EISSN 1305-3612