Unexplained groin pain: safety and reliability of herniography for the diagnosis of occult hernias
I I Gwanmesiaa, S Walsha, R Buryb, K Bowyerb, S Walkera
a Blackpool Victoria
Hospital, Blackpool, Lancashire, UK: Department of Surgery, b Department of Radiology
Correspondence to: Mr Steven J Walker, Consultant Surgeon, BUPA Fylde Coast Hospital, St Walburgas Road, Blackpool, Lancs FY3 8BP, UK gwanmesia{at}aol.com
Submitted 11 April
2000;
Accepted 4 September 2000
A retrospective study of our initial experience of herniography
in a district general hospital is presented. A total of 43 herniograms
were performed in 41 patients (median age 57, range 16-77, 27 males,
14 females) over a two year period. Four herniograms were unsuccessful
due to failed intraperitoneal contrast injection, of which two were
repeated (success rate 90.5%). A total of 25 groin hernias were
identified radiologically (two on the asymptomatic side). Twenty one
patients underwent surgery and a hernia was confirmed in 19 (true
positive rate 90.5%). Sixteen herniograms were considered negative and
after a median follow up of 28 months (range 16-42 months), none of
these patients have developed a hernia. There were no major
complications. It is concluded that herniography is a safe and reliable
method of determining or excluding the presence of an occult groin hernia.
Keywords: groin hernia; groin pain; herniography; herniogram
© 2001 by The Fellowship of Postgraduate Medicine
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