ヘルニオグラフィーの成人鼠径部ヘルニア診断における有用性

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  • THE USEFULNESS OF HERNIOGRAPHY IN DIAGNOSIS OF THE ADULT GROIN HERNIAS

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In the past we have diagnosed the groin hernias only with physical findings, but now we can reveal them easily and safely by herniography. Herniography can demonstrate hernia sacs filling with contrast medium injected into the peritoneal cavity. This technique was performed for 57 patients with groin symptoms, and the results were as follows.<br>Herniography demonstrated the sizes and shapes of the sacs in all the hernias with certain physical findings. It revealed non-palpable hernias in 54% of the patients with obscure groin symptoms. There were many asymptomatic hernias in the opposite side of clinically unilateral hernias. Bilaterla hernias were found in 85% of the instances. Multiple hernias in the same side were observed in 27% of the cases.<br>Herniography can clearly demonstrate: 1) the type of the groin hernia, 2) asymptomatic multiple hernias either in the same or opposite side, and 3) latent hernias. It is a very useful examination for the clinical evaluation of groin hernias inadults.

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