Abstract
Background and Objectives: The aim of this study is to evaluate the usefulness of Magnetic Resonance Imaging (MRI) for planning surgery and postoperative control of complex cases of abdominal wall hernia. Methods: Included in a prospective data base with more than 350 patients treated in two centers, a prospective study over ten patients with complex incisional hernias was designed. In all cases, preoperative diagnosis study and postoperative imaging control by MR Imaging were established. In the early and late follow-up controls, local and general complications were specifically noted and studied by MRI in each case. Results: The preoperative MRI was effective method for an adequate understanding of the defects and hernia sack content. In the postoperative control, the MRI was useful in the follow-up of the mesh integration, detection of complications and diagnosis of the relapsing. Conclusion: In our experience the MRI test is specially recommended in the preoperative workup of complex cases of incisional hernia.
Highlights
The laparoscopic approach for the treatment of incisional hernias has been justified by several advantages compared to open surgery: it avoids aggression to the abdominal wall by laparotomy and unnecessary extensive dissections
For this ten patients with complex incisional hernias in different places of the abdominal wall were selected from our prospective database [1], which started in 1994 and currently includes more than 300 patients with laparoscopic abdominal hernia repair
Preoperative Magnetic Resonance Imaging (MRI) was very effective in showing the abdominal wall defects, in the axial position but in
Summary
The laparoscopic approach for the treatment of incisional hernias has been justified by several advantages compared to open surgery: it avoids aggression to the abdominal wall by laparotomy and unnecessary extensive dissections. The laparoscopic technique provides a complete exploration of the abdominal cavity, making the parietal and visceral adhesiolysis easier, which is a basic step to maintain the stability of the abdominal contents This is paramount to avoid the chronic abdominal pain linked to the adhesions caused by the open procedures [4]. This minor incidence of local and general complications and shorter hospital stay has been reported in different studies [5]-[8]. The aim of this study is to evaluate the usefulness of Magnetic Resonance Imaging (MRI) for planning surgery and postoperative control of complex cases of abdominal wall hernia. Conclusion: In our experience the MRI test is specially recommended in the preoperative workup of complex cases of incisional hernia
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