Biomechanics of the abdominal wall before and after ventral hernia repair using dynamic MRI
- 01.12.2025
- Original Article
Erschienen in:
- Verfasst von
- Victoria Joppin
- David Bendahan
- Ahmed Ali El Ahmadi
- Catherine Masson
- Thierry Bege
- Erschienen in
- Hernia | Ausgabe 1/2025
Abstract
Purpose
This study aims to investigate the use of dynamic MRI to assess abdominal wall biomechanics before and after hernia surgery, considering that such evaluations can enhance our understanding of physiopathology and contribute to reducing recurrence rates.
Methods
Patients were assessed using dynamic MRI in axial and sagittal planes while performing exercises (breathing, coughing, Valsalva) before and after their abdominal hernia surgery with mesh placement. Rectus and lateral muscles, linea alba, viscera area, defect dimensions and hernia sac were contoured with semiautomatic process to quantify the abdominal wall biomechanical temporal modifications.
Results
This study enrolled 11 patients. During coughing, the axial area of the hernia sac increased by 128.4 ± 199.2%. The sac increased similarly in axial and sagittal planes during Valsalva. Post-surgical evaluations showed a 26% reduction in inter-recti distance and a lengthening of all muscles (p ≤ 0.05). The post-operative rectus abdominis thickness change was negatively correlated with defect width during breathing (p ≤ 0.05). The largest change in linea alba displacement was observed in the surgical site (p = 0.07). Post-operatively, lateral muscles had a larger inward displacement during Valsalva (p ≤ 0.05). Rectus abdominis had a larger outward displacement during breathing (p = 0.09), reduced with the mesh size (p ≤ 0.05). A large inter-individual variability was observed.
Conclusion
Using a semi-automatic methodology, an in-depth analysis of the biomechanics of the abdominal wall was conducted, highlighting the importance of a patient-specific assessment. A broader study and consideration of recurrence would subsequently complete this methodological work.
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- Titel
- Biomechanics of the abdominal wall before and after ventral hernia repair using dynamic MRI
- Verfasst von
-
Victoria Joppin
David Bendahan
Ahmed Ali El Ahmadi
Catherine Masson
Thierry Bege
- Publikationsdatum
- 01.12.2025
- Verlag
- Springer Paris
- Erschienen in
-
Hernia / Ausgabe 1/2025
Print ISSN: 1265-4906
Elektronische ISSN: 1248-9204 - DOI
- https://doi.org/10.1007/s10029-025-03337-4
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