Recommendations for the diagnosis of occult inguinal hernias using a modified Delphi technique
- 26.09.2024
- Original Article
Erschienen in:
- Verfasst von
- Krystle Henderson
- Steven Chua
- Joseph Hasapes
- Kaustubh Shiralkar
- Jonah Stulberg
- Varaha Tammisetti
- Chakradhar Thupili
- Todd Wilson
- Julie Holihan
- Erschienen in
- Hernia | Ausgabe 6/2024
Abstract
Background
Occult inguinal hernias are inguinal hernias that are not felt on physical exam but can often be seen on imaging. Their diagnosis can be challenging, leading to unnecessary surgeon referrals, undue patient stress, and even unneeded surgery. The aim of this project was to develop recommendations for the diagnosis of occult inguinal hernias using a modified Delphi technique.
Methods
Iterative rounds of surveys were administered to an expert panel of surgeons and radiologists. Panelists were asked to rate potential hernia-related topics by levels of importance. Items with 80% agreement were included for further discussion. Panelists were asked to provide their opinion on each included subject. A virtual meeting was conducted to discuss areas without agreement and determine final recommendations.
Results
Three surgeons and five radiologists participated. There was strong agreement that dynamic ultrasound is a good first/confirmatory imaging choice. There was agreement that the radiology reports for studies assessing inguinal hernias should include hernia contents (80%) and hernia size (100%). Information that should be provided to the radiologist when ordering an imaging study include indication for study, patient symptoms, prior hernia surgery. Items that should be included in a radiology report include whether the presence of an inguinal hernia was assessed, hernia contents, size of defect, +/- hernia type.
Conclusions
This collaboration between surgeons and radiologists creates a diagnostic imaging pathway and standardizing imaging reporting which will be used to improve the diagnosis of occult inguinal hernias. Future studies testing these recommendations in a prospective study are warranted.
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- Titel
- Recommendations for the diagnosis of occult inguinal hernias using a modified Delphi technique
- Verfasst von
-
Krystle Henderson
Steven Chua
Joseph Hasapes
Kaustubh Shiralkar
Jonah Stulberg
Varaha Tammisetti
Chakradhar Thupili
Todd Wilson
Julie Holihan
- Publikationsdatum
- 26.09.2024
- Verlag
- Springer Paris
- Erschienen in
-
Hernia / Ausgabe 6/2024
Print ISSN: 1265-4906
Elektronische ISSN: 1248-9204 - DOI
- https://doi.org/10.1007/s10029-024-03177-8
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