Page 28 - herina surgery and possible lawsuits
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Deep ring No bulge Bulge present
occlusion
Irreducibility Common Less common
Role of Ultrasonography in diagnosis of hernia:
Diagnosis of hernia is a clinical skill, but when swelling is not apparent and patient had pain
in inguinal region than ultrasound is a non-invasive, non-ionising radiation modality, which is
highly successful at soft tissue imaging. Grom pam from an occult hernia can be a difficult
clinical diagnosis made easier by good imagmg.[60]
Other modalities: These are described to help in diagnosing occult hernia with unexplained
inguinal region pam. Hemiography suggested to be safe and reliable method by some.[61]
Occult hernia had been diagnosed at the time of laparoscopy for other diseases or on the
contra lateral side of the hernia surgery. [62]
Differential diagnosis of inguinal hernia mcludes femoral hernia, congenital hydrocele,
encysted hydrocele of cord, lipoma of cord, undescended testis, psoas abscess, inguinal
lymphadenopathy, saphena varix and varicocele.
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