Reviewing the current classification of wall hernias and repair indications with preaponeurotic meshes Describing the RM protocol that we use in our Center for the valuation of the meshes Getting acquainted with the different sequences of MRI and the radiological appearance of the visible meshes Assessing the usefulness of MRI for the study of the integrity and disposition of the mesh,
as well as its complications. Fig. 1
Until a few years ago,
the abdominal wall repair meshes were "invisible" to our radiological eyes.
None of the imaging techniques available allowed an appropriate assessment of the mesh or the possible complications. The use of prosthetic materials is not exempt from short and medium-term complications (contraction,
adhesions to adjacent viscera),
hence the importance of achieving better post-operative control. The use of new preaponeurotic meshes with iron...
Findings and procedure details
TYPES OF WALL HERNIAS The diagnosis of abdominal hernia is clinically established,
however Multislice computed tomography (MSCT) is very useful for identifying and classifying them. Types of Wall hernias Direct inguinal Indirect inguinal Femoral Obturator Ventral Umbilical Paraumbilical Epigastric Hypogastric Lateral or paramedian. Spigelian Lumbar Incisional TYPES OF WALL HERNIAS Direct inguinal hernias : They appear through the Hesselbach hole,
above the inguinal and medial ligament to the...
The appearance of new visible meshes,
which allow both the repair of hernias and eventrations of the abdominal wall and prophylactic repair in high-risk patients,
make it necessary for the radiologist to be familiar with their appearance in MRI. Thus,
the MRI becomes a useful tool in the post-surgical assessment of complications of abdominal wall repair in patients with preaponeurotic meshes,
allowing us to assess their integrity and the appearance of complications,
in addition to the study...