SS  Vol.6 No.8 , August 2015
The Usefulness of Magnetic Resonance Imaging in the Preoperative Study and Postoperative Control in the Laparoscopic Treatment of the Incisional Hernia
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.
Cite this paper: Olmo, J. , García-Vallejo, L. , Gestal, J. , Coello, P. , Antona, F. , Trincado, M. , González, J. , Esteban, M. , Colao, L. , Puerta, C. and Carbajo, M. (2015) The Usefulness of Magnetic Resonance Imaging in the Preoperative Study and Postoperative Control in the Laparoscopic Treatment of the Incisional Hernia. Surgical Science, 6, 376-382. doi: 10.4236/ss.2015.68055.

[1]   Carbajo, M.A., Martín del Olmo, J.C., Blanco, J.I., et al. (1999) Laparoscopic Treatment vs. Open Surgery in the Solution of Major Incisional and Abdominal Hernias with Mesh. Surgical Endoscopy, 13, 250-252.

[2]   Le Blanc, K.A. (2000) Current Considerations in Laparoscopic Incisional and Ventral Herniorraphy. JSLS, 4, 131-139.

[3]   Park, A., Bird, D.W. and Lovrics, P. (1998) Laparoscopic and Open Incisional Hernia Repair: A Comparison Study. Surgery, 124, 816-822.

[4]   Carbajo, M.A., Martín del Olmo, J.C., Blanco, J.I., et al. (2001) Therapeutic Value of Laparoscopic Adhesiolysis. Surgical Endoscopy, 15, 102.

[5]   Carbajo, M.A., Martín del Olmo, J.C., Blanco, J.I., et al. (2003) Laparoscopic Approach to Incisional Hernia. Lessons Learned from 270 Patients over 8 Years. Surgical Endoscopy, 17, 118-122.

[6]   Kuehnert, N., Kraemer, N.A., Otto, J., et al. (2012) In Vivo MRI Visualization of Mesh Shrinkage Using Surgical Implants Loaded with Superparamagnetic Iron Oxides. Surgical Endoscopy, 26, 1468-1475.

[7]   Koehler, R.H. and Voeller, G. (1999) Recurrences in Laparoscopic Incisional Hernia Repairs: A Personal Series and Review of the Literature. JSLS, 3, 293-304.

[8]   Toy, F.K., Bairley, R.W. and Carey, S. (1998) Prospective Multicenter Study of Laparoscopic Ventral Hernioplasty. Preliminary Results. Surgical Endoscopy, 12, 955-959.

[9]   Donald, J.E. and Georges, A. (2003) CT Technique for Suspected Anterior Abdominal Wall Hernia. American Journal of Roentgenology, 181, 431-433.

[10]   Gossios, K., Zikou, A., Vazakas, P., et al. (2003) Value of CT after Laparoscopic Repair of Postsurgical Ventral Hernia. Adom Imaging, 28, 99-102.

[11]   Lin, B.H., Vargish, T. and Dachman, A.H. (1999) CT Findings after Laparoscopic Repair of Ventral Hernia. American Journal of Roentgenology, 172, 389-392.

[12]   Toms, A.P., Cash, C.C., Fernando, B., et al. (2002) Abdominal Wall Hernias: A Cross-Sectional Pictorial Review. Seminars in Ultrasound, CT and MRI, 23, 143-155.

[13]   Schoenmaeckers, W., van der Valk, S.B., van den Hout, H.W., et al. (2009) Computed Tomographic Measurements of Mesh Shrinkage after Laparoscopic Ventral Incisional Hernia Repair with an Expanded Polytetrafluoroethylene Mesh. Surgical Endoscopy, 23, 1620-1623.

[14]   Fischer, T., Ladurner, R., Gangkofer, A., et al. (2007) Functional Cine MRI of the Abdomen for the Assessment of Implanted Synthetic Mesh in Patients after Incisional Hernia Repair: Initial Results. European Radiology, 17, 3123-3129.

[15]   Kirchhoff, S., Ladurner, R., Kirchhoff, C., et al. (2010) Detection of Recurrent Hernia and Intraabdominal Adhesions Following Incisional Hernia Repair: A Functional Cine MRI-Study. Abdom Imaging, 35, 224-231.

[16]   Kirchhoff, S., Lang, R., Kirchhoff, C., et al. (2008) Functional Cine MR Imaging for the Detection and Mapping of Intraabdominal Adhesions: Method and Surgical Correlation. European Radiology, 18, 1215-1223.

[17]   Forbes, S.S., Eskicioglu, C., McLeod, R.S., et al. (2009) Meta-Analysis of Randomized Controlled Trials Comparing Open and Laparoscopic Ventral and Incisional Hernia Repair with Mesh. British Journal of Surgery, 96, 851-858.

[18]   Sauerland, S., Walgenbach, M., Habermalz, B., et al. (2011) Laparoscopic versus Open Surgical Techniques for Ventral or Incisional Hernia Repair. Cochrane Database of Systematic Reviews, 2011, Article ID: CD007781.

[19]   Van den Berg, J.C., de Valois, J.C., Go, P.M., et al. (2000) Preoperative and Postoperative Assessment of Laparoscopic Inguinal Hernia Repair by Dynamic MRI. Investigative Radiology, 35, 695-698.