Prospective Evaluation of Surgeon Physical Examination for Detection of Incisional Hernias

摘要: Background Surgeon physical examination is often used to monitor for hernia recurrence in clinical and research settings, despite a lack of information on its effectiveness. This study aims compare surgeon-reviewed CT with surgeon the detection incisional hernia. Study design General surgery patients an earlier abdominal operation recent viewable scan abdomen pelvis were enrolled prospectively. Patients stoma, fistula, or soft-tissue infection excluded. Surgeon-reviewed was treated as gold standard. stratified by body mass index into nonobese (body Results One hundred eighty-one (mean age 54 years, 68% female) enrolled. Hernia prevalence 55%. Mean area hernias 44.6 cm(2). had low sensitivity (77%) negative predictive value (77%). difference more pronounced obese patients, 73% 69%. Conclusions inferior hernia, fails detect approximately 23% hernias. In 31% are missed examination. has important implications follow-up studies evaluating recurrence, ascertainment this result must be reliable accurate.