How accurate is the ultrasound in showing a small right inguinal hernia?
Ultrasound scan is reliable in detecting small inguinal hernias
Thanks for writing in to us.
A hip labral tear will never interfere with the findings of an inguinal hernia.
The labrum of the hip is a structure closely in relation to the hip joint (the acetabulum and head of femur).
An inguinal hernia is visualised in the inguinal canal and is certainly away from the hip joint area.
Ultrasound scan is a good modality to elicit a small herniation in the inguinal area and I use the method in my patients regularly. Ultrasound scan is useful in visualisation of small hernias and shows a real time herniation during cough impulse in reducible hernias.
Please do write back if you have any doubts.
Non complicated inguinal hernias can be observed and surgery planned later
Thanks for writing back with an update.
Ultrasound is a skilled technique and there is operator variability in findings.
Large hernias and ones with herniation of bowel and an inclination to non reducibility need urgent care and a quick surgery.
Small hernias can be allowed to evolve for few months and then a planned surgery may be performed.
Research has shown correlation with surgical findings showing ultrasound with clinical examination to have a sensitivity of 94%. The positive predictive value of ultrasound in patients who underwent surgery is 73%.
Hope your query is answered.
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