Role of transabdominal ultracound in para-umbilical hernia

ABSTRACT

In a hospital-based study, over a period of six months, 17 patients were diagnosed to have para umbilical hernia on abdominal Ultrasonography. Fourteen patients underwent surgery, which confirmed the diagnosis. Ultrasound was able to document the size of the defect which ranged from 1.0 cm to 2.9 cm. Contents of the sac were evaluated and it was found that 10 patients had omentum and seven patients had gut in the sac. Out of the seven patients containing gut loops, four patients were diagnosed as strangulation. Reducibility was also documented with certainty in 4 out of 17 patients. The results showed that ultrasonography, being a non invasive easily available modality, can be used not only for detection of para umbilical hernias but also for marking the sites on skin and determining the contents of para umbilical hernias