Is herniography an effective and safe investigation?

J R Coll Surg Edinb. 1999 Dec;44(6):374-7.


Aim: To assess the safety and effectiveness of herniography in adult patients with suspected hernia.

Method: The records of all patients undergoing herniography within one unit over a 1 year period were studied retrospectively. A follow-up postal questionnaire was sent out to all patients enquiring about outcome and any complications of herniography.

Results: From a total of 64 patients undergoing a herniogram, 36% were found to have a positive result and 64% a negative result. This study showed a sensitivity rate of 0.94 and a specificity rate of 0.95. There was a 5% major complication rate leading to hospital admission, and 42% of patients described minor complications occurring within 24 hours of herniography.

Conclusion: Herniography is a useful diagnostic tool for identification of clinically occult hernias, with good rates of sensitivity and specificity. In most cases it is a safe investigation but it is not without a significant complication rate.

MeSH terms

  • Adult
  • Aged
  • Aged, 80 and over
  • Diagnosis, Differential
  • Female
  • Hernia, Inguinal / diagnostic imaging*
  • Humans
  • Male
  • Middle Aged
  • Radiography, Abdominal / methods*
  • Retrospective Studies
  • Sensitivity and Specificity