Pre- and postsurgical imaging findings of abdominal wall hernias based on the European Hernia Society (EHS) classification

• Published in: Abdominal imaging Vol. 46; no. 11; pp. 5055 - 5071
• Main Authors: Aluja-Jaramillo, Felipe, Cifuentes-Sandoval, Sebastián, Gutiérrez, Fernando R., Bhalla, Sanjeev, Menias, Christine O.
• Format: Journal Article
• Language: English
• Published: New York Springer US 01.11.2021; Springer Nature B.V
• Subjects: Abdomen; Abdominal Wall; Classification; Computed tomography; Gastroenterology; Hepatology; Hernia; Hernia, Ventral; Hernias; Humans; Imaging; Incisional Hernia; Maneuvers; Medicine; Medicine & Public Health; Quality of Life; Radiology; Registries; Review; Surgeons; Umbilical hernia; Abdominal hernias; Ventral hernia; Incisional hernia; Multidetector computed tomography
• ISSN: 2366-004X; 2366-0058
• DOI: 10.1007/s00261-021-03211-8

Abdominal wall hernias are common and can present as technical challenges to surgeons. When large, hernias diminish quality of life. Various classifications of incisional hernias have been proposed; however, there are many terms, sometimes causing confusion (1). Radiologists must know the normal anatomy of the abdominal wall, the CT protocol, and what if any maneuvers can be performed to better identify an abdominal wall defect. The description of the radiological approach for primary and incisional wall hernias is based on the 2007 European Hernia Society classification, with particular emphasis on presurgical and postsurgical imaging findings. This classification provides a simple and reproducible method to describe hernias to offer proper surgical management. We highlight this classification so that radiologists and surgeons can have a unified language.