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Invited Commentary |

Potential for Ultrasonography to Reduce the Cost and Cumulative Radiation Dose in Routine Incisional Hernias

Matthew I. Goldblatt, MD1
[+] Author Affiliations
1Department of Surgery, Medical College of Wisconsin, Milwaukee
JAMA Surg. 2014;149(6):596. doi:10.1001/jamasurg.2014.53.
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As our population ages, becomes more obese, continues to smoke, and develops type 2 diabetes mellitus, incisional hernias and recurrences are becoming more prevalent. Management of these complex hernias has become so challenging that the Americas Hernia Society has become one of the fastest growing surgical specialty organizations. As surgeons become more skilled at treating incisional hernias, the need to diagnose recurrences and characterize the abdominal wall of an affected patient has become increasingly important.1 Computed tomography (CT) is the criterion standard for evaluating the abdominal wall, but Baucom et al2 have shown that ultrasonography can be used to characterize the dimensions of the hernia defects as effectively as CT.

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