CT and Clinical Features of Internal Hernia

CT Images and Clinical Relevance of Internal Hernia

Researchers retrospectively reviewed patients with internal hernia that confirmed by surgical exploration between Feb. 2012 and Feb. 2018. and analysis the Medical records and MDCT images to investigate the clinical and radiological features of internal hernia.

Study Overview

• Status: Completed
• Conditions: Clinical Outcomes; CT Images of Internal Hernia
• Intervention / Treatment: Diagnostic test: Multi-detector CT scan

Detailed Description

51 Patients with definite diagnosis of IH during surgical exploration from Feb. 2012 to Feb. 2018 in our hospital were included in this research. Medical records including MDCT images and intra-operative findings were collected retrospectively. The CT features of different subgroups were also evaluated.

• Study Type: Observational
• Enrollment (Actual): 51

Contacts and Locations

Study Locations

• China
  • Hubei
    • Wuhan, Hubei, China, 430030
      • Tongji Hospital

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 18 years to 70 years (Adult, Older Adult)
• Accepts Healthy Volunteers: No
• Genders Eligible for Study: All

• Sampling Method: Non-Probability Sample

Study Population

All Patients with definite diagnosis of IH during surgical exploration from Feb. 2012 to Feb. 2018 in our hospital were included in this research

Description

Inclusion Criteria:

• IH confirmed by surgical exploration

Exclusion Criteria:

• diaphragmatic hernia and traumatic IH

Study Plan

How is the study designed?

Design Details

• Observational Models: Case-Only
• Time Perspectives: Retrospective

Number of groups / cohorts

2

Cohorts and Interventions

Group / Cohort	Intervention / Treatment
Adhesive IH; Adhesive IH can further be divided into primary or secondary groups according to the history of abdominal and(or) pelvic surgery	Diagnostic test: Multi-detector CT scan; This is a diagnostic radiological test to diagnose the IH and evaluate the clinical condition of IH
non-adhesive IH; Non-adhesive IH means the IH resulting from the abnormality of peritoneal structure.	Diagnostic test: Multi-detector CT scan; This is a diagnostic radiological test to diagnose the IH and evaluate the clinical condition of IH

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
CT features	MDCT features of IH were assessed for the following findings: (1) Demonstration of bowels dislocation in IH: dislocated cluster of the intestinal segments; crowding or convergence of mesenteric vessels; (2) Demonstration of obstruction or ischemia: bowel wall thickening or abnormal enhancement; dilated bowels with abnormal free fluid; twisted bowels with swirl sign of vessels. (3) Demonstration of specific signs: hernial orifice and closed-loop of intestine; fat notch sign.	2 weeks

Collaborators and Investigators

• Sponsor: Tongji Hospital

Study record dates

Study Major Dates

• Study Start (Actual): February 20, 2018
• Primary Completion (Actual): June 20, 2018
• Study Completion (Actual): June 20, 2018

Study Registration Dates

• First Submitted: October 9, 2018
• First Submitted That Met QC Criteria: October 11, 2018
• First Posted (Actual): October 12, 2018

Study Record Updates

• Last Update Posted (Actual): October 12, 2018
• Last Update Submitted That Met QC Criteria: October 11, 2018
• Last Verified: October 1, 2018

More Information

Terms related to this study

• Additional Relevant MeSH Terms: Pathological Conditions, Anatomical; Hernia; Hernia, Abdominal; Internal Hernia
• Other Study ID Numbers: TJ-10207102

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: No

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No