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Abstract #0903

Dynamic MRI in vivo investigation of abdominal hernia repair during standardized exercises

Victoria Joppin1, Thierry Bège1,2, Catherine Masson1, and David Bendahan3
1Laboratoire de Biomécanique Appliquée - UMRT24 Université Gustave Eiffel - Aix Marseille Université, Marseille, France, 2Department of General Surgery, Aix Marseille Univ, North Hospital, APHM, Marseille, France, 3CRMBM - UMR 7339 CNRS - Aix Marseille Université, Marseille Cedex 05, France

Synopsis

Keywords: Data Processing, Segmentation

Motivation: The incidence of abdominal hernia recurrence is reaching up to 45%; so the integration of biomechanical concepts into management could be helpful.

Goal(s): Few tools are currently available to assess the behaviour of the abdominal wall in vivo under physiological conditions.

Approach: Dynamic MRI was employed to obtain motion of the abdominal wall of patients before and after hernia surgery during a range of exercises. The areas of interest were segmented.

Results: Quantification of displacements and deformations in the abdominal muscles, hernia sac area, and inter-muscular distance demonstrate anatomical and functional changes in the abdominal wall post-hernia surgery.

Impact: A better understanding of the biomechanical behaviour of pathologic abdominal wall could be helpful to understand the mechanisms involved in the appearance and recurrence of hernias, thereby opening the way to more effective interventions for hernia patients.

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Keywords