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Comment & Response
May 2016

Computed Tomography and Ventral Hernia Recurrence

Author Affiliations
  • 1Private practice, Yankton, South Dakota
JAMA Surg. 2016;151(5):492. doi:10.1001/jamasurg.2015.4905

To the Editor Dr Holihan and colleagues1 have suggested that high interobserver variability limited the reliability of computed tomographic scans in diagnosing ventral hernia recurrence. We have repeated the baseline computed tomographic scan with a limited scan and with the patient performing the Valsalva maneuver. Any ventral wall abnormalities will be exaggerated, but mesh, for example, will not be seen to “give.”