Amyand's hernia: a case report describing laparoscopic repair in a pediatric patient

Tycast, James F.; Kumpf, Arthur L.; Schwartz, Theresa; Coln, C. Eric

doi:10.1016/j.jpedsurg.2008.07.032

Cited by 27 publications

(14 citation statements)

References 13 publications

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“…[2,3] Amyand's hernia is rarely reported in pediatric literature. [6] As we report in our paper, sometimes appendix can be present in the hernial sac, above all in newborns, without clinical manifestation. Laparoscopic approach can easily diagnose and treat this condition.…”

Section: Discussionsupporting

confidence: 49%

Laparoscopic management of a newborn with a right Amyand′s hernia and a left incarcerated inguinal hernia

Esposito

Iaquinto

Escolino

et al. 2013

Afr J Paediatr Surg

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A one month old boy presented with left incarcerated inguinal hernia. After unsuccessful manual reduction, we decided to perform laparoscopic herniorrhaphy. Laparoscopic examination showed a left hernia with intestinal loops that entered into the internal inguinal ring, on the right side there was an unknown patency of the peritoneal vaginal duct with the appendix completely incarcerated within the sac. On the left side, the loops were reduced with a combined technique of external manual pressure and internal pulling by forceps; the bowel was inspected, and the hernia was repaired. On the right side, the appendix was strongly adherent with the peritoneal vaginal duct, and the reduction was not possible. The appendix was dissected from the sac using a 3-mm monopolar hook and than reduced into the abdomen, then right herniorrhaphy was performed. Two days after surgery, the baby had fever and abdominal distension. He was re-operated through mini-Pfannenstiel incision and an ischemic appendix was identified and removed. Postoperative period was uneventful. In our case, laparoscopy allowed for simultaneous reduction under direct visual control, inspection of the incarcerated organ, definitive repair and incidentally discovery and treatment of the contralateral incarcerated Amyand's hernia. In case of incarcerated appendix, appendectomy is preferable during the same procedure to reduce the incidence of postoperative complications.

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Section: Discussionsupporting

confidence: 49%

Laparoscopic management of a newborn with a right Amyand′s hernia and a left incarcerated inguinal hernia

Esposito

Iaquinto

Escolino

et al. 2013

Afr J Paediatr Surg

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“…Laparoscopy has a marginal role in this pathology, due to the fact that diagnosis of AH is intraoperative, except for rare cases. However if preoperative diagnosis of AH is done, laparoscopic appendectomy followed by primary repair of inguinal hernia [27] or laparoscopic appendectomy and laparoscopic repair of inguinal hernia can be performed [28], with transabdominal or preperitoneal approaches [29, 30]. …”

Section: Discussionmentioning

confidence: 99%

Amyand’s Hernia, State of the Art and New Points of View

Mantovani

Angelis

Lecce

et al. 2017

Case Reports in Surgery

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Background Amyand's hernia (AH) is an inguinal hernia containing the vermiform appendix, with an incidence between 0.4% and 1% of all inguinal hernias. Acute or perforated appendicitis can complicate AH. Case Presentation A 75-year-old Caucasian man presented with incarceration of vermiform appendix in inguinal hernia sac. Diagnosis was posed preoperatively with computed tomography (CT) scan. Patient underwent urgent surgery and simultaneous appendectomy and hernia repair by Bassini's technique were performed. Conclusions Preoperative diagnosis of AH is rare; however it could be useful for surgeon to choose operative approach. Treatment of AH depends on grade of appendix inflammation and/or perforation. The technique utilized to repair hernia depends largely on surgeon's preferences; the presence of inflamed or perforated appendix is not an absolute contraindication for using a prosthetic mesh.

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“…However, laparoscopic surgery has also been reported for treatment of this condition. 5 In neonates with underlying appendicitis, herniotomy and appendicectomy should be performed. 6 In adults, the repair of the hernia should be performed with Bassini or Shouldice techniques without making use of synthetic meshes or plugs within the defect due to the high risk of suppuration of such materials.…”

Section: Discussionmentioning

confidence: 99%