Laparoscopic repair of Amyand’s hernia in an 8-week-old infant

Rehman, Mutee; Panteli, Christina; Tsang, Thomas

doi:10.1007/s10029-009-0569-z

Cited by 14 publications

(12 citation statements)

References 15 publications

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“…Advances of minimal invasive surgery in the last years made laparoscopic congenital inguinal hernia repair a feasible and simple procedure. It has the advantages of clear visualization of the internal ring in both sides and exploration of the abdomen and pelvis, reduction of the irreducible contents under direct vision and detection of the vascularity of the reduced viscera, precise suturing of the peritoneum at the internal ring, and meticulous manipulation of the vas deference and testicular vessels to avoid injury of [31]. In this series, there was only one case done laparoscopically where there was adhesion of the appendix within the hernia sac which was easily dissected and reduced under vision aided by external scrotal compression.…”

Section: Discussionmentioning

confidence: 99%

Management of Amyand’s hernia in children: should appendectomy be mandatory or not?

2020

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Background: Amyand's hernia (AH) is defined as protrusion of the vermiform appendix within the sac of the inguinal hernia and usually misdiagnosed as obstructed hernia. It is more common in pediatric patients but there are controversies about dealing with the normally looking appendix in AH. The aim of this study is to present our experience in the management of AH and highlights the difference in dealing with normally looking appendix between pediatric and adult patients. Patients' demographics, intraoperative, and postoperative outcome were reported and analyzed. Results: This is a retrospective analysis of 12 pediatric patients aged between 15 days and 5 years presented with AH and operated in tertiary referral hospital over 10 years. This study included 10 males and 2 females. The median age at the operation was 7 months. Eleven patients were operated using conventional technique, and only one patient was operated using laparoscopy. In 11 patients, the appendix was looking normal and was reduced without appendectomy, and the hernia was repaired. Appendectomy was done in one patient presented with AH containing inflamed appendix. The postoperative course was uneventful in all cases. Conclusions: There is a difference in the management of pediatric and adult patients presenting with AH, and appendectomy is not mandatory in normally looking appendix in pediatric patients.

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Section: Discussionmentioning

confidence: 99%

Management of Amyand’s hernia in children: should appendectomy be mandatory or not?

2020

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“…Vermillion et al reported the first instance of laparoscopic appendectomy in a case of Amyand’s hernia with appendicitis [17]. Reports now indicate that the incidence of laparoscopic surgery is on the rise [38,41,43,45]. However, discovery of complications may necessitate a transition from laparoscopic to open hernia repair.…”

Section: Surgical Approachmentioning

confidence: 99%

Amyand's hernia: A review

et al. 2014

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Amyand’s hernia is defined as when the appendix is trapped within an inguinal hernia. While the incidence of this type of hernia is rare, the appendix may become incarcerated within Amyand’s hernia and lead to further complications such as strangulation and perforation. Incarceration of the appendix most commonly occurs within inguinal and femoral hernias, but may arise to a lesser extent in incisional and umbilical hernias. Incarcerated appendix has been reported in a variety of ventral abdominal and inguinal locations, yet its indistinct clinical presentation represents a diagnostic challenge. This paper reviews the literature on incarceration of the appendix within inguinal hernias and discusses current approaches to diagnosis and treatment of Amyand’s hernia and complications that may arise from incarceration of the appendix within the hernia.

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“…These benefits have been widely reported (Table 1) and significantly outweigh any concerns regarding the technical difficulties (Table 2) Table 2. Technical difficulties of laparoscopy Some of these benefits have been published in our publications (Rehman et al, 2010;Panteli et al, 2009;Nwokoma et al, 2009a, Nwokoma et al, 2009b. The age-long principles of safe surgery include adequate access, adequate target organ visualisation and minimal tissue trauma.…”

Section: Advantages Of Paediatric Laparoscopymentioning

confidence: 92%

“…In another case, we found a male infant with bilateral inguinal hernia to have rudimentary female internal sex organs; in such cases, laparoscopy is highly valuable. In addition, the senior author reported the first case of emergency laparoscopic repair of Amyand's hernia in an 8-week-old infant (Rehman et al, 2010). For many years paediatric surgeons argued about the safety, efficiency and cost implications of laparoscopy.…”

Section: Advantages Of Paediatric Laparoscopymentioning

confidence: 99%