Prosthetic repair of a perforated Amyand’s hernia: hazardous or feasible?

Torino, Giovanni; Campisi, C; Testa, A.; Baldassarre, Emanuele; Valenti, Gabriele

doi:10.1007/s10029-007-0265-9

Cited by 29 publications

(21 citation statements)

References 6 publications

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“…Some authors claim the use of prosthetic mesh is not suitable due to the contaminated operating field [8,10,13,14] while others say that primary hernia repair could be difficult in an inflamed and edematous area, and could thus increase the risk of recurrence. [8] In our patient, edema and inflammation were present in the field though primary repair was possible, and we did not prefer prosthetic mesh repair.…”

Section: Discussionmentioning

confidence: 99%

“…[5] Amyand's hernia is also seen in neonates or children [6,7] as well as adults, and is more frequent in males. [8] When patients diagnosed as Amyand's hernia are examined retrospectively, the absence of acute abdominal symptoms is determined in most of them. Although there is an inflamed or perforated appendix, symptoms and signs are only on the hernia sac localization.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Inflamed vermiform appendix within the sac of incarcerated left inguinal hernia

Turanlı¹,

Yuksel²,

Pirhan³

et al. 2011

Ulus Travma Acil Cerrahi Derg

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Elli dört yaşında erkek hasta, 8 saat önce başlayan sol kasıkta sürekli ağrı ve redükte olmayan şişlik şikayeti ile acil cerrahi servisine başvurdu. Fiziksel incelemede karında hassasiyet yoktu, sol kasıkta oldukça ağrılı, eritemli ve redükte olmayan şişlik vardı. Rutin kan testlerinde hafif lökositoz saptandı. Düz karın grafisinde özellik yoktu, ultrasonografide sol inguinal kanalda 10 cm uzunluğunda, hareketsiz, ödemli ince bağırsak ansı görüldü. Boğulmuş sol kasık fıtığı tanısıyla hasta ameliyata alın-dı. Kasığa transvers kesi yapılarak fıtık kesesi ortaya konuldu. Kese açıldığında 6-8 cc pürülan sıvı geldi, vermiform apendiks inflame ve kese iç duvarına yapışık durumdaydı. Aynı seansta hem apendektomi hemde primer fıtık onarımı yapıldı. Ameliyat sonrası komplikasyon gelişmedi. Patolojik inceleme inflame apendiks ile uyumluydu.Anahtar Sözcükler: Amyand fıtığı; sol taraf; cerrahi tedavi.A 54-year-old male complained of a continuous pain together with an irreducible swelling of the left inguinal region 8 hours prior to admission to the surgical emergency department. His physical examination revealed a very painful, erythematous, irreducible swelling in the left inguinal region without abdominal peritoneal irritation. Routine blood tests disclosed mild leukocytosis. Abdominal plain X-ray film was not specific, and ultrasonography revealed a 10 cm in length inactive, edematous intestinal section within the inguinal hernia. With the diagnosis of strangulated inguinal hernia, he underwent surgical exploration through a transverse inguinal incision. By opening the hernia sac, 6-8 cc inflammatory fluid drained out, and an inflamed vermiform appendix adhered to the inner surface of the sac was seen. Appendicectomy and primary hernia repair were performed at the same time through the inguinal incision. The postoperative course was uneventful, and the histological examination of the specimen revealed an inflamed appendix.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Inflamed vermiform appendix within the sac of incarcerated left inguinal hernia

Turanlı¹,

Yuksel²,

Pirhan³

et al. 2011

Ulus Travma Acil Cerrahi Derg

View full text Add to dashboard Cite

show abstract

“…Several authors argue that synthetic mesh can be used for the repair of the hernia defect after appendectomy although antibiotics and copious irrigation should be used. 4,17,22 Priego et al 4 report 6 cases of the appendix in a femoral hernia. Four of the 6 patients had inflamed appendices at the time of operation; however, all underwent appendectomy with repair of mesh.…”

Section: Mesh Versus No Meshmentioning

confidence: 97%

Amyand Hernia Repaired with Bio-A: A Case Report and Review

Burgess¹,

Brockmeyer²,

Johnson³

2011

Journal of Surgical Education

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“…[14][15][16] A contrast enhanced CT scan may perhaps document the presence of the caecum as a content of a large long standing hernia sac. 17 This should raise the suspicion of the possibility of Amyand's hernia. In majority of cases Amyand's hernia is diagnosed intraoperatively (Figure 1).…”

Section: Diagnosismentioning

confidence: 99%