Amyand's hernia: history, imaging, and management
1Abdominal Wall and Hernia Surgery, Department of Surgery, Cedars-Sinai Medical Center, 8700 Beverly Blvd, Suite 8215, Los Angeles, CA 90048, USA.
Hernia : the Journal of Hernias and Abdominal Wall Surgery
|November 9, 2007
Summary
Amyand's hernia, a rare inguinal hernia containing the appendix, is often diagnosed during surgery. The recommended treatment involves laparoscopic appendectomy and open hernia repair without mesh.
Area of Science:
- Abdominal Surgery
- Gastrointestinal Surgery
- Hernia Repair
Background:
- Amyand's hernia is a rare condition involving an inguinal hernia with the vermiform appendix.
- This case report reviews diagnostic findings and management strategies for Amyand's hernia.
Observation:
- Diagnosis of Amyand's hernia is typically incidental, discovered during intraoperative examination.
- The vermiform appendix within the hernia sac presents unique surgical considerations.
Findings:
- Literature review suggests open or laparoscopic appendectomy combined with open inguinal hernia repair.
- Some evidence supports mesh repair for uncomplicated cases with a normal appendix.
Implications:
- Amyand's hernia presents a surgical challenge requiring careful management.
- Laparoscopic appendectomy with open hernia repair, excluding mesh, is recommended for optimal outcomes.
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