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Amyand's hernia: a series of 30 cases in children

A Kaymakci1, I Akillioglu, I Akkoyun

  • 1Department of Pediatric Surgery, Umraniye Educational and Research Hospital, Istanbul, Turkey. akaymakci@yahoo.com

Hernia : the Journal of Hernias and Abdominal Wall Surgery
|July 24, 2009
PubMed

Insights

Amyand's hernia, a rare condition involving the appendix in an inguinal hernia, was studied in 30 pediatric patients. Treatment varied based on appendix condition, with appendectomy performed for inflamed or perforated appendices.

Area of Science:

  • Pediatric Surgery
  • Gastrointestinal Surgery
  • Abdominal Wall Surgery

Background:

  • Amyand's hernia is a rare condition where the vermiform appendix is found within an inguinal hernia sac.
  • It occurs in approximately 1% of adult inguinal hernia cases.
  • This study focuses on pediatric cases, a less commonly reported demographic.

Purpose of the Study:

  • To analyze the surgical management of Amyand's hernia in pediatric patients.
  • To review the literature and present institutional experience with this rare condition.
  • To determine optimal surgical strategies based on appendix status.

Main Methods:

  • Retrospective analysis of 30 pediatric patients operated for Amyand's hernia between 1998 and 2009.
  • Review of existing medical literature on Amyand's hernia.
  • Surgical approach tailored to the appendix's condition: hernia repair alone for normal appendix, appendectomy for inflamed/perforated appendix.

Main Results:

  • The study included 30 patients aged 19 days to 8 years.
  • Hernia repair without appendectomy was performed for normal appendices.
  • Emergency appendectomy via herniotomy was necessary for inflamed or perforated appendices.

Conclusions:

  • Surgical management of Amyand's hernia in children should be individualized.
  • Preservation of a normal appendix is feasible and recommended.
  • Appendectomy is crucial when the appendix is compromised (inflamed or perforated).

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