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Laparoscopic Repair of Para-Esophageal Hernia Using Absorbable Biosynthetic Mesh
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Published on: September 11, 2021

Amyand's hernia: 10 years' experience.

I Inan1, P O Myers, M E Hagen

  • 1Division of Visceral and Transplantation Surgery, Department of Surgery, University Hospital of Geneva, Geneva, Switzerland. ihsan.inan@hcuge.ch

The Surgeon : Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland
|September 10, 2009
PubMed
Summary
This summary is machine-generated.

Amyand's hernia, a rare condition where the appendix is in the groin, often requires emergency surgery. Advanced age and right lower quadrant peritonism are linked to poorer outcomes in these rare hernia cases.

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Area of Science:

  • Abdominal Surgery
  • Hernia Repair
  • Surgical Case Review

Background:

  • Amyand's hernia is a rare inguinal hernia containing the vermiform appendix.
  • Diagnosis before surgery is infrequent.
  • This study reviews institutional experience with this rare hernia.

Purpose of the Study:

  • To review clinical presentation, management, and prognostic factors of Amyand's hernia.
  • To analyze outcomes in patients with this rare hernia type.

Main Methods:

  • Retrospective review of hernia surgery cases from 1996-2006.
  • Inclusion of patients with Amyand's hernia at a tertiary care hospital.
  • Analysis of clinical data, surgical management, and outcomes.

Main Results:

  • Twelve patients (median age 88) with Amyand's hernia were identified.
  • All patients required emergency surgery due to strangulation, incarceration, or peritonism.
  • Right lower quadrant peritonism and age >90 were associated with poor outcomes (p=0.004 and p=0.04, respectively).

Conclusions:

  • Amyand's hernia is rare and often diagnosed intraoperatively.
  • It should be considered in cases of strangulated or incarcerated hernias.
  • Further research is needed to establish optimal surgical strategies and prognostic factors.