Incarcerated Amyand's hernia Personal experience and literature review
Annali Italiani Di Chirurgia
|February 10, 2017
Summary
Amyand's hernia, the presence of the vermiform appendix in an inguinal hernia, was observed in two infants. Surgeons successfully performed inguinal herniotomy without appendectomy, demonstrating a safe approach for this rare condition.
Area of Science:
- Pediatric Surgery
- Surgical Anatomy
Background:
- Amyand's hernia is defined as the incidental finding of the vermiform appendix within an inguinal hernia sac.
- This condition is rare, particularly in infants, and presents diagnostic and surgical challenges.
Purpose of the Study:
- To present two cases of Amyand's hernia in infants.
- To evaluate the surgical management and outcomes of non-inflamed appendix within an inguinal hernia.
Main Methods:
- Two infants, aged 30 days and 4 months, presented with non-reducible inguinal masses.
- Surgical exploration under general anesthesia revealed the vermiform appendix within the inguinal hernia sac.
- Herniotomy was performed using the Mugnai-Ferrari technique, with successful reduction of the appendix.
Main Results:
- The vermiform appendix was identified in the inguinal hernia sac in both pediatric patients.
- No signs of inflammation were noted in the appendices.
- Both patients underwent successful inguinal herniotomy and appendix reduction without complications.
- Postoperative recovery was uneventful, with early discharge.
Conclusions:
- In cases of non-inflamed appendix within an inguinal hernia (Amyand's hernia), appendectomy is not indicated in infants.
- Preserving the appendix avoids unnecessary surgical morbidity and mortality in pediatric patients.
- Standard herniotomy with appendix reduction is the recommended surgical approach.
Related Concept Videos
01:26Aneurysm III: Interprofessional Care
422
Aneurysm management involves either conservative medical therapy or surgical intervention, depending on the size and symptoms of the aneurysm. Conservative management is generally reserved for smaller, asymptomatic aneurysms, while larger or symptomatic aneurysms often necessitate surgical repair.Conservative Medical TherapyFor small, asymptomatic aneurysms, particularly abdominal aortic aneurysms (AAA) less than 5.5 centimeters in diameter, conservative medical therapy is recommended. This...
422
01:30Aneurysm I: Introduction
564
An aortic aneurysm is a localized outpouching or dilation at a weak point in the artery wall. It may involve different parts of the aorta, such as the abdominal aorta, aortic arch, or thoracic aorta.Etiological factorsSeveral disorders are associated with aortic aneurysms.Congenital causes, such as primary connective tissue disorders like Marfan syndrome, impact the integrity and strength of connective tissues, notably affecting the aorta. Marfan syndrome is a genetic disorder that specifically...
564
01:28Esophageal Perforation-II: Clinical Manifestations and Management
868
Esophageal perforations manifest in various clinical forms, influenced by factors such as the perforation's cause and location (cervical, intrathoracic, or intra-abdominal), the extent of contamination, and potential injury to adjacent mediastinal structures. The timing between the perforation occurrence and treatment initiation also affects the clinical presentation.
Clinical Manifestations:
Clinical Manifestations:
868