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Updated: Jul 9, 2026

Laparoscopic Repair of Para-Esophageal Hernia Using Absorbable Biosynthetic Mesh

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Published on: September 11, 2021

Amyand's hernia: a 10-year experience with 6 cases.

Yijie Gao^1,2, Taotao Zhang¹, Min Zhang^1,2

¹Department of Gastroenterology Surgery, The Dalian Municipal Central Hospital Affiliated of Dalian Medical University, No. 826 Southwest Road Shahekou District, Dalian, 116033, People's Republic of China.

|July 24, 2021

Summary

Amyand's hernia, a rare condition involving the appendix in an inguinal hernia, requires tailored surgical treatment. Management depends on whether the appendix is normal or inflamed, with appendectomy necessary for appendicitis.

Keywords:

Amyand’s hernia Appendectomy Appendix Hernia repair

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Area of Science:

Abdominal Surgery
Hernia Repair
Gastrointestinal Surgery

Background:

Amyand's hernia is a rare inguinal hernia containing the appendix.
Surgical treatment for Amyand's hernia is not standardized.
This study reviews cases to inform surgical approaches.

Purpose of the Study:

To review surgical cases of Amyand's hernia.
To provide a reference for surgical treatment strategies.
To analyze outcomes based on appendix condition.

Main Methods:

Retrospective review of six Amyand's hernia cases (2010-2020).
Summary of clinical presentation, diagnostic methods, surgical procedures, and outcomes.
Analysis of patient data including chief complaint, physical and laboratory examinations, imaging, and post-operative care.

Main Results:

Diagnosis of Amyand's hernia was confirmed intraoperatively in all six cases.
Four patients presented with appendicitis; two had normal appendixes.
Treatments varied: mesh repair for normal appendixes, mixed mesh repair and non-mesh repair for appendicitis cases. Average hospital stay was 9.8 days; one wound infection occurred.

Conclusions:

Definitive diagnosis of Amyand's hernia is challenging preoperatively, despite imaging.
Appendectomy is indicated for inflamed or perforated appendixes; normal appendixes do not require resection.
Treatment should be individualized based on patient condition and hernia type.