Amyand's hernia combined with contralateral recurrent inguinal hernia: A case report
1Department of Surgery, Ilsan Paik Hospital, Inje University College of Medicine, Gyeonggido, Republic of Korea.
International Journal of Surgery Case Reports
|December 23, 2022
Summary
Amyand's hernia (AH) occurring with recurrent inguinal hernia (IH) is rare. Preoperative planning is crucial for successful simultaneous surgery, adapting the approach based on the appendix's condition.
Area of Science:
- Surgical innovation
- Hernia repair techniques
- Gastrointestinal surgery
Background:
- Amyand's hernia (AH), the incarceration of the appendix within an inguinal hernia (IH) sac, is an uncommon condition.
- Concurrent presentation and surgical management of AH with a contralateral recurrent IH pose unique challenges.
Observation:
- A 65-year-old male presented with symptomatic bilateral IH, including a recurrent left IH.
- Abdominopelvic CT identified appendiceal herniation in the right IH and omental fat in the left recurrent IH.
- The patient underwent successful simultaneous repair using the Prolene Hernia System (PHS) mesh.
Findings:
- Successful simultaneous repair of AH and contralateral recurrent IH was achieved.
- The patient remained recurrence-free at 16 months post-surgery.
- Preoperative CT facilitated proper surgical planning for the complex case.
Implications:
- Simultaneous repair of AH and recurrent IH necessitates careful preoperative planning regarding surgical order and approach (anterior vs. laparoscopic).
- Surgical strategy for AH must be tailored to the appendix's inflammatory status.
- Contingency planning for alternative surgical approaches is vital if the primary plan is unfeasible.
Related Concept Videos
01:26Aneurysm III: Interprofessional Care
17
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...
17
01:19Abdominal Regions and Quadrants
9.2K
To promote clear communication, for instance, about the location of a patient's abdominal pain or a suspicious mass, anatomists and clinicians typically use imaginary lines to categorize the abdominopelvic cavity into either four quadrants or nine regions to identify organs in the cavity.
The simpler quadrants approach, which is more commonly used in medicine, subdivides the cavity with one horizontal and one vertical line that intersects at the patient's umbilicus (navel). The four...
The simpler quadrants approach, which is more commonly used in medicine, subdivides the cavity with one horizontal and one vertical line that intersects at the patient's umbilicus (navel). The four...
9.2K
01:29Appendicitis-II: Diagnostic Studies and Management
115
Diagnosing and managing appendicitis requires a structured and comprehensive approach that spans from initial assessment to postoperative care. Here is an overview of the process:
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...
115