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Laparoscopic Repair of Para-Esophageal Hernia Using Absorbable Biosynthetic Mesh
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Amyand's Hernia: A Systematic Review of Clinical Presentations, Surgical Management, and Outcomes in an Uncommon

Shikha Tiwari1, Ramendra Jauhari1, Sumit Bhaskar1,2

  • 1General Surgery, Ganesh Shankar Vidyarthi Memorial (GSVM) Medical College, Kanpur, IND.

Cureus
|October 20, 2025
PubMed

Insights

Amyand's hernia, where the appendix is in an inguinal hernia, presents challenges. Management strategies depend on contamination levels, with mesh repair suitable for clean cases and tissue repair for contaminated ones.

Area of Science:

  • Surgery
  • Gastroenterology

Background:

  • Amyand's hernia involves the appendix within an inguinal hernia sac.
  • Its diagnosis and surgical management, especially concerning appendectomy and mesh use in contaminated fields, remain debated.

Purpose of the Study:

  • To systematically review the literature on Amyand's hernia management.
  • To analyze operative techniques, outcomes, and recurrence based on contamination levels.

Main Methods:

  • A PRISMA-guided systematic review of English-language case reports and series (2000-2025).
  • Inclusion criteria required operative and outcome details; review studies were excluded.
  • Data extraction focused on demographics, presentation, intraoperative findings (Losanoff-Basson classification), and surgical outcomes.

Main Results:

  • Seventeen cases of Amyand's hernia were identified across seven studies over 20 years.
  • Mesh repair was deemed safe in clean or minimally contaminated settings.
  • Gross contamination favored tissue repair or staged reconstruction.

Conclusions:

  • Management of Amyand's hernia should be guided by classification and contamination level.
  • Mesh repair is a viable option for non-contaminated inguinal hernias with appendiceal involvement.
  • Contaminated cases necessitate tissue repair or delayed reconstruction to minimize complications.
Keywords:
amyandemergency appendectomyherniamesh inguinal hernioplastyobstructed inguinal hernia

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