The role of prosthetic repair in the treatment of an incarcerated recurrent inguinal hernia with acute appendicitis (inflamed Amyand's hernia)

2nd Department of Surgery, Medical School, Aristotle University of Thessaloniki, "G. Gennimatas" Hospital, Ethnikis Aminis 41, 54635, Thessaloniki, Greece, .
Hernia (Impact Factor: 2.09). 06/2009; 13(3):335-6; author reply 337. DOI: 10.1007/s10029-009-0505-2
Source: PubMed
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    ABSTRACT: The presence of a vermiform appendix in an inguinal hernia sac is known as Amyand's hernia. The aim of this systematic review was to gather information concerning its prevalence, clinical image, diagnosis, and treatment. The MEDLINE database was thoroughly searched using the keyword "Amyand's hernia." Additional articles were gathered and evaluated. The true prevalence of Amyand's hernia seems lower than classically described. Its usual clinical image is identical to that of an incarcerated hernia, and thus it is almost impossible to diagnose preoperatively, although ultrasound and computed tomography can help. Treatment includes hernioplasty with or without appendectomy and/or mesh repair depending on the vermiform appendix's inflammation status, the patient's general condition, and other factors. Amyand's hernia generally has a good prognosis, although serious complications have been described. Surgeons should be prepared if they encounter Amyand's hernia because appropriate treatment ensures hernia repair without complications and with avoidance of recurrence.
    American journal of surgery 11/2013; 207(6). DOI:10.1016/j.amjsurg.2013.07.043 · 2.41 Impact Factor
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    ABSTRACT: Abstract Amyand's hernia is defined as when the appendix is trapped within an inguinal hernia. While the incidence of this type of hernia is rare, the appendix may become incarcerated within Amyand's hernia and lead to further complications such as strangulation and perforation. Incarceration of the appendix most commonly occurs within inguinal and femoral hernias, but may arise to a lesser extent in incisional and umbilical hernias. Incarcerated appendix has been reported in a variety of ventral abdominal and inguinal locations, yet its indistinct clinical presentation represents a diagnostic challenge. This paper reviews the literature on incarceration of the appendix within inguinal hernias and discusses current approaches to diagnosis and treatment of Amyand's hernia and complications that may arise from incarceration of the appendix within the hernia.
    Medical science monitor: international medical journal of experimental and clinical research 01/2014; 20:140-6. DOI:10.12659/MSM.889873 · 1.22 Impact Factor
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