Amyand’s hernia: a hybrid laparoscopic and open approach

MacArthur, Francisco J. D.; Dhabuwala, Atul

doi:10.1007/s10029-014-1233-9

Cited by 5 publications

(7 citation statements)

References 19 publications

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“…Vermillion et al first described laparoscopic appendicectomy for a preoperatively diagnosed Amyand hernia in 1999; this was followed by delayed mesh repair of hernia at 1 month [ 7 ]. The laparoscopic approach has also been used to facilitate mesh repair by allowing reduction of appendix without opening of the hernial sac [ 8 ]. A combined operative approach of sutured open hernia repair with laparoscopic appendicectomy, as used in this case, has been reported and recommended previously [ 9 ].…”

Section: Discussionmentioning

confidence: 99%

Amyand’s hernia managed with open repair and laparoscopic appendicectomy

Abdulla

Lynes

Nagendram

et al. 2017

Journal of Surgical Case Reports

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We present a rare case of Amyand’s hernia that was surgically managed using an open repair of hernia combined with laparoscopic appendicectomy. A 68-year-old man presented with an irreducible recurrent right-sided inguinal hernia and abdominal pain. This gentleman had undergone three previous inguinal hernia repairs on the right, and one on the left using the open mesh technique. Ultrasound suggested the possibility of the appendix within the hernial sac and clinical correlation was advised. An open groin approach was taken to repair the incarcerated hernia. This revealed an indirect inguinal hernia containing the appendix with signs of inflammation. The base of the appendix was not visible due to there being a long appendix with fixed cecum in the abdomen. To safely resect the appendix, a laparoscopy was performed and the appendix was successfully removed. The inguinal hernia was repaired using a sutured technique without mesh. There were no post-operative complications.

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Section: Discussionmentioning

confidence: 99%

Amyand’s hernia managed with open repair and laparoscopic appendicectomy

Abdulla

Lynes

Nagendram

et al. 2017

Journal of Surgical Case Reports

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“…If mesh is used there is a significant risk of infection since performing the appendectomy changes the classification of a clean case to one that is clean contaminated. There are, however reports of appendectomy with successful mesh repair with no infectious complications [16] . In type 2, there is appendicitis localized to the hernia sac, so reduction of the hernia, appendectomy and non-mesh repair of the inguinal floor are recommended due to the significant risk of mesh infection [16] .…”

Section: Discussionmentioning

confidence: 99%

“…There are, however reports of appendectomy with successful mesh repair with no infectious complications [16] . In type 2, there is appendicitis localized to the hernia sac, so reduction of the hernia, appendectomy and non-mesh repair of the inguinal floor are recommended due to the significant risk of mesh infection [16] . The use of biologic mesh may also be considered in such cases but there are insufficient cases reported to recommend its use as a standard option.…”

Section: Discussionmentioning

confidence: 99%

“…MacArthur argues that a laparoscopic transabdominal preperitoneal (TAPP) approach affords evaluation of the status of incarcerated contents and allows appendectomy to be performed without breaching the hernia sac. Consequently, this would limit the risk of infection of any prosthetic mesh placed [16] . Others have reported total laparoscopic appendectomy and pre-peritoneal mesh placement for appendicitis, as well as laparoscopic appendectomy but with open inguinal mesh repair both with acceptable results [17] , [18] .…”

Section: Discussionmentioning

confidence: 99%

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Appendiceal perforation, necrotizing groin infection and spermatic cord necrosis in a case of Amyand’s hernia

Ebaugh

Hessel

Udobi

2016

International Journal of Surgery Case Reports

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“…Diese sind unter Angabe des OP-Verfahrens, der Schwere der Appendizitis nach der Einteilung von Losanoff [7] und soweit eruierbarauch der Art des verwendeten prothetischen Materials in ▶ Tab. 1 zusammengefasst [8][9][10][11][12][13][14][15][16][17][18][19][20][21][22][23][24][25].…”

Section: Ergebnisseunclassified

Laparoskopischer Bruchlückenverschluss bei Appendizitis im Leistenhernienbruchsack (Amyand-Hernie): Ist der Einsatz eines Netzes kontraindiziert?

2015

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Amyand's hernia is defined as an appendix vermiformis - inflamed or not - within the hernia sac at the ipsilateral groin. The occurrence of this specific type of hernia is extremely low; clinical presentation is preoperatively characterised by signs and symptoms of an incarcerated inguinal hernia. There is a controversial debate on the use of prosthetic material for mesh-based hernioplasty; actually, the majority of surgeons reject it. However, in the area of predominantly prosthetic hernioplasty, this question has been raised again. Based on the approximately 150 published cases so far and their detailed analysis, this controversial issue in Amyand's hernia is reassessed, also on the basis of our own clinical experience in the treatment of two representative cases. Even in the case of a coincident finding of appendicitis within the sac of an inguinal hernia, laparoscopic hernioplasty using alloplastic meshes appears possible after simultaneous appendectomy if, in addition, the adhesive hernia sac is also resected. If prosthetic material is implanted, only low weight and large-porous meshes should be used.

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Amyand’s hernia: a hybrid laparoscopic and open approach

Cited by 5 publications

References 19 publications

Amyand’s hernia managed with open repair and laparoscopic appendicectomy

Amyand’s hernia managed with open repair and laparoscopic appendicectomy

Appendiceal perforation, necrotizing groin infection and spermatic cord necrosis in a case of Amyand’s hernia

Laparoskopischer Bruchlückenverschluss bei Appendizitis im Leistenhernienbruchsack (Amyand-Hernie): Ist der Einsatz eines Netzes kontraindiziert?

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