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

Chatzimavroudis, Grigoris; Papaziogas, B.; Koutelidakis, Ioannis; Tsiaousis, Panagiotis; Kalogirou, Thomas E.; Atmatzidis, Stefanos; Atmatzidis, Konstantinos

doi:10.1007/s10029-009-0505-2

Cited by 23 publications

(18 citation statements)

References 5 publications

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“…In cases of AH type B or C appendectomy has to be performed; this surgery increases infection rate and possible infections of prosthesis, due to the combination of clean surgery with contaminated surgery [24]. However Chatzimavroudis in his study did not identify the presence of inflamed appendix or perforated appendix as an absolute contraindication for use a prosthetic mesh and did not describe postoperative complications after prosthetic inguinal hernia repair associated with appendectomy [25]. If the choice is not to use prosthetic mesh repair, the technique utilized to repair the defect depends largely on the surgeon preferences, but Shouldice technique is preferable because of its lower recurrence rate [26].…”

Section: Discussionmentioning

confidence: 99%

Amyand’s Hernia, State of the Art and New Points of View

Mantovani

Angelis

Lecce

et al. 2017

Case Reports in Surgery

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Background Amyand's hernia (AH) is an inguinal hernia containing the vermiform appendix, with an incidence between 0.4% and 1% of all inguinal hernias. Acute or perforated appendicitis can complicate AH. Case Presentation A 75-year-old Caucasian man presented with incarceration of vermiform appendix in inguinal hernia sac. Diagnosis was posed preoperatively with computed tomography (CT) scan. Patient underwent urgent surgery and simultaneous appendectomy and hernia repair by Bassini's technique were performed. Conclusions Preoperative diagnosis of AH is rare; however it could be useful for surgeon to choose operative approach. Treatment of AH depends on grade of appendix inflammation and/or perforation. The technique utilized to repair hernia depends largely on surgeon's preferences; the presence of inflamed or perforated appendix is not an absolute contraindication for using a prosthetic mesh.

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Section: Discussionmentioning

confidence: 99%

Amyand’s Hernia, State of the Art and New Points of View

Mantovani

Angelis

Lecce

et al. 2017

Case Reports in Surgery

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“…However, in case of inflamed appendix in the sac, appendectomy without mesh hernia repair is suggested by some authors [1113]. Nonetheless, some prefer to perform both appendectomy and mesh hernia repair in the treatment of inflamed appendix in the inguinal hernia sac, and they recommended the intravenous broad-spectrum antibiotics for at least 3-5 days to prevent a possible mesh infection [1415]. Additionally, Torino et al [14] irrigated the inguinal area with antibiotics.…”

Section: Discussionmentioning

confidence: 99%

An elective detection of an Amyand’s hernia with an adhesive caecum to the sac: Report of a rare case

Şengül

Aribas³

2011

North Am J Med Sci

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Context:Existence of non-inflamed or inflamed vermiform appendix in an inguinal hernia is named Amyand's hernia in honor to the surgeon Claudius Amyand who successfully performed first perforated appendicitis.Case Report:A 69-year-old Turkish male patient with a slight right groin pain and swelling was presented to our clinic, and found to have a slightly tender and reducible right inguinal hernia. He underwent surgery under general anesthesia, and a adhesive caecum and an inflamed appendix were explored within the hernia sac. Adhesions were divided by sharp dissection and appendectomy was performed. After carrying out a Lichtenstein hernioplasty, a broad-spectrum antibiotic was postoperatively admitted for 3 days. He recovered uneventfully, and neither complication nor recurrence was detected during 52 months of follow-up.Conclusions:Although occurrence of an appendicitis in an inguinal hernia is rare, a surgeon should be vigilant for facing with it even in elective cases. Treatment can be provided only surgically, but surgical treatment is not standard except from appendectomy. In our opinion, application of mesh hernia repair should depend on the degree of inflammation of appendix and the presence of incarceration of hernia sac with a suitable antibiotic admission for 3-5 days postoperatively.

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“…Several authors argue that synthetic mesh can be used for the repair of the hernia defect after appendectomy although antibiotics and copious irrigation should be used. 4,17,22 Priego et al 4 report 6 cases of the appendix in a femoral hernia. Four of the 6 patients had inflamed appendices at the time of operation; however, all underwent appendectomy with repair of mesh.…”

Section: Mesh Versus No Meshmentioning

confidence: 97%

“…16 There is also the benefit of the ability to repair bilateral hernias if present. Chatzimavroudis et al 17 and Keuper et al 18 report an Amyand hernia after prior hernia repair. In both studies, repairs were performed via the open technique.…”

Section: Incisionmentioning

confidence: 97%