Amyand Hernia

Amyand Hernia

  • The appendix is thought to herniate through a patent processus vaginalis.
  • The vermiform appendix can remain in the hernia sac without symptoms indefinitely. It has been suggested that the neck of the hernia can strangle the appendix and cause acute appendicitis.
  • Recent reports show that if treated properly, it does not add morbidity or mortality beyond that of a typical inguinal hernia
  • Many patients present with symptoms typical of an inguinal hernia
  • Management: guided by categorization of the Amyand’s hernia as follows:
    – Normal appendix: Reduction or appendectomy, mesh hernioplasty
    – Acute appendicitis localized in the sac: Appendectomy through hernia, endogenous repair
    – Acute appendicitis, peritonitis: Appendectomy through laparotomy, endogenous repair
  • In hernia repair, the use of mesh should be avoided in cases of appendicitis, because it can cause mesh infection and sepsis.




Leave a Reply

Fill in your details below or click an icon to log in: Logo

You are commenting using your account. Log Out /  Change )

Google+ photo

You are commenting using your Google+ account. Log Out /  Change )

Twitter picture

You are commenting using your Twitter account. Log Out /  Change )

Facebook photo

You are commenting using your Facebook account. Log Out /  Change )


Connecting to %s