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9 - The routine use of mesh and the role of appendectomy for the Amyands hernia cases
Cemal Kaya, Ufuk Oğuz İdiz, Emre Bozkurt, Pınar Yazıcı, Uygar Demir, Mehmet Mihmanli
Objective: Amyands hernia is described as the presence of vemiform appendix in the inguinal hernia sac and this condition is mostly incidental. The aim of this retrospective analysis was to evaluate the role of appendectomy and the mesh repair in the patients with Amyands hernia.
Material and Methods: The clinical and laboratory findings, and treatment modalities of 12 patients with Amyands hernia among 6630 inguinal hernia patients who underwent surgery between January 2000 and May 2015, were retrospectively recorded. Moloney darn repair was performed in the patients who had inflamed appendix whereas Lichtenstein repair was performed in the patients who had non-inflamed appendix.
Results: All of the patients were male with a mean age of 48.9 years (range 28-67 years). The most common symptoms and pain in the patients were swelling of the right inguinal area and pain. Three patients underwent emergency surgery due to incarcerated right inguinal hernia while remaining nine patients underwent elective surgical repair. The diagnosis of Amyands hernia was made during hernia surgery and routine appendectomy was performed in all patients. The only complication was the wound infection which was observed in the patient with perforated appendicitis (8.3%). The mean follow-up period was 80.4 months (range: 8-180 months) and there were no recurrent cases.
Conclusion: The appendectomy can be performed safely in the patients with Amnyands hernia. The repair for inguinal hernia may provide satisfactory results in the absence of inflammation.
Keywords: Amyands hernia, appendix, inguinal hernia, lichtenstein repair
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