Case Report of Herniorrhaphy with Incidental Amyand and Appendectomy

Stanley M Augustin, Barbara Nguyen and Armand E Edalati*

Department of Surgery, Truman Medical Center Hospital Hill, USA

^*Correspondance to: Armand E Edalati 

 PDF  Full Text DOI: 10.25107/2474-1647.3217

Abstract

Amyand hernias, an appendix within an inguinal hernia sac, occur in 1% of all inguinal hernias. These hernias are frequently discovered accidentally during inguinal herniorrhaphy. This paper describes a 22-year-old male who presented to our clinic in an academic institution with complaint of a right inguinal hernia and was scheduled for an open hernia repair. Type I Amyand was discovered intraoperatively, and the appendiceal artery was ligated during hernia sac dissection. Lichtenstein hernia repair was performed followed by a laparoscopic appendectomy. In the Losanoff & Basson classification, Type I Amyands are managed by appendiceal replacement and tension free mesh hernia repair. Literature review characterized other alternatives including appendectomy, but none documented an approach such as ours. Amyands are rare and we present a novel technique for a non-acutely inflamed Amyands (Type I), by Lichtenstein hernia repair and a laparoscopic appendectomy

Keywords

Case report; Amyand hernia; Herniorrhaphy; Laparascopic appendectomy

Cite the article

Augustin SM, Nguyen B, Edalati AE. Case Report of Herniorrhaphy with Incidental Amyand and Appendectomy. Clin Surg. 2021; 6: 3217..