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f o l i o s :
d i s c u s s i o n
Amyand's Hernia
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Amyand's Hernia | ||
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Related narrative: Amyand's Hernia Amyand's hernia Claudius Amyand, surgeon to King George II of Britain, performed the first recorded appendectomy in 1736. The patient was an 11-year-old boy who had perforation of the appendix by a pin, and the appendix and omentum were in a chronic scrotal right inguinal hernia complicated by a fecal fistula. The appendix and omentum were removed through a scrotal incision. In the early 1900s this precedent was recognized and the condition was given the eponym Amyand's hernia. The term has most commonly been applied to an inflamed appendix in a right inguinal hernia, but has also been used in situations where the appendix is not inflamed. An appendix in a hernia is very rare (~0.1%) and when inflamed, mimics an acutely incarcerated inguinal hernia. When the appendix is inflamed, authors of reported cases emphasize that mesh should not be placed in the wound, and a tissue repair (Shouldice etc.) should be done after resection of the appendix. Amyand's hernia: a report of two cases. Solecki R - Hernia - 01-MAR-2003; 7(1): 50-1 Amyand's hernia: case report and review of the literature. D'Alia C - Hernia - 01-JUN-2003; 7(2): 89-91 Amyand's hernia: a case report of an incarcerated and perforated appendix within an inguinal hernia and review of the literature. Logan MT - Am Surg - 01-JUL-2001; 67(7): 628-9 Perforated Amyand's hernia. House MG - South Med J - 01-MAY-2001; 94(5): 496-8 Amyand's hernia: prospective CT diagnosis. Luchs JS - J Comput Assist Tomogr - 01-NOV-2000; 24(6): 884-6 A rare variation of Amyand's hernia. Franko J - Am J Gastroenterol - 01-OCT-2002; 97(10): 2684-5 Amyand's hernia. Fernando J - Ceylon Med J - 01-JUN-2002; 47(2): 71 Revisiting Amyand's hernia in the laparoscopic era. Bamberger PK - Surg Endosc - 01-SEP-2001; 15(9): 1051 [Acute appendicitis in strangulated crural hernia. A variant of Amyand's hernia] Zaragoza Fernandez C - Rev Esp Enferm Dig - 01-APR-2002; 94(4): 230-1 Amyand's hernia: a case report of an incarcerated and perforated appendix within an inguinal hernia and review of the literature. Logan MT, Nottingham JM. Am Surg 2001 Jul;67(7):628-9
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