دورية أكاديمية
أعرض في EDS

Amyand's hernia: 11years of experience.

التفاصيل البيبلوغرافية
العنوان: Amyand's hernia: 11years of experience.
المؤلفون: Cigsar EB; Department of Pediatric Surgery, Fırat University Medical Faculty, Elazıg, Turkey. Electronic address: ebcigsar@gmail.com., Karadag CA; Department of Pediatric Surgery, Sisli Hamidiye Etfal Training and Research Hospital, Istanbul, Turkey., Dokucu AI; Department of Pediatric Surgery, Sisli Hamidiye Etfal Training and Research Hospital, Istanbul, Turkey.
المصدر: Journal of pediatric surgery [J Pediatr Surg] 2016 Aug; Vol. 51 (8), pp. 1327-9. Date of Electronic Publication: 2015 Nov 24.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Saunders Country of Publication: United States NLM ID: 0052631 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1531-5037 (Electronic) Linking ISSN: 00223468 NLM ISO Abbreviation: J Pediatr Surg Subsets: MEDLINE
أسماء مطبوعة: Publication: Philadelphia, PA : Saunders
Original Publication: New York.
مواضيع طبية MeSH: Appendix/*surgery , Hernia, Inguinal/*surgery, Appendectomy ; Child ; Child, Preschool ; Hernia, Inguinal/complications ; Herniorrhaphy ; Humans ; Incidental Findings ; Infant ; Infant, Newborn ; Male ; Retrospective Studies
مستخلص: Purpose: Presence of the vermiform appendix in an inguinal hernia sac is known as Amyand's hernia. This may present as a tender inguinal swelling and is often misdiagnosed as irreducible or strangulated hernia.
Methods: Between January 2003 and December 2013 we treated 4498 patients with inguinal hernias and performed 3267 appendectomies. Among these; 46 had an Amyand's hernia. Age, sex, presenting symptoms, treatment modality, histopathological findings, duration of hospitalization, and post-surgical outcomes were analyzed retrospectively.
Results: All patients were boys. The mean age was 16.7months (15days-8years). 37 (80.4%) right, 2 (4.3%) left and 7 (15.2%) bilateral hernioplasties were performed. Nine patients underwent emergency surgery with an initial diagnosis of incarcerated hernia; Amyand's hernia was an incidental finding in the remaining 37 patients. Operative findings included 33 normal appendices, 9 inflamed appendices, one perforated appendix, and three appendices adherent to the hernia sac. Eighteen patients had appendectomy during hernia repair, and the other 33 had hernia repair without appendectomy. None of the patients developed recurrent hernia or appendicitis within the follow-up period.
Conclusion: In Amyand's hernia the appendix should be examined carefully. A classification of Amyand's hernia according to the presenting symptoms and inflammatory status of the appendix may help to determine whether or not to proceed with appendectomy.
(Copyright © 2016 Elsevier Inc. All rights reserved.)
فهرسة مساهمة: Keywords: Amyand's hernia; Appendectomy; Classification; Prophylactic appendectomy; inguinal hernia
تواريخ الأحداث: Date Created: 20151229 Date Completed: 20170322 Latest Revision: 20181202
رمز التحديث: 20231215
DOI: 10.1016/j.jpedsurg.2015.11.010
PMID: 26707425
قاعدة البيانات: MEDLINE
الوصف
تدمد:1531-5037
DOI:10.1016/j.jpedsurg.2015.11.010