A report on hernia
Rene Jacques Croissant de Garengeot, a French surgeon, was the first to describe the presence of the vermiform appendix inside an incarcerated femoral hernia in 4.
Computed tomography CT confirmed a right incarcerated inguinal hernia with herniated loops of bowel within the right inguinal region. Unexpectedly the sac contained a vermiform appendix Figure 1C emerging from the femoral canal along with a small quantity of clear fluid negative for bacteria.
Nine of the 21 patients underwent emergency operations. Patient was subsequently treated with an appendectomy and tension free hernia repair with mesh with a successful outcome.
The inguinal canal was explored taking care not to injure the congested and fragile structures.
Inguinal hernia in adults
The median age was The hernia sac contained a gangrenous appendix, which was excised and the hernia was repaired with sutures without complication. We believe that USG examination in the diagnosis of Amyand's hernias can provide additional contribution. Urine examination was normal, so a provisional diagnosis of right side strangulated inguinal hernia was made. The differential diagnosis of the inguinal mass included local abscess, incarcerated hernia or combination of both disorders. Only in 2 published cases the surgical team chose the laparoscopic approach for both appendectomy and hernia repair one TAPP procedure and one case primary repair. De Garengeot's hernia, although very rare, should be included in the differential diagnosis of cases with strangulated hernia and should receive the optimal treatment. Pediatr Surg Int. Most surgical strategies began with an inguinal or an oblique incision over the irreducible lump 26 of the patients. In type III, a laparotomy, appendectomy and peritoneal lavage and subsequent hernia repair without mesh is indicated. Patients reported abdominal pain, nausea and vomiting in 5
In nine patients, the conditions were diagnosed using ultrasonographic USG imaging preoperatively. This rare pathology of an appendix with or without inflammation within the hernia sac is named after the French born English surgeon.
The Losanoff-Basson classification offers a satisfactory guidance system. Hernia of vermifrorm appendix.
Inguinal hernia investigation
Computed tomography CT confirmed a right incarcerated inguinal hernia with herniated loops of bowel within the right inguinal region. The median age was More research is needed to provide surgeons with evidence-based standardized approaches for dealing with this unique situation. Moreover, he had no personal history of hernia or any other pathology. This rare pathology of an appendix with or without inflammation within the hernia sac is named after the French born English surgeon. At the time of his arrival the patient had no significant abdominal pain during the last 48 h or any change in his bowel movements. Introduction In , Dr. Thirty-four patients 5 men and 29 women with a mean age of Most surgeons agree that the presence of acute appendicitis Losanoff-Basson type II-IV within a hernia should be a contraindication for the use of synthetic meshes or plugs. The inguinal canal was explored taking care not to injure the congested and fragile structures. His abdominal exam was significant for distension with right lower quadrant tenderness and an obviously right inguinal mass that was tender and non-reducible. A suction drain was put in the right iliac fossa before closing this incision.
The case of an inflammed, perforated appendix or periappendicular abscess within an inguinal hernia in adults is much lower and accordingly to different studies ranges between 0. Background Femoral hernia occurs as the result of protrusion of the sac through the femoral canal medial to the femoral artery and below the inguinal ligament.
Moreover, he had no personal history of hernia or any other pathology. Seven of them had a perforated appendix 911, 19, 22, 25, 28, All adhesions were released and the severely inflamed hernial sac was opened.
based on 113 review