Abstract

SERVIDE-STAFFOLANI, María José et al. Controversies in the treatment of Amyand’s hernia. rev. colomb. cir. [online]. 2018, vol.33, n.1, pp.100-106. ISSN 2011-7582.  https://doi.org/10.30944/20117582.52.

Amyand’s hernia has a low incidence (0.1%-1.0%) but it may be associated with high mortality rates. Despite having been described more than 200 years ago by Claudius Amyand, there are still controversies regarding treatment in some particular situations. Performing or not appendectomies in the absence of appendicitis, or how to perform the hernia repair depending on the degree of contamination, are topics discussed in this article. There is not a global consensus in the literature yet. The individualization of each case and the surgeon’s proper judgment should be the priority for selecting the most appropriate treatment. Two clinical cases of Amyand’s hernia are reported with very different clinical presentations, management and evolution. Also, an image of a left sided Amyand’s hernia together with a Littre’s hernia in the same hernia sac is shown.

Keywords : Hernia, Inguinal; Amyand’s hernia; Littre’s hernia; Appendectomy; Herniorrhaphy; Prostheses and Implants..

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