Abstract:
Inguinal hernias are among the most common cases presented to a surgeon. In spite of extensive research and clinical experience over centuries, inguinal hernias still pose anatomical challenges for operating surgeons, especially with a propensity for recurrence. One such complicated entity is the Amyand\'s hernia - defined as an inguinal hernia contained within the hernial sac - the vermiform appendix - as the herniated content. It is a rare clinical presentation and carries with it certain complexities with regard to operative decisions and clinical management. We present a case of a 71-year-old male presenting with a recurrent inguinal hernia, with an incarcerated, inflamed appendix as the content; managed surgically with appendicectomy and herniorraphy, without the use of a prosthetic mesh.
摘要:
腹股沟疝是外科医生最常见的病例之一。尽管几个世纪以来广泛的研究和临床经验,腹股沟疝仍然对手术外科医生构成解剖学挑战,尤其是有复发倾向的.其中一个复杂的实体是Amyand\'s疝-定义为包含在疝囊内的腹股沟疝-阑尾-作为疝内容物。这是一种罕见的临床表现,并且在手术决策和临床管理方面具有一定的复杂性。我们介绍了一例71岁男性复发性腹股沟疝,一个被监禁的人,以阑尾发炎为内容;通过阑尾切除术和疝手术治疗,不使用假肢网。