PDF(Pubmed)
Abstract：
UNASSIGNED: Amyand\'s hernia is a rare type of inguinal hernia which contains vermiform appendix in the inguinal sac, seldom complicated by acute appendicitis. It is usually repaired by open inguinal approach, but laparoscopic technique has been increasingly described in literature; nevertheless, standard of care is far from being defined. Here we report the case of Amyand\'s hernia complicated by acute appendicitis and simultaneous symptomatic left inguinal hernia, both repaired by laparoscopic technique.
METHODS: A 85-years-old man presented with acute appendicitis in Amyand\'s hernia and simultaneous incarcerated left inguinal hernia.
UNASSIGNED: After complete preoperative work-up, the patient underwent laparoscopic appendectomy and laparoscopic bilateral hernia repair with mesh.
CONCLUSIONS: Laparoscopic approach may be safe and feasible for Amyand\'s hernia treatment in emergency setting when performed by expert hands, with minimized risk of surgical site infection (SSI), quick recovery and reduced hospital stay. Laparoscopic hernia repair with mesh can be a reasonable approach in selected cases of bilateral or recurrent hernia, and concomitant intrabdominal inflammation, especially when contamination is scarse and limited to a restricted area.
METHODS: A 85-years-old man presented with acute appendicitis in Amyand\'s hernia and simultaneous incarcerated left inguinal hernia.
UNASSIGNED: After complete preoperative work-up, the patient underwent laparoscopic appendectomy and laparoscopic bilateral hernia repair with mesh.
CONCLUSIONS: Laparoscopic approach may be safe and feasible for Amyand\'s hernia treatment in emergency setting when performed by expert hands, with minimized risk of surgical site infection (SSI), quick recovery and reduced hospital stay. Laparoscopic hernia repair with mesh can be a reasonable approach in selected cases of bilateral or recurrent hernia, and concomitant intrabdominal inflammation, especially when contamination is scarse and limited to a restricted area.
摘要：
■Amyand\'s疝是一种罕见的腹股沟疝，腹股沟囊内有阑尾状，很少并发急性阑尾炎。它通常通过开放腹股沟入路修复，但是腹腔镜技术在文献中越来越多地被描述；尽管如此，护理标准远未定义。在这里，我们报告一例Amyand\'s疝并发急性阑尾炎和同时有症状的左腹股沟疝，均采用腹腔镜技术修复。
方法：一名85岁的男性患者出现急性阑尾炎，表现为Amyand疝和同时嵌顿的左腹股沟疝。
■完成术前检查后，患者接受了腹腔镜阑尾切除术和腹腔镜双侧疝修补术。
结论：在急诊情况下，由专家手进行腹腔镜手术可能是安全可行的，将手术部位感染（SSI）的风险降至最低，快速恢复和减少住院时间。在选定的双侧或复发性疝病例中，腹腔镜下补片疝修补术是一种合理的方法，以及伴随的腹腔内炎症,尤其是当污染严重且仅限于禁区时。
方法：一名85岁的男性患者出现急性阑尾炎，表现为Amyand疝和同时嵌顿的左腹股沟疝。
■完成术前检查后，患者接受了腹腔镜阑尾切除术和腹腔镜双侧疝修补术。
结论：在急诊情况下，由专家手进行腹腔镜手术可能是安全可行的，将手术部位感染（SSI）的风险降至最低，快速恢复和减少住院时间。在选定的双侧或复发性疝病例中，腹腔镜下补片疝修补术是一种合理的方法，以及伴随的腹腔内炎症,尤其是当污染严重且仅限于禁区时。
