PDF(Pubmed)
Abstract：
BACKGROUND: Amyand hernia is the presence of an incarcerated vermiform appendix (either inflamed or not) within the hernia sac. This type of hernia is very rare with an incidence reported to be 0.5 to 1 % and even rarer in adults.
METHODS: We present here two cases of male patients found the have an Amyand Hernia diagnosed incidentally intraoperatively, and managed with appendectomy and mesh herniorrhaphy.
UNASSIGNED: For the management of this type of hernia, in general, the surgeon should perform an appendectomy with the repair to prevent future herniation or appendicitis, but some opinions differ, and state that when there are no signs of inflammation, it is not required to perform a preventative appendectomy.
CONCLUSIONS: The decision on how to manage depends on multiple factors including inflammation of the appendix, the possibility of abdominal sepsis, and the patient comorbidities. The status of the appendix determines whether to undergo hernia repair with or without mesh.
METHODS: We present here two cases of male patients found the have an Amyand Hernia diagnosed incidentally intraoperatively, and managed with appendectomy and mesh herniorrhaphy.
UNASSIGNED: For the management of this type of hernia, in general, the surgeon should perform an appendectomy with the repair to prevent future herniation or appendicitis, but some opinions differ, and state that when there are no signs of inflammation, it is not required to perform a preventative appendectomy.
CONCLUSIONS: The decision on how to manage depends on multiple factors including inflammation of the appendix, the possibility of abdominal sepsis, and the patient comorbidities. The status of the appendix determines whether to undergo hernia repair with or without mesh.
摘要：
背景：腹壁疝是指在疝囊内存在嵌顿的阑尾状（发炎与否）。这种类型的疝气非常罕见，据报道发病率为0.5％至1％，在成人中甚至更罕见。
方法：我们在这里介绍了两例男性患者，发现在手术中被诊断为腹胀和疝，行阑尾切除术和网状疝修补术.
■对于这种类型的疝气，总的来说,外科医生应进行阑尾切除术与修复，以防止未来的疝或阑尾炎，但是有些观点不同，并声明当没有炎症迹象时，不需要进行预防性阑尾切除术。
结论：如何管理取决于多种因素，包括阑尾的炎症，腹部败血症的可能性,和病人的合并症。阑尾的状态决定了是否进行带网片或不带网片的疝修补。
方法：我们在这里介绍了两例男性患者，发现在手术中被诊断为腹胀和疝，行阑尾切除术和网状疝修补术.
■对于这种类型的疝气，总的来说,外科医生应进行阑尾切除术与修复，以防止未来的疝或阑尾炎，但是有些观点不同，并声明当没有炎症迹象时，不需要进行预防性阑尾切除术。
结论：如何管理取决于多种因素，包括阑尾的炎症，腹部败血症的可能性,和病人的合并症。阑尾的状态决定了是否进行带网片或不带网片的疝修补。
