Home | About Us | Current Issue | Ahead of print | Archives | Search | Instructions | Subscription | Feedback | Editorial Board | e-Alerts | Login 
Journal of Indian Association of Pediatric Surgeons
     Journal of Indian Association of Pediatric Surgeons
Official journal of the Indian Association of Pediatric Surgeons         
 Users Online:430 
  Print this page Email this page   Small font sizeDefault font sizeIncrease font size


 
Table of Contents   
LETTER TO THE EDITOR
Year : 2012  |  Volume : 17  |  Issue : 2  |  Page : 88
 

Amyand's hernia


Department of Surgical Gastroenterology, Ronak Endo-Laparoscopy and General Surgical Hospital, Patan, Gujarat, India

Date of Web Publication17-Mar-2012

Correspondence Address:
Vipul D Yagnik
77, Siddhraj Nagar, Rajmahal Road, Patan - 384 265, Gujarat
India
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0971-9261.93978

Rights and Permissions

 



How to cite this article:
Yagnik VD. Amyand's hernia. J Indian Assoc Pediatr Surg 2012;17:88

How to cite this URL:
Yagnik VD. Amyand's hernia. J Indian Assoc Pediatr Surg [serial online] 2012 [cited 2018 Jan 22];17:88. Available from: http://www.jiaps.com/text.asp?2012/17/2/88/93978


Sir,

I read with great interest the article entitled "Amyand's hernia" by Singh et al. [1] It is really interesting and unusual to have Amyand hernia on the left side. Extensive literature search revealed that, until now, approximately 12 cases of left-sided Amyand hernia had been reported, including the present two cases. [1],[2] The authors' have reviewed the topic very nicely. However, I would like to add an important historical aspect of Amyand hernia, which you may find useful. Amyand was the first to describe the presence of perforated appendix within a hernial sac of a 11-year-old guy. [1] A 11-year-old boy, Hanvil Anderson, had a right inguinal hernia with fecal fistula. He successfully performed appendectomy and repaired the hernia on the 6 th of December, 1735. [2] After completion of the operation, he commented that It is easy to conceive that this operation was as painful to the patient as laborious to me. [2] This operation was not only the first to describe hernia containing vermiform appendix but also one of the earliest documented appendectomy in the literature. [3] Vermiform appendix can occasionally be found within the femoral hernia sac. The presence of appendix within the femoral hernia sac is referred as De Garengeot hernia. It was first described by the French surgeon René Jacques Croissent de Garengeot in 1731. [4] Losanoff described management of Amyand hernia in the adult. Losanoff type I (normal appendix within sac) should be managed by hernioplasty without appendectomy and Losanoff types II-IV (acute appendicitis within sac) require appendectomy followed by hernia repair without prosthesis. [5] In the pediatric patients, management of appendix is the same as described by Losanoff while management of hernia includes herniotomy.

 
   References Top

1.Singh K, Singh RR, Kaur S. Amyand's hernia. J Indian Assoc Pediatr Surg 2011;16:171-2.  Back to cited text no. 1
  Medknow Journal  
2.Yagnik V. Amyand hernia with appendicitis. Clin Pract 2011;1:e24.  Back to cited text no. 2
    
3.Amyand C. Of an inguinal rupture, with a pin in the appendix caeci incrusted with stone, and some observations on wound in the guts. Phil Trans R Soc Lond 1736;39:329-42.  Back to cited text no. 3
    
4.Komorowski AL, Moran Rodriguez J. Amyand's hernia. Historical perspective and current considerations. Acta Chir Belg 2009;109:563-4.  Back to cited text no. 4
[PUBMED]    
5.Losanoff JE, Basson MD. Amyand hernia: What lies beneath-a proposed classification scheme to determine management. Am Surg 2007;73:1288-90.  Back to cited text no. 5
[PUBMED]  [FULLTEXT]  



This article has been cited by
1 Amyand’s Hernia. A review
Adamantios Michalinos,Demetrios Moris,Spiridon Vernadakis
The American Journal of Surgery. 2013;
[Pubmed] | [DOI]
2 Left sided Amyandæs hernia with sliding component
Pun, A. and Khatri, R.
Journal of the Nepal Medical Association. 2013; 52(5): 285-287
[Pubmed]



 

Top
Print this article  Email this article

    

 
  Search
 
  
 
    Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
    Article in PDF (192 KB)
    Citation Manager
    Access Statistics
    Reader Comments
    Email Alert *
    Add to My List *
* Registration required (free)  


    References

 Article Access Statistics
    Viewed1137    
    Printed52    
    Emailed0    
    PDF Downloaded94    
    Comments [Add]    
    Cited by others 2    

Recommend this journal


Contact us | Sitemap | Advertise | What's New | Copyright and Disclaimer 

 © 2005 - Journal of Indian Association of Pediatric Surgeons | Published by Wolters Kluwer - Medknow 

Online since 1st May '05