Journal of Indian Association of Pediatric Surgeons
Journal of Indian Association of Pediatric Surgeons
                                                   Official journal of the Indian Association of Pediatric Surgeons                           
Year : 2012  |  Volume : 17  |  Issue : 2  |  Page : 88-

Amyand's hernia


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

Correspondence Address:
Vipul D Yagnik
77, Siddhraj Nagar, Rajmahal Road, Patan - 384 265, Gujarat
India




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


How to cite this URL:
Yagnik VD. Amyand's hernia. J Indian Assoc Pediatr Surg [serial online] 2012 [cited 2019 Sep 20 ];17:88-88
Available from: http://www.jiaps.com/text.asp?2012/17/2/88/93978


Full Text

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

1Singh K, Singh RR, Kaur S. Amyand's hernia. J Indian Assoc Pediatr Surg 2011;16:171-2.
2Yagnik V. Amyand hernia with appendicitis. Clin Pract 2011;1:e24.
3Amyand 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.
4Komorowski AL, Moran Rodriguez J. Amyand's hernia. Historical perspective and current considerations. Acta Chir Belg 2009;109:563-4.
5Losanoff JE, Basson MD. Amyand hernia: What lies beneath-a proposed classification scheme to determine management. Am Surg 2007;73:1288-90.