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Journal of Indian Association of Pediatric Surgeons
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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
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/0971-9261.93978

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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 2022 Aug 8];17:88. Available from: https://www.jiaps.com/text.asp?2012/17/2/88/93978


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
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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
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

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1 Left-sided Amyand hernia: a rare presentation
Vipul D. Yagnik, Deepak Chauhan, Pankaj Garg, Sushil Dawka, Bhargav Yagnik, Dhaval Shah
ANZ Journal of Surgery. 2022;
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2 Re: Irreducible inguinal hernia and acute appendicitis: a case of Amyand's hernia
Vipul D. Yagnik, Pankaj Garg
ANZ Journal of Surgery. 2021; 91(4): 762
[Pubmed] | [DOI]
3 Left sided Amyandæs hernia with sliding component
Pun, A. and Khatri, R.
Journal of the Nepal Medical Association. 2013; 52(5): 285-287
4 Amyand’s Hernia. A review
Adamantios Michalinos,Demetrios Moris,Spiridon Vernadakis
The American Journal of Surgery. 2013;
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