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Surgery Research and Practice
Volume 2017, Article ID 7696385, 4 pages
https://doi.org/10.1155/2017/7696385
Clinical Study

Mesh Inguinal Hernia Repair and Appendectomy in the Treatment of Amyand’s Hernia with Non-Inflamed Appendices

1Okmeydani Education and Research Hospital, General Surgery Clinic, Darulaceze Str. No. 25, Sisli, Istanbul, Turkey
2Umraniye Education and Research Hospital, General Surgery Clinic, Adem Yavuz Str No. 1, Umraniye, Istanbul, Turkey
3Department of General Surgery, Faculty of Medicine, Bezmialem Vakif University, Vatan Str., Fatih, 34093 Istanbul, Turkey

Correspondence should be addressed to Mustafa Hasbahceci; moc.oohay@icechabsah

Received 19 October 2016; Accepted 29 December 2016; Published 17 January 2017

Academic Editor: Gregory Kouraklis

Copyright © 2017 Emin Kose et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Amyand’s hernia is defined as protrusion of the vermiform appendix in an inguinal hernia sac. It is a rare entity with variable clinical presentation from normal vermiform appendix to abscess formation due to perforation of acute appendicitis. Although surgical treatment includes appendectomy and hernia repair, appendectomy in the absence of an inflamed appendix and use of a mesh in cases of appendectomy remain to be controversial. The aim of this study was to review the experience of mesh inguinal hernia repair plus appendectomy performed for Amyand’s hernia with noninflamed appendices. There were five male patients with a mean age of 42.4 ± 16.1 years in this retrospective study in which Amyand’s hernia was treated with mesh inguinal hernia repair plus appendectomy for noninflamed appendices. Patients with acute appendicitis and perforated vermiform appendix were excluded. There were four right sided and one bilateral inguinal hernia. Postoperative courses were uneventful. During the follow-up period (14.0 ± 7.7 months), there was no inguinal hernia recurrence. Mesh inguinal hernia repair with appendectomy can be performed for Amyand’s hernia in the absence of acute appendicitis. However, presence of fibrous connections between the vermiform appendix and the surrounding hernia sac may be regarded as a parameter to perform appendectomy.