TY - JOUR
T1 - Amyand's hernia in elderly patients
T2 - Diagnostic, anesthetic, and perioperative considerations
AU - Yang, Weiping
AU - Tao, Zongyuan
AU - Chen, Hao
AU - Li, Qinyu
AU - Chu, Peiguo G.
AU - Yen, Yun
AU - Qiu, Weihua
N1 - Funding Information:
Received November 26, 2008; accepted February 10, 2009. Address correspondence to Weihua Qiu, MD, PhD, Department of Surgery, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai Institute of Digestive Surgery, No. 197, Ruijin Er Rd., Shanghai, China 200025. E-mail: drqwh2003@yahoo.com This study was supported by Nature Science Foundation of China (30872511, 30500493) and Shanghai Science and Technology Commission Grant (08QA14047).
PY - 2009
Y1 - 2009
N2 - The presence of a vermiform appendix in an inguinal hernia sac is termed as Amyand's hernia. Although rare, mistakes in diagnosis and treatment can cause catastrophic results. Charts of patients with inguinal hernia were reviewed, and four cases of Amyand's hernia were confirmed. The clinical presentation, anesthetic, and perioperative management of Amyand's hernia were further analyzed. The mean age of patients was over 70 years, and all were males. None of the patients were diagnosed preoperatively. All the patients had little abdominal complaint only with a right inguinal mass and dragging sensation for several hours. Due to the short time after incarceration and significant cardiovascular and pulmonary comorbidities, manual reduction was attempted first in three patients. With complete preoperative evaluation and careful perioperative support, all patients underwent appendectomy and Bassini's hernia repair through a groin incision. Based on age-related organ failure and associated chronic medical illnesses of geriatric patients, the difficulties in the diagnosis and treatment are also summarized and analyzed.
AB - The presence of a vermiform appendix in an inguinal hernia sac is termed as Amyand's hernia. Although rare, mistakes in diagnosis and treatment can cause catastrophic results. Charts of patients with inguinal hernia were reviewed, and four cases of Amyand's hernia were confirmed. The clinical presentation, anesthetic, and perioperative management of Amyand's hernia were further analyzed. The mean age of patients was over 70 years, and all were males. None of the patients were diagnosed preoperatively. All the patients had little abdominal complaint only with a right inguinal mass and dragging sensation for several hours. Due to the short time after incarceration and significant cardiovascular and pulmonary comorbidities, manual reduction was attempted first in three patients. With complete preoperative evaluation and careful perioperative support, all patients underwent appendectomy and Bassini's hernia repair through a groin incision. Based on age-related organ failure and associated chronic medical illnesses of geriatric patients, the difficulties in the diagnosis and treatment are also summarized and analyzed.
KW - Amyand's hernia
KW - Appendicitis
KW - Inguinal hernia
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U2 - 10.3109/08941930903410809
DO - 10.3109/08941930903410809
M3 - Article
C2 - 20001812
AN - SCOPUS:72949105359
SN - 0894-1939
VL - 22
SP - 426
EP - 429
JO - Journal of Investigative Surgery
JF - Journal of Investigative Surgery
IS - 6
ER -