142 Amyand’s Hernia: An Extensive Review of History, Aetiopathogenesis, Symptomatology, and Management – Should We Scan, Scope & Snip?

Abstract Background Amyand’s hernia, first described by Claudius Amyand in 1735, continues to remain a diagnostic & therapeutic challenge. By definition includes inguinal herniae that contain the vermiform appendix. Aim This up-to-date review aims define and classify hernia suggest appropriate management options current era. shed light on value of pre-operative cross-sectional imaging use laparoscopic surgery provide one stop solution. Method Published English literature was reviewed (1735–2021), using PubMed Embase, combining MeSH terms “hernia”, “inguinal”, “appendix”, “Amyand”, “low dose CT” “laparoscopic herniotomy”. Most cited open access reviews, case series reports were chosen framework. A recent is with selected images (radiological, histology intra operative). Results Since original publication, there exists gulf this condition available British medical literature. Nearly 100,000 repairs are performed UK annually. If account for 1% these (according most stated estimate), should be thousand repaired annually alone. Unfortunately, nonstandard. Conclusions Computerized tomography (CT) allows diagnosis considered more often, even children. Laparoscopic appendicectomy combined herniotomy safe solution, experienced hands, paediatric patients.