Inguinal hernia with vermiform appendix as content is known as Amyand's hernia. It is a rare entity but we encountered four cases within six months. A 52-year-old female had high grade fever and evidence of inflammatory pathology involving the ileocaecal region. She was initially managed conservatively and subsequently underwent exploratory laparatomy. The appendix was perforated and herniating...

The protrusion of adipose tissue, peritoneal sac or abdominal viscera in the anterolateral region abdomen can configure so-called Spigelian hernia. A 53-year-old patient with comorbidities is admitted for reoperation Spiegel's Aging and presence obesity, multiparity previous surgery may have predisposed appearance this type For recurrence, obesity been a contributing factor, although factors re...

A 65-year-old man presented in Beira Central Hospital, Mozambique, with a right scrotal mass (diameter 80 x 80 cm), evolved over 15 years. The patient could barely move, and his weight at admission was 142 kg (Fig 1A and 1B). History of previous diseases was unremarkable, his general condition was good, and he had normal vital parameters. Physical examination showed wrinkled and thickened scrot...

introduction amyand’s hernia – the presence of appendix within an inguinal hernia sac poses a diagnostic and therapeutic challenge in the acute setting. case presentation we report the case of a female patient on long-term corticosteroid therapy that was found at laparoscopy to have an inflamed appendix incarcerated within a right inguinal hernia. a 62-year-old caucasian female presented with a...

Herniorrhaphy, which is the surgical repair of a hernia, is one of the commonest procedures performed by general surgeons, with over 40,000 hernia operations performed annually in Australia. Approximately 75 percent of abdominal hernias are inguinal and these may contain omentum, bowel and rarely the appendix. The presence of the vermiform appendix, whether inflamed or not, inside the hernia sa...

AIM To study the utility of single-incision totally extraperitoneal inguinal hernia repair with intraperitoneal inspection. METHODS A 2 cm transverse skin incision was made in the umbilicus, extending to the intraperitoneal cavity. Carbon dioxide was insufflated followed by insertion of laparoscope to observe the intraperitoneal cavity. The type of hernia was diagnosed and whether there was t...

BACKGROUND Caudal bupivacaine is widely used for inguinal hernia repair in children, but often cannot totally eliminate responses to hernial sac traction. The current study examined whether supplementation of caudal bupivacaine with dexmedetomidine could achieve better results. METHODS Sixty children aged 12-72 months undergoing unilateral inguinal hernia repair received standardized premedic...

The aim of this report is to assess clinical findings and surgical treatment of left paraduodenal hernia, which is an unusual type of internal herniation, in light of the literature. The diagnosis and treatment course of a 42-year-old male patient with findings of intestinal obstruction was assessed and presented together with literature search. The patient underwent surgery with a preliminary ...

Introduction. De Garengeot first described a femoral hernia containing the appendix in 1731. Appendicitis occurring in this rare clinical setting represents a challenge in diagnosis and management. Case Presentation. We present the case of a 71-year-old male with a three-day history of a nontender inguinal mass. Computed tomography (CT) suggested a femoral hernia. Intraoperatively, the hernia s...

PURPOSE Inguinal hernia is one of the most common surgical pathologies in childhood. Any of the abdominal organs can slide into the hernial sac and become incarcerated there. In girls, the fallopian tubes, ovaries, uterus, and-rarely-ovarian cysts can form the sliding component of an inguinal hernia. The aim of this study was to investigate the diagnostic value of preoperative sonographic exami...