Amyand’s and De Garengeot’s hernias – rare combined urgent surgical pathology

Autor: S. V. Anikin, O. P. Kosytzin, N. A. Glotov, A. V. Zavaruev
Jazyk: ruština
Rok vydání: 2024
Předmět:
Zdroj: Вестник хирургии имени И.И. Грекова, Vol 182, Iss 4, Pp 71-76 (2024)
Druh dokumentu: article
ISSN: 0042-4625
DOI: 10.24884/0042-4625-2023-182-4-71-76
Popis: INTRODUCTION. The article describes the analysis of the Russian experience in the treatment of Amyand’s and De Garengeot’s hernias and the author’s observation of an extremely rare case of appendix incarceration in the right femoral hernia. The hybrid surgery was performed – open herniotomy for appendectomy of the distal part of the appendix and the laparoscopy to remove the remaining intraabdominal part of the appendix.The OBJECTIVE was to describe the treatment tactics for the Amyand’s and Garengeot’s hernias based on the analysis of data from the Russian literature and our own clinical experience.METHODS AND MATERIALS – review of the Russian literature and own clinical case.RESULTS. 22 cases of Amyand’s hernia and only one of Garengeot’s hernia cases in 14 articles was found. CONCLUSION. The terms «Amyand’s hernia» and “Garengeot’s hernia” mean the development of acute appendicitis in cases of the location of the appendix in the hernial sac in inguinal or femoral hernias, respectively, and are also valid in cases of incarceration of these hernias, the contents of which are a secondarily modified as a result of incarceration of the appendix. Urgent surgical interventions for Amyand’s and De Garengeot’s hernias could be performed by traditional, laparoscopic and hybrid methods, depending on the preoperative diagnosis and intraoperative features.
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