Amyand's Hernia In Children; 10 Years Single Center Experience

Abstract

Objective: To determine the presenting features and management of patients having Amyand
Hernia.
Methods: This retrospective study was conducted at Paediatric Surgery Department of
Services Hospital, Lahore. All the patients diagnosed as Amyand's hernia in last 10 years from
January, 2007 to December, 2016 were included in the study. Their file records were reviewed
and all the data was analyzed by simple descriptive statistics.
Results: During this period, a total of 3213 inguinal herniotomies were done. Of these, 27
patients had Amyand hernia and incidence was calculated as 0.8%. The mean age was found as
56.71 ± 44.24 months. Of these 27 patients, 25 patients (92.6%) were male and 2 patients (7.4%)
were females. Right side was involved in 25 patients (92.6%) while 2 patients (7.4%) had left side
involved. Per-operatively, normal appendix was found in 15 patients (55.5%), inflamed appendix
in 9 patients (33.3%) and perforated appendix in 3 patients (11.1%). Operative procedures
included high ligation herniotomy in 24 patients (88.9%) and high ligation herniotomy along with
appendectomy in 3 patients (11.1%).
Conclusions: Treatment of AH is tailored according to presentation and most of the patients
having inflamed appendix do not get complications if not excised