Amyand's Hernia Concomitant with Appendicitis Treated with Laparoscopic Appendectomy and Hernia Repair Through an Anterior Approach Simultaneously—Two Case Reports—

Abstract

Amyand's hernia is a rare type of inguinal hernia containing the vermiform appendix. Its treatment strategies vary regarding timing of surgery (emergency or elective), surgical procedure (anterior or laparoscopic approach), and whether performing appendectomy and using mesh. Herein, we describe two cases of Amyand's hernia treated with laparoscopic appendectomy and hernia repair through an anterior approach simultaneously with a literature review of previous cases in Japan. Case 1 ; a 48-year-old man diagnosed with Amyand's hernia by computed tomography (CT). Although it was concomitant with acute appendicitis, we considered that simultaneous use of mesh could be possible by changing the approach of appendectomy and hernia repair. As emergency surgeries, we performed laparoscopic appendectomy and hernia repair through an anterior approach. Case 2 ; a 69-year-old man diagnosed with Amyand's hernia concomitant with acute appendicitis by CT. As he had a history of surgery for right inguinal hernia and conservative treatment for appendicitis, laparoscopic appendectomy and hernia repair through an anterior approach were performed as elective surgeries after conservative treatment for appendicitis. Postoperative course was uneventful in both of cases.