Özet:

Objective Amyand's hernia is the presence of appendix in the hernia sac and is rarely seen. The diagnosis is mostly made incidentally during the operation performed due to the incarcerated inguinal hernia. It was aimed to present the experience about this rare pathology. Material and Method Analysis of 10 children with Amyand's hernia operated by a single pediatric surgeon between 2011 and 2017 was performed, retrospectively. Demographic features (age, gender), complaints, treatment methods, histopathological findings and postoperative results were evaluated. Results All patients were male. The average age was 12.02 months (17 days-8 years). All had a right inguinal hernia. Emergency surgery was performed in 4 of the patients with an initial diagnosis of incarcerated inguinal hernia. The remaining 6 patients were diagnosed incidentally during elective hernioplasty. While 9 patients were treated with conventional hernia repair, only one patient underwent laparoscopy. Surgical findings included 7 normal appendices ve 3 inflamed appendices. Of 3 patients with appendix adhered to the hernia sac, 2 has appendicitis and 1 has lymphoid hyperplasia. Appendectomy was performed during inguinal hernia repair in 4 patients and hernia repair was performed in 6 patients without appendectomy. Recurrent hernias were not observed in any patients. Conclusion Amyand's hernia should be kept in mind in the differential diagnosis of patients with right inguinal hernia. The inflammation status of appendix adhering to the hernia sac should be carefully evaluated for an appropriate treatment decision.

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