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伴有滑动成分的艾米安德疝:病例报告

Amyand's Hernia With Sliding Component: A Case Report.

作者信息

Khan Imran Ali, Dahmiwal Tushar, Zade Anup, Tote Darshana, Thatipalli Nikhil, Sudabattula Kesav, Reddyy Srinivasa, Bhadra Shailab

机构信息

General Surgery, Jawaharlal Nehru Medical College, Wardha, IND.

出版信息

Cureus. 2024 Mar 23;16(3):e56761. doi: 10.7759/cureus.56761. eCollection 2024 Mar.

Abstract

Amyand's hernia (AH) occurs when the appendix becomes part of an inguinal hernia. Amyand's hernias are typically discovered incidentally during surgery due to their variable clinical manifestations and features, such as caecum and appendix forming the sliding component in the present case. Claudius Amyand operated it for the first time in 1735. Due to the simple presentations that these patients typically exhibit, the diagnosis is extremely challenging. The choice between surgical modalities is influenced by the numerous, logically accepted advantages and disadvantages of management modalities, which are subject to debate. That being said, we believe that, in the absence of sepsis or inflammation, open repair using mesh - as long as a clean operating room and competent surgical skill are available - should be the gold standard approach.

摘要

艾米安德疝(AH)是指阑尾成为腹股沟疝的一部分时发生的情况。由于其临床表现和特征各异,如在本病例中盲肠和阑尾形成滑动成分,艾米安德疝通常在手术中偶然发现。克劳迪乌斯·艾米安德于1735年首次对其进行手术。由于这些患者通常表现出的症状简单,诊断极具挑战性。手术方式的选择受到多种管理方式的优缺点的影响,这些优缺点在逻辑上是被认可的,但仍存在争议。话虽如此,我们认为,在没有脓毒症或炎症的情况下,只要有清洁的手术室和熟练的手术技巧,使用补片进行开放修复应该是金标准方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/845b/11033966/a553c7023a50/cureus-0016-00000056761-i01.jpg

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