Asif Iqbal, Naeem Liaqat, Imdad Ahmed Zahid, Saqib Hassan, Arsalan Wasti, Sajid Hameed Dar, Fozia Bashir.
Amyand`s Hernia in Children; 10 Years Single Center Experience.
Esculapio J Services Inst Med Sci Jan ;15(1):30-3.

Aims: To determine the presenting features and management of patients having Amyand Hernia. Material and 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%). Conclusion: Treatment of AH is tailored according to presentation and most of the patients having inflamed appendix do not get complications if not excised.

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