title: Amyand's hernia in elderly patients: diagnostic, anesthetic, and perioperative considerations.
abstract: The presence of a vermiform appendix in an inguinal hernia sac is termed as Amyand's hernia. Although rare, mistakes in diagnosis and treatment can cause catastrophic results. Charts of patients with inguinal hernia were reviewed, and four cases of Amyand's hernia were confirmed. The clinical presentation, anesthetic, and perioperative management of Amyand's hernia were further analyzed. The mean age of patients was over 70 years, and all were males. None of the patients were diagnosed preoperatively. All the patients had little abdominal complaint only with a right inguinal mass and dragging sensation for several hours. Due to the short time after incarceration and significant cardiovascular and pulmonary comorbidities, manual reduction was attempted first in three patients. With complete preoperative evaluation and careful perioperative support, all patients underwent appendectomy and Bassini's hernia repair through a groin incision. Based on age-related organ failure and associated chronic medical illnesses of geriatric patients, the difficulties in the diagnosis and treatment are also summarized and analyzed.
authors.affiliation: Department of Surgery, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200025, China.
authors.forename: Weiping
authors.initials: W
authors.lastname: Yang
authors.forename: Zongyuan
authors.initials: Z
authors.lastname: Tao
authors.forename: Hao
authors.initials: H
authors.lastname: Chen
authors.forename: Qinyu
authors.initials: Q
authors.lastname: Li
authors.forename: Peiguo G
authors.initials: PG
authors.lastname: Chu
authors.forename: Yun
authors.initials: Y
authors.lastname: Yen
authors.forename: Weihua
authors.initials: W
authors.lastname: Qiu
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D000768:Anesthesia, General; D001062:Appendectomy / Q000379:methods; D001065:Appendix / Q000601:surgery*; D006119:Groin / Q000601:surgery; D006552:Hernia, Inguinal / Q000175:diagnosis* / Q000601:surgery*; D006801:Humans; D008297:Male; D019990:Perioperative Care; D012189:Retrospective Studies