Peer-reviewed veterinary case report
Safety and outcomes of mesh versus suture repair for Amyand's hernia
By Gerasopoulos G et al.·2025·Medical School·View original on Europe PMC →
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Original publication title: To mesh or not to mesh? Comparing safety, efficacy and outcomes of mesh and suture repair for Amyand's hernia: a systematic review.
Plain-English summary
Amyand's hernia is a rare type of hernia where the appendix is found inside the hernia sac. This study looked at two ways to repair this condition: using a mesh material or traditional stitches. They reviewed 12 studies involving 123 patients and found that those who had the mesh repair had fewer cases of appendicitis and lower rates of surgical site infections compared to those who had stitches. However, patients with mesh repairs tended to stay in the hospital a bit longer than those with stitches. Overall, the findings suggest that mesh repairs are generally safer and more effective for cases without appendix inflammation.
Abstract
<h4>Introduction</h4>Amyand's hernia (AH) is a relatively rare type of inguinal hernia, characterized by the presence of the appendix inside the hernia sac. The aim of this study is to examine the role of prosthetic mesh in AH repair compared to the traditional suture repair techniques regarding safety, efficacy and various postoperative complications.<h4>Evidence acquisition</h4>A systematic review of MEDLINE via PubMed, Scopus and Google Scholar was performed, aligned with the PRISMA guidelines. All studies in English language reporting AH repair using mesh or suture techniques in adults including more than 5 patients were included.<h4>Evidence synthesis</h4>Twelve studies reported a total of 123 patients with AH, 58 of which were repaired using prosthetic mesh and 71 with traditional suture techniques. The overall presence of an inflamed appendix was 58.5%. Appendicitis was present in 12.7% of the mesh repair group compared to a 95.5% of the suture repair group. Surgical site infections (SSIs) were 3.4% of all complications in the mesh group compared to 6.8% in the suture repair group. Extended hospital stay of more than 10 days was observed in 12.7 in the mesh group compared to 7.3% of the suture repair group.<h4>Conclusions</h4>The most technically challenging cases with septic conditions are appropriate for suture repair only, while mesh repair is usually performed in AH cases without appendix inflammation and is more commonly used in conjunction with appendix reduction into the abdominal cavity rather than appendicectomy.
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Search related cases →Original publication on Europe PMC: https://europepmc.org/article/MED/41182113