caa a22 4500 606247106 CHVBK 20210128101343.0 cr unu---uuuuu 210128e20151201xx s 000 0 eng 10.1007/s12262-013-0806-7 doi (NATIONALLICENCE)springer-10.1007/s12262-013-0806-7 "Uncommon Contents of Inguinal Hernial Sac”: A Surgical Dilemma [Elektronische Daten] [Sunder Goyal, Madhuri Shrivastva, R. Verma, Snigdha Goyal] Inguinal hernia repair is the most common surgery done by both young and experienced surgeons. The hernia in the inguinal region usually contains the omentum and small intestine but rarely can contain unusual contents like the appendix, ovary with fallopian tubes, urinary bladder, sigmoid colon, and cecum. The aim of this study is to present our experience of uncommon contents in the inguinal hernia sac and their surgical management. A retrospective study of 330 patients who underwent inguinal hernia repair was carried out over a period of 3years from January 2008 to December 2011. Only five patients presented with unusual contents in the inguinal hernia sac; an incidence of 1.5%. Two of them had vermiform appendix, with acute appendicitis (Amyand's hernia) noted in one of them. The patient with acute appendicitis underwent appendicectomy with herniorrhaphy, while in the other, hernioplasty with mesh was done as the patient was with normal appendix. In one case, the urinary bladder was the content of the inguinal hernia sac and there were two cases with the ovary and fallopian tubes as its content. In all these cases, contents were replaced back and hernia repair was done. Unusual contents of the hernial sac may create a surgical dilemma (whether to save or sacrifice the organ) during hernia repair even to an experienced surgeon. Association of Surgeons of India, 2013 Inguinal hernia nationallicence Amyand's hernia nationallicence Appendix nationallicence Ovary nationallicence Goyal Sunder Department of Surgery, Muzaffarnagar Medical College, Delhi-Dehradun Highway, Muzaffarnagar, Uttar Pradesh, India aut Shrivastva Madhuri Department of Gynaecology and Obstetrics, Shri Guru Ram Rai Institute of Medical and Health Sciences, Patel Nagar, Dehradun, India aut Verma R. Department of Surgery, Muzaffarnagar Medical College, Delhi-Dehradun Highway, Muzaffarnagar, Uttar Pradesh, India aut Goyal Snigdha Department of Pathology, Dr. Ram Manohar Lohia Postgraduate Institute of Medical Sciences, New Delhi, India aut Indian Journal of Surgery Springer India 77(2015-12-01), 305-309 0972-2068 77<305 2015 77 12262 https://doi.org/10.1007/s12262-013-0806-7 text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s12262-013-0806-7 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Goyal Sunder Department of Surgery, Muzaffarnagar Medical College, Delhi-Dehradun Highway, Muzaffarnagar, Uttar Pradesh, India aut NATIONALLICENCE 700 1- Shrivastva Madhuri Department of Gynaecology and Obstetrics, Shri Guru Ram Rai Institute of Medical and Health Sciences, Patel Nagar, Dehradun, India aut NATIONALLICENCE 700 1- Verma R. Department of Surgery, Muzaffarnagar Medical College, Delhi-Dehradun Highway, Muzaffarnagar, Uttar Pradesh, India aut NATIONALLICENCE 700 1- Goyal Snigdha Department of Pathology, Dr. Ram Manohar Lohia Postgraduate Institute of Medical Sciences, New Delhi, India aut NATIONALLICENCE 773 0- Indian Journal of Surgery Springer India 77(2015-12-01), 305-309 0972-2068 77<305 2015 77 12262