Search

PURPOSE: Amyands hernia is a rare hernia defined as an inguinal hernia that contains the appendix within the hernia sac. Current treatment of Amyands hernia remains controversial. Our study retrospectively reviewed 6 cases of Amyands hernia, aiming to provide a reference for the surgical treatment of Amyands hernia. METHODS: Six patients diagnosed with Amyands hernia from September 2010 to May 2020 were retrospectively enrolled in our study. We summarized clinical data of six patients including the chief complaint, physical examinations, laboratory examinations, imaging examinations, surgical methods, and postoperative treatments and outcomes. RESULTS: The diagnosis of six cases with Amyands hernia was made during surgery. Two patients had normal appendixes whereas the remaining four patients had appendicitis. Two patients with normal appendix received tension-free mesh repair through the inguinal incision. Among those with inflamed or perforated appendixes, two received mesh repair and the other two did not. The discharge time after surgery of six patients was 9.8 ± 6.1 days. One patient suffered from a wound infection. No additional postoperative complications were detected. CONCLUSIONS: Computed tomography and ultrasonography are helpful but limited in the definite diagnosis of Amyands hernia. The presence of a normal appendix does not require to be resected, but appendicectomy is necessary if the appendix is inflamed. The treatment of Amyands hernia should be tailored based on the patients condition and the type of Amyands hernia.

A coffee-certified reference material (CRM) for ochratoxin A, B, and C (OTA, OTB, and OTC) was created to improve the precision and reliability of these toxins. A collection of 100 bottles (each containing 10 g) of the CRM candidate for OTA, OTB, and OTC was produced by applying a mixed standard solution of OTA, OTB, and OTC to moderately roasted beans that subsequently ground and homogenized. Moreover, considering the intricate matrix interference in coffee, a rapid and sensitive method for OTA, OTB, and OTC in coffee was developed with minimal matrix effects. This approach employed liquid chromatography–tandem mass spectrometry and mixed purification materials (C18 and hydroxylated multi-walled carbon nanotubes (MWCNTs), OH-MWCNTs) for the analysis. Based on the standards GB/T 15000.3-2008/ISO Guide 35: 2017, the CRM demonstrated robust uniformity and stability when stored for 14 d at 4, 20, and 40 °C, and 12 months at −20 °C. Eight laboratories were employed to characterize the CRM. The certified values for OTA, OTB, and OTC in coffee were established to be 15.2 ± 0.4, 12.8 ± 0.4, and 3.4 ± 0.1 μg/kg (with a coverage factor k = 2, representing an approximate 95% confidence interval). [ABSTRACT FROM AUTHOR]