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Table 1 Classification of Amyand's hernias after Losanoff and Basson [4, 5]

From: Amyand's hernia-a vermiform appendix presenting in an inguinal hernia: a case series

Classification

Description

Surgical Management

Type 1

Normal appendix within an inguinal hernia

Hernia reduction, mesh repair, appendectomy in young patients

Type 2

Acute appendicitis within an inguinal hernia, no abdominal sepsis

Appendectomy through hernia, primary endogenous repair of hernia, no mesh

Type 3

Acute appendicitis within an inguinal hernia, abdominal wall or peritoneal sepsis

Laparotomy, appendectomy, primary repair of hernia, no mesh

Type 4

Acute appendicitis within an inguinal hernia, related or unrelated abdominal pathology

Manage as types 1 to 3 hernia, investigate or treat second pathology as appropriate