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Table 1 Losanoff and Basson's classification of Amyand's hernia

From: Amyand’s hernia with appendicitis masquerading as Fournier’s gangrene: a case report and review of the literature

Losanoff and Basson classification [8] Description Surgical management
Type 1 Normal appendix within an inguinal hernia Hernia reduction, mesh repair, appendicectomy only in young patients
Type 2 Acute appendicitis within an inguinal hernia, no abdominal sepsis Appendicectomy through hernia, primary repair of hernia, no mesh
Type 3 Acute appendicitis within an inguinal hernia, abdominal wall, or peritoneal sepsis Laparotomy, appendicectomy, 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