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