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Table 1 Classification systems for Amyand’s hernia [6]

From: Simultaneous laparoscopic total extraperitoneal inguinal hernia repair and laparoscopic appendectomy for Amyand’s hernia: a case report

Types

Salient features

Surgical management

Type 1

Normal appendix

Reduction or appendectomy(depending on age), mesh hemioplasty

Type 2

Acute appendicitis localized in the sac

Appendectomy through hernia, endogenous repair

Type 3

Acute appendicitis, peritonitis

Appendectomy through laparotomy, endogenous repair

Type 4

Acute appendicitis, other abdominal pathology

Appendectomy, diagnostic workup and other procedures as appropriate