Table 1 Four types of Amyand’s Hernia
Classification | Description | Surgical management |
|---|---|---|
Type 1 | Normal appendix with 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 |