Table 1 Types of Amyand hernias and their management [4]
Classification | Description | Surgical management |
|---|---|---|
Type 1 | Normal appendix within an inguinal hernia | Hernia reduction, mesh repairs, appendectomy in young patients |
Type 2 | Acute appendicitis within hernia, no abdominal sepsis | Appendectomy through hernia primary 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 type 1 to 3 hernia investigate or treat second condition as appropriate |