Table 2 Amyand hernia classification after Rikki modification
From: A case of Amyand hernia at the Central Hospital of Yaounde and review of the literature
Classification | Description | Management |
|---|---|---|
Type 1 | Normal appendix in an inguinal hernia | Hernia reduction and mesh replacement |
Type 2 | Acute appendicitis in inguinal hernia without abdominal sepsis | Appendectomy, primary hernia repair without prosthesis |
Type 3 | Acute appendicitis in an inguinal hernia with sepsis of the abdominal and/or peritoneal wall | Laparotomy and appendectomy, primary hernia repair without prosthesis |
Type 4 | Acute appendicitis in inguinal hernia with concomitant abdominal disease | Same as type 3 plus concomitant disease management |
Type 5a | Normal appendix in an incisional hernia | Hernia reduction, primary hernia repair including mesh replacement |
Type 5b | Acute appendicitis in incisional hernia without peritonitis | Hernia appendectomy, primary closure of fascial space, no prosthetic hernia repair |
Type 5c | Acute appendicitis within an incisional hernia with peritonitis or sepsis of the abdominal wall or in relation to a previous surgical procedure | Same as type 4 |