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Table 1 Losanoff and Basson classification of Amyand’s hernia with their surgical management

From: A case report of Amyand hernia—radiological diagnosis and literature review

Classification

Description

Surgical management

Type 1

Normal appendix in an inguinal hernia

Hernia reduction, mesh repair

Type 2

Acute appendicitis in an inguinal hernia, without abdominal sepsis

Appendectomy, primary repair of hernia without mesh

Type 3

Acute appendicitis in an inguinal hernia, with abdominal wall or peritoneal sepsis

Laparotomy, appendectomy, primary repair without mesh

Type 4

Acute appendicitis in an inguinal hernia, with abdominal pathology

Manage as type 1–3, investigate pathology as needed