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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