Incarcerated amyand hernia

Table 1 Losanoff and Basson classifications of Amyand’s hernia[19]

	Definition	Surgical management
Type 1	Normal appendix	Reduction, mesh hernioplasty
Type 2	Acute appendicitis No abdominal sepsis	Appendectomy through the hernia, hernioplasty with native tissues, no mesh
Type 3	Acute appendicitis Abdominal sepsis present	Appendectomy through laparatomy, hernioplasty with native tissues, no mesh
Type 4	Acute appendicitis within inguinal hernia Other abdominal pathology Related or unrelated	Manage as with types 1 to 3 hernia investigate or treat second pathology as appropriate