Types | Description | Management |
Type 1 | Normal appendix within hernia sac | Hernioplasty (Mesh repair) without appendicectomy |
Type 2 | Acute appendicitis within the Hernia sac, no abdominal sepsis | Appendicectomy and repair of hernia without mesh (herniorrhaphy) |
Type 3 | Acute appendicitis within the hernia sac with abdominal sepsis | Laparotomy and proceed to appendicectomy and primary repair of hernia without mesh |
Type 4 | Acute appendicitis within the hernia sac, related or unrelated abdominal pathology | Manage as types above, investigate treat secondary pathology as appropriate |