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