Strangulated Inguinal Hernia Containing Caecum and Inflamed Appendix: Two Case Reports and Review of the Literature to Guide Management

Most Amyand hernias are diagnosed during the treatment of a complicated hernia. There are no specific signs, hence the importance of systematically opening the hernia sac when treating a complicated hernia. During surgery, the surgeon must choose an appropriate technique based on the risk of infection and perform a routine appendectomy, followed by an examination of the surgical specimen. The role of hernioplasty according to the Desarda procedure could be evaluated for this indication. The Losanoff-Basson classification should be constantly updated as treatment procedures and available resources evolve.