The EUHERNIA classification grades primary unilateral inguinal hernias for standardizing repair choice. In EuraHS classification, what factor primarily determines the grade (1-3) of an inguinal hernia?

• A Body mass index of the patient
• B The type (indirect vs. direct vs. femoral) and the diameter of the hernia defect ✓
• C The ASA fitness grade of the patient
• D Whether the hernia is symptomatic or asymptomatic

Explanation

The EuraHS (European Hernia Society) classification of inguinal hernias categorizes by location (lateral/indirect, medial/direct, femoral) and defect size (<1.5 cm, 1.5-3 cm, >3 cm) to guide repair choice and facilitate outcome comparisons. Grade 1 hernias (small, often indirect) may be suitable for open non-mesh repair in children or young adults; larger defects require mesh. This standardized classification enables comparison of outcomes between studies and assists in selecting open versus laparoscopic approach. It also accounts for whether the hernia is recurrent or bilateral, which influences the choice of repair technique.

Reference: Bailey & Love's Short Practice of Surgery, 27th ed.

High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP

Written and medically reviewed by the StethoPrep medical team.