The European Hernia Society (EHS) classification of inguinal hernias uses which anatomical system to categorize hernia type and size, replacing the older Nyhus classification for guiding mesh selection?
- A Medial (M), lateral (L), and femoral (F) regions with sizes 0, 1, 2, 3 ✓
- B Direct, indirect, and femoral with Hessert triangle dimensions
- C Richter, Maydl, Spigelian, and obturator types
- D Pontén classification based on fascial defect size alone
Correct answer: A. Medial (M), lateral (L), and femoral (F) regions with sizes 0, 1, 2, 3
Explanation
The EHS classification uses medial (M = direct), lateral (L = indirect), and femoral (F) regions, each graded by defect size: 0 = no palpable defect, 1 = ≤1.5 cm, 2 = 1.5-3 cm, 3 = >3 cm. This classification guides surgical decision-making—size 0 or 1 may be managed with plug/suture; larger defects require mesh. This standardized classification replaced older systems and allows audit and research comparability. Richter and Maydl describe specific contents of hernia sac, not anatomical classification systems.
Reference: Bailey & Love's Short Practice of Surgery, 27th ed.
High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP
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