A 45-year-old woman with a right femoral hernia undergoes McEvedy's approach repair. In this approach, the surgeon operates through which incision and anatomical space?

• A Inguinal incision, extraperitoneal approach reducing hernia from above
• B Transverse infrainguinal incision, Low approach through femoral canal from below
• C Vertical incision above the inguinal ligament, preperitoneal/extraperitoneal space ✓
• D Laparoscopic transabdominal preperitoneal (TAPP) approach

Explanation

McEvedy's approach for femoral hernia uses a vertical incision above the inguinal ligament (lateral to midline) providing access to the preperitoneal/extraperitoneal space, allowing reduction and repair from above — ideal in strangulated femoral hernias where bowel resection may be needed. The low (Lockwood) approach enters the femoral canal from below the inguinal ligament through a small infrainguinal incision. The Lotheissen approach uses the inguinal canal transinguinally. McEvedy's is preferred when strangulation is suspected as it provides best access to the peritoneal cavity.

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.