Surgery · Hernia (Inguinal, Femoral, Types, Repair)

The European Hernia Society (EHS) classification of inguinal hernias uses the letter 'L' for lateral, 'M' for medial, and 'F' for femoral, each graded 0–3 by defect size. A grade 2 defect measures:

  • A Less than 1.5 cm
  • B More than 3 cm
  • C 1.5–3 cm
  • D Any size with scrotal extension
Correct answer: C. 1.5–3 cm

Explanation

EHS grading: Grade 0 — no hernia; Grade 1 — defect <1.5 cm (one finger breadth); Grade 2 — defect 1.5–3 cm (two finger breadths); Grade 3 — defect >3 cm (three or more finger breadths). This sizing guides mesh dimensions and repair technique choice. The classification applies separately to L, M, and F components, enabling standardised reporting of complex hernias.

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

High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP

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