|
TYPE |
SUBTYPE |
DESCRIPTION |
GHC |
EHS | ||||||
|
I |
|
SINGLE INGUINAL INDIRECT |
H |
L | ||||||
|
II |
|
SINGLE INGUINAL DIRECT |
L |
M | ||||||
|
III |
A(1) = Indirect + Direct B(2) = Direct + Indirect C(3) = Femoral and/or > 2 |
MULTIPLE MIXED INGUINAL FEMORAL |
M |
- | ||||||
|
IV |
|
FEMORAL |
F |
F | ||||||
|
V |
A(1) = High B(2) = Low C(3) = Total D(4) = Multiple |
RECURRENT INGUINAL FEMORAL |
R |
R | ||||||
|
VI |
ABDOMINAL |
A |
||||||||
|
U |
UMBILICAL |
|
| |||||||
|
|
E |
EPIGASTRIC |
|
| ||||||
|
|
S |
SPIGELIAN |
|
| ||||||
|
|
D |
DIASTASIS |
||||||||
|
VII |
INCISIONAL |
I |
The need to change the classification of the European Hernia Society is based on the need of having to classify multiple and mixed hernias. For this reason we have changed the letters M (Medial) and L (Lateral) with the letters H (High) and L (Low) to introduce the new letter M (Mixed).
It is important to classify the inguinal hernias with this method because the operative strategy changes: in particular the treatment of the transversalis fascia can change with techniques "pure tissue".
It is important to classify the external oblique hernias regarding the dimensions. The direct hernias regarding the localizations. The hernia opening and the extension of the defect are important factors. In multiple hernias, when the defect is mostly indirect, the direct defect is small and vice versa.
Simple Inguino-Femoral Hernia Classification
H123 L123 M123 F
Recurrent Hernia Classification
(GHC 2010)
R1234
EHS INGUINO-FEMORAL CLASSIFICATION
Dear collegue if you have some suggestions to modify our hernia classification you are welcome, please email me to this address: guarnieri.hernia.center@gmail.com