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Dr. Abdelreheem Jammal

Dr. Abdelreheem Jammal

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الأسئلة المجابة 14621 | نسبة الرضا 99.1%

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there new classification of hernia by T1 T2 T3 and...

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there new classification of hernia by T1 T2 T3 and so on what about
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إجابة الخبير: Dr. Abdelreheem Jammal

Dr. Abdelreheem Jammal

Dr. Abdelreheem Jammal

Licensed Doctor

الأسئلة المجابة 14621 | نسبة الرضا 99.1%

Dear Customer
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There is no T classification for hernia
there is M classification of hernia
The abdomen was divided into a medial or midline zone and a lateral zone.
  • Medial or midline hernias
The borders of the midline area are defined as:
  • cranial: the xyphoid
  • caudal: the pubic bone
  • lateral: the lateral margin of the rectal sheath
Thus, all incisional hernias between the lateral margins of both rectus muscle sheaths are classified as midline hernias.
The Chevrel classification uses three midline zones. An easily memorable classification from M1 to M5 going from the xiphoid to pubic bone was proposed . Therefore, we define 5 M zones:
  • M1: subxiphoidal (from the xiphoid till 3 cm caudally)
  • M2: epigastric (from 3 cm below the xiphoid till 3 cm above the umbilicus)
  • M3: umbilical (from 3 cm above till 3 cm below the umbilicus)
  • M4: infraumbilical (from 3 cm below the umbilicus till 3 cm above the pubis)
  • M5: suprapubic (from pubic bone till 3 cm cranially).
Other classification for lateral hernias
Lateral hernias
The borders of the lateral area are defined as :
  • cranial: the costal margin
  • caudal: the inguinal region
  • medially: the lateral margin of the rectal sheath
  • laterally: the lumbar region.

Thus, four L zones on each side are defined as:

  • L1: subcostal (between the costal margin and a horizontal line 3 cm above the umbilicus)
  •  L2: flank (lateral to the rectal sheath in the area 3 cm above and below the umbilicus)
  • L3: iliac (between a horizontal line 3 cm below the umbilicus and the inguinal region)
  • L4: lumbar (latero-dorsal of the anterior axillary line)
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Dr. Abdelreheem Jammal

Dr. Abdelreheem Jammal

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الأسئلة المجابة 14621 | نسبة الرضا 99.1%

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