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Lateral incisional hernia classification

Lateral incisional hernia classification
European Hernia Society classification of lateral abdominal wall hernias.
  • 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 (laterodorsal of the anterior axillary line)
Modified from: Muysoms FE, Miserez M, Berrevoet F, et al. Classification of primary and incisional abdominal wall hernias. Hernia 2009; 13:407.
Graphic 127927 Version 2.0