Free practice question 17 of 20 · Hernia
An original single best answer question in the style of the FRCS (Gen Surg) Section 1 paper, with the answer and a referenced explanation. Pick an answer to reveal it, then rate how sure you were.
A fit 52-year-old woman has a symptomatic, reducible lump in the right groin. On examination it appears to be an inguinal hernia, and ultrasound reports a fat-containing groin hernia without specifying the type.
Which is the most appropriate repair?
Topic guide
Hernia: what the exam tests
Syllabus coverage, high-yield themes and the common traps.
Free article
The inguinal canal and groin hernia anatomy, open and laparoscopic
Groin anatomy for FRCS (Gen Surg): the walls and rings of the inguinal canal, direct, indirect and femoral hernias, the nerves at risk, and the laparoscopic triangles of doom and pain.
Interactive 3D
Inguinal canal & hernia anatomy
The left groin from the front with the abdominal wall opened in layers: the deep inguinal ring, the inguinal ligament with the femoral artery and vein passing beneath it into the thigh, the femoral canal medial to the vein, and the hip bone and femur for orientation.
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