The following Nyhus classification of hernias is correct except for:

E. Indirect inguinal hernia with destruction of the transversalis fascia of Hesselbach's triangle—Type II.

DISCUSSION: An indirect inguinal hernia with destruction of the transversalis fascia of Hesselbach's triangle is classified as a Type IIIb hernia. Also classified as Type IIIb hernias are sliding, pantaloon, and massive scrotal hernias. Type II hernia is an indirect inguinal hernia with a dilated internal ring but without displacement of the inferior deep epigastric vessels or destruction of the transversalis fascia of Hesselbach's triangle.