In the original Bassini repair of an inguinal hernia, which structures are sutured together?

• A Transversalis fascia alone, doubled over itself
• B Internal oblique aponeurosis to the lacunar ligament only
• C Conjoint tendon and transversalis fascia to the inguinal ligament ✓
• D Mesh laid over the canal floor without suturing to the inguinal ligament

Explanation

The Bassini repair approximates the triple layer of transversalis fascia, transversus abdominis and internal oblique, together with the conjoint tendon, to the inguinal ligament using interrupted non-absorbable sutures, reconstructing the posterior wall of the canal. Option D describes a tension-free mesh technique such as Lichtenstein, and option A resembles a Shouldice-style multilayer transversalis closure rather than the classic Bassini.

Reference: Bailey and Love's Short Practice of Surgery, 27th ed.

High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP

Written and medically reviewed by the StethoPrep medical team.