Which open inguinal hernia repair involves suturing the transversalis fascia and conjoint tendon to Cooper's (pectineal) ligament, and is particularly suited when a coexisting femoral hernia must be addressed?

• A Bassini repair
• B Desarda repair
• C Halsted repair
• D McVay repair ✓

Explanation

The McVay (Cooper's ligament) repair approximates the transversus aponeurotic arch and conjoint tendon to Cooper's ligament behind the inguinal ligament. Because Cooper's ligament lines the femoral canal, this repair simultaneously narrows the femoral ring, making it the classic choice when a femoral component coexists. The Bassini and Halsted repairs anchor tissues to the inguinal ligament and do not address the femoral canal, and a relaxing incision in the rectus sheath is typically needed to reduce tension.

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.