In the original Bassini repair of an inguinal hernia, which structures are approximated to reconstruct the posterior wall of the inguinal canal?

• A Internal oblique muscle to the pubic tubercle
• B Conjoint tendon and transversalis fascia to the inguinal ligament ✓
• C Transversalis fascia to Cooper's ligament behind the lacunar ligament
• D External oblique aponeurosis to the pectineal ligament

Explanation

Bassini's operation is a tissue (non-mesh) repair in which the triple layer of transversalis fascia, transversus abdominis and internal oblique, together with the conjoint tendon, is sutured to the inguinal ligament from the pubic tubercle to the deep ring, followed by closure of the external oblique. Option C describes the McVay repair, which uses Cooper's ligament. Options A and D name attachments that form no part of any standard posterior wall reconstruction.

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.