In the McVay (Cooper's ligament) repair of a groin hernia, the transversalis fascia and transversus aponeurosis are sutured to which structure?

• A Pectineal ligament ✓
• B Inguinal ligament
• C Lacunar ligament
• D Iliopectineal tract

Explanation

The McVay repair approximates the conjoint tendon to Cooper's pectineal ligament, which runs along the superior ramus of the pubis behind the inguinal ligament. Because it closes the femoral canal as well as the inguinal floor, it is traditionally chosen for femoral hernias and large direct hernias. Suturing to the inguinal ligament defines the Bassini and Shouldice repairs instead. The main drawback of McVay is increased tension, often requiring a relaxing incision in the rectus sheath.

Reference: Sabiston Textbook of Surgery, 21st ed.

High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP

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