Surgery · Hernia (Inguinal, Femoral, Types, Repair)

Which structure forms the posterior wall of the inguinal canal and is the primary site of repair in the Bassini technique?

  • A Inguinal ligament
  • B External oblique aponeurosis
  • C Transversalis fascia and conjoint tendon approximated to the inguinal ligament
  • D Rectus abdominis muscle
Correct answer: C. Transversalis fascia and conjoint tendon approximated to the inguinal ligament

Explanation

The Bassini repair reconstructs the posterior wall of the inguinal canal by suturing the conjoint tendon (internal oblique and transversus abdominis aponeurosis) to the inguinal ligament (Poupart's ligament) from the pubic tubercle to the deep ring. This creates a new reinforced posterior wall. The external oblique forms the anterior wall, not the posterior wall.

Reference: Bailey and Love's Short Practice of Surgery, 28th ed.

High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP

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