The original Bassini repair of an inguinal hernia consists of approximating which structures in three layers to reconstruct the posterior wall of the inguinal canal?

• A External oblique aponeurosis to the pectineal ligament
• B Transversalis fascia, conjoint tendon and internal oblique to the inguinal ligament ✓
• C Conjoint tendon to the lacunar ligament only
• D Rectus sheath to the iliopubic tract across the femoral ring

Explanation

The Bassini repair sutures the triple layer of transversalis fascia, transversus abdominis and internal oblique (with the conjoint tendon) to the inguinal ligament, from the pubic tubercle up to beyond the deep ring, thereby reconstructing the canal floor. Option A describes a McVay-type concept directed to Cooper's ligament territory rather than the inguinal ligament. Bassini is a tissue (non-mesh) repair and has largely been superseded by tension-free mesh techniques because of higher recurrence rates.

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.