The original Bassini repair for inguinal hernia consists of approximating which structures to each other?
- A External oblique aponeurosis to the internal oblique muscle
- B Transversalis fascia to Cooper's ligament
- C Conjoint tendon to the inguinal ligament, behind the spermatic cord ✓
- D Ilioinguinal ligament to the lacunar ligament
Correct answer: C. Conjoint tendon to the inguinal ligament, behind the spermatic cord
Explanation
The Bassini repair sutures the conjoint tendon (transversus abdominis and internal oblique aponeuroses) to the inguinal ligament, reconstructing the posterior wall of the canal behind the cord, using non-absorbable interrupted sutures. Approximating transversalis fascia to Cooper's (pectineal) ligament defines the McVay repair, which is preferred when the inguinal ligament is weak or a femoral component exists. Options A and D do not correspond to any standard named repair.
Reference: Schwartz's Principles of Surgery, 11th ed.
High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP
Written and medically reviewed by the StethoPrep medical team.