Bassini Inguinal Hernia Repair

This classic procedure introduced in 1887 at the italian society of surgery in genoa revolutionized hernia repair. This is usually performed by imbrication. Types of hernia repair bassini.

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Until recently it has been the standard of repair.

Bassini inguinal hernia repair. The first efficient inguinal hernia repair was described by edoardo bassini in the 1880s. Inguinal hernias are the commonest of all hernias surgery is the definitive treatment and hernia repair is the most commonly performed general surgical procedure in clinical practice. He first performed his operation in 1884 and published his initial outcomes in 1889. Inguinal hernia modified bassini s repair lichtenstein mesh repair.

The essence of the bassini repair is apposition of the transversus abdominis transversalis fascia and lateral rectus sheath to the inguinal ligament. This rate of recurrence was unheard of at the time and marked a. 10 what is a bassini repair. The floor of the inguinal canal hasselbach s triangle is tightened by sewing the transversalis and internal oblique fascia conjoined tendon to the inguinal ligament poupart s ligament.

The bassini and shouldice repairs are examples of herniorrhaphy. 2 bassini reported 100 follow up of patients over a 5 year period with only five recurrences in over 250 patients. Bassini revolutionized the surgical repair of the groin hernia with his novel anatomical dissection and low recurrence rates. The bassini repair sutures together the conjoined tendon and the shelving edge of the inguinal ligament up to the internal ring fig.

Like the bassini repair the floor of the. Herniorrhaphy herniotomy plus repair of the posterior wall of the inguinal canal this may be suitable for a small hernia in a young adult with good abdominal wall musculature. After reduction of the hernia the sac is twisted ligated and cut off then a new inguinal floor is made by uniting the edge of the internal oblique muscle to the inguinal ligament placing the cord on this and covering it with the external oblique muscle. Other open non mesh techniques.

The shouldice technique was itself an evolution of prior techniques. In the bassini technique the conjoint tendon formed by the distal ends of the transversus abdominis and internal oblique muscles is approximated to the inguinal ligament and closed. The bassini technique for inguinal hernia repair involves suturing the transversalis fascia and the conjoined tendon to the inguinal ligament behind the spermatic cord with monofilament. Bassini herniorrhaphy bă sē nē a herniorrhaphy for an indirect inguinal hernia repair.

The history of hernia is as old as the history of surgery.