Question

Repair done for direct inguinal hernia 

• A. Lichtenstein repair
• B. Bassini's repair
• C. Herniotomy
• D. All

Answer 1

The Correct Option is A

Direct inguinal hernias are a common type of groin hernia and involve the protrusion of abdominal contents through a weakness in the posterior wall of the inguinal canal. The primary goal of hernia repair is to reinforce this weakened area to prevent recurrence.

Lichtenstein repair: This is a tension-free mesh repair technique widely used for inguinal hernias. In this method, a mesh is placed over the area of defect and secured to the surrounding structures without placing tension on the tissues, which reduces recurrence rates and postoperative pain. It is suitable for both direct and indirect inguinal hernias.

Bassini's repair: A traditional tissue-based technique that involves suturing the conjoint tendon to the inguinal ligament to reinforce the inguinal canal's posterior wall. It was initially developed for direct inguinal hernias as well, but it places significant tension on the tissues, leading to higher recurrence compared to mesh-based repairs.

Herniotomy: Typically involves simple removal of the hernial sac and is commonly performed in children or in cases of uncomplicated indirect hernias where tissue strengthening is unnecessary.

For adult direct inguinal hernias, the most effective and widely recommended surgical approach is the Lichtenstein repair due to its low recurrence rates and less postoperative discomfort compared to older techniques like Bassini's repair. It utilizes a mesh to cover the defect, effectively preventing the hernia from recurring.