Chapter 35: Hernias- Inguinal Hernia Repairs

Question 1

Bassini

Answer 1

Sutures approximate reflection of inguinal ligament (Poupart’s) to the transversus abdominis aponeurosis/conjoint tendon

Question 2

McVay

Answer 2

Cooper’s ligament sutured to transversus abdominis aponeurosis/conjointtendon

Question 3

Lichtenstein

Answer 3

“Tension-free repair” using mesh

Question 4

Plug and patch

Answer 4

Placing a plug of mesh in hernia defect and then overlaying a patch of mesh over inguinal floor (requires few if any sutures in mesh!)

Question 5

High ligation

Answer 5

Ligation and transection of indirect hernia sac without repair of inguinal floor(used only in children)

Question 6

TAPP procedure

Answer 6

TransAbdominal PrePeritoneal inguinal hernia repair

Question 7

TEPA procedure

Answer 7

Totally ExtraPeritoneal Approach

Question 8

What are the indications for laparoscopic inguinal hernia repair?

Answer 8

1. Bilateral inguinal hernias
2. Recurring hernia
3. Need to resume full activity as soon as possible