HERNIORRHAPHY

BASSINI

index

table of contents

my operations

How I did It?

Operative Technique:

Ø      patient supine under

Ø      asepsis and antisepsis technique

Ø      sterile drapes placed

Ø      incision done

Ø      external oblique aponeurosis cut and opened

Ø      spermatic cord identified

Ø      cremasteric muscle opened

Ø      hernial sac identified and separated from rest of spermatic cord

Ø      hernial sac ligated highly

Ø      inguinal floor repaired (Bassini –  internal oblique muscle, transversus abdominis muscle,  and transverse aponeurosis and fascia approximated to the iliopubic tract and the shelving of the inguinal ligament with interrupted sutures.)

Ø      NSS wash

Ø      Hemostasis secured

Ø      Correct OS and instrument count verified

Ø      Cremasteric muscle closed continuously using chromic 3.0

Ø      External oblique aponeurosis closed by continuous interlocking using vicryl 0

Ø      Subcutaneous tissue approximated by inverted T sutures using chromic 3.0

Ø      Skin closed subcuticularly using vicryl 4.0

Ø      Betadine paint

Ø      Dry sterile dressing applied