HERNIORRHAPHY

(BASSINI)

Operative Technique:

patient supine under

asepsis and antisepsis technique

sterile drapes placed

incision done

external oblique aponeurosis cut and opened

spermatic cord identified

cremasteric muscle opened

hernial sac identified and separated from rest of spermatic cord

hernial sac ligated highly

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.)

NSS wash

Hemostasis secured

Correct OS and instrument count verified

Cremasteric muscle closed continuously using chromic 3.0

External oblique aponeurosis closed by continuous interlocking using vicryl 0

Subcutaneous tissue approximated by inverted T sutures using chromic 3.0

Skin closed subcuticularly using vicryl 4.0

Betadine paint

Dry sterile dressing applied