Editing Inguinal hernia (section)

=== '''Bassini repair:''' ===

* Developed 1887
* Reapproximation of layers of inguinal canal en masse to shelving edge of inguinal ligament
* Basically bring TA down to inguinal ligament (makes sense since IO doesn't give any strength at this level; have to use TA)
* Modified many times since then 
* Version described in Gray's:
** Reduce the indirect hernia
** Expose the aponeurosis of TA, which is sutured to the inguinal ligament using non-absorbable sutures - proceed from medial to lateral until the internal ring does not gape. Sometimes needs a few sutures lateral the cord to tighten adequately.
** Sometimes need to make a relaxing incision in anterior rectus sheath to bring TA and inguinal ligament together without tension.
** Close EO.