Question:easy
Repair done for direct inguinal hernia
Repair done for direct inguinal hernia
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The surgery of choice for direct inguinal hernia uses a synthetic mesh to avoid tension on the repair.
Updated On: Jun 23, 2026
- Lichtenstein repair
- Bassini's repair
- Herniotomy
- All
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The Correct Option is A
Solution and Explanation
Direct inguinal hernia results from weakness of the posterior wall of the inguinal canal (Hesselbach's triangle), not from a patent processus vaginalis. Hence, simple herniotomy (sac ligation alone) is insufficient -- the posterior wall must be reinforced. Among the available options: Bassini's repair strengthens the posterior wall using a tension-based suture technique but carries a higher recurrence rate ($\sim 10-15\%$). Lichtenstein tension-free mesh hernioplasty places a polypropylene mesh over the posterior wall without suturing muscles under tension, achieving a recurrence rate of $<1\%$ and is therefore the current surgery of choice for direct inguinal hernia in adults. TEP (totally extraperitoneal) and TAPP (transabdominal preperitoneal) laparoscopic approaches are equally effective alternatives. \[\boxed{\text{Lichtenstein repair}}\]
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