Section 3 Inguinal Hernia

**81**

**Chapter 6**

**Abstract**

Bassini techniques.

tension-free repair

**1. Introduction**

**2. Modified Bassini repair**

Bassini technique by Atah [3].

The Tension-Free Repairs without

Hernia repair has three principal objectives: suppress the hernia, prevent recidivism, and reduce postoperative pain. Many techniques have been developed especially the tension-free repair. The Lichtenstein technique is the gold standard, using a mesh. However, sub-Saharan population is known to be hard laborers leading to the high-risk factor of acquiring hernia by a parietal defect. Most of them need a heterologous hernioplasty but have limited resources. The challenge in these countries is respecting the principal objectives of a hernia repair with inexpensive prosthetic material or without it. During these previous years, two principal techniques have been developed and used with satisfied results: Desarda and Modified

**Keywords:** inguinal hernia, Desarda, modified Bassini, Lichtenstein,

Inguinal hernia is one of the common surgical pathologies. A better understanding of the anatomy of the inguinal canal improved the surgical techniques and the outcomes for the patients. Developed countries are well organized in scientific societies enhancing these improvements. Instead, the sub-Saharan countries do not have specialized centers which will help by improving the hernia surgery [1] and the general surgeon's training. The problematic of hernia surgery here is double, the improvement of inexpensive safe techniques and training of the general surgeons. This chapter emphasizes on two tension-free repair techniques, Desarda and modified Bassini, which are currently used for their low cost and are easily learned by the surgeons [2].

Bassini developed his hernia repair in 1887, which was minutely described by his student Catterina in 1930. This technique is the one currently used by general surgeon in secondary and tertiary hospitals in sub-Saharan countries. A modified Bassini was introduced, described as an autologous patch. The intervention can be under general or locoregional anesthesia. The description below is a modified

Mesh: Desarda and Modified

Bassini Techniques

*Frederica Jessie Tchoungui Ritz*

#### **Chapter 6**
