Bassini Hernia repair

Chapter 5. Hernias of the anterior abdominal wall

**Hernia of the anterior abdominal wall** – protrusion of internal organs through a defect in the abdominal fascia. The Bassini operation is the main method of treating hernias of the anterior abdominal wall.\n\nSince the middle of the 19th century. operations for diastasis of the rectus muscles and hernias are beginning to be widely used abroad. In 1835, S.P. Frelikh proposed suturing the aponeurosis defect by applying silk sutures and attaching wide layers of muscle to them. At the beginning of the 20th century. interventions appeared when rubber tubes were inserted into the aponeurosis, which filled it in the area of ​​the defect and kept it in a stretched state for 4–6 months. After their resorption, the final overgrowth of scar tissue and the tightening of the defect occurred. However, such interventions were accompanied by severe pain, and the results were corrected unsatisfactorily.\n\nIn 1875, E. Salmacruna proposed preserving the left rectus muscle during hernial surgery and covering the defect with a connective tissue diaphragm made from aponeurotic and muscle flaps.\n\nB1899 M M. H. Besse sutured the abdominal fascia defect without involving the rectus muscles. Along with this, he adhered to the point of view about the possibility and necessity of closing the visceral integument of the liver from the outside, above the hernial sac.\n\nA

Bassini Victor - Italian surgeon, founder of plastic surgery. He is especially famous for his operation to restore the inguinal canal in case of prolapse of internal organs.

Bassini proposed a new approach to the treatment of inguinal hernias. His operation was called "Bassinoplasty". In it, the surgeon “closes” the hernia through a small