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A novel incision for groin pathologies in children: the low inguinal groove approach
1Department of Pediatric Surgery, Ankara University School of Medicine, Turkey. gokcora@medicine.ankara.edu.tr
Insights
A new "low inguinal groove incision" offers excellent cosmetic and functional results for pediatric inguinal pathologies like hernias and hydroceles. This minimally invasive approach is safe and effective for children undergoing elective surgery.
Area of Science:
- Pediatric Surgery
- Surgical Incisions
- Pediatric Urology
Background:
- Traditional suprapubic transverse inguinal incisions are standard for pediatric inguinal pathologies.
- There is a need for alternative incisions offering improved cosmetic outcomes.
Purpose of the Study:
- To evaluate the efficacy and safety of the novel "low inguinal groove incision" in pediatric patients.
- To assess cosmetic and functional results of this new surgical approach.
Main Methods:
- A consecutive series of 483 children underwent surgery using the "low inguinal groove incision".
- Indications included indirect groin hernias, hydroceles, and palpable undescended testes.
- Procedures were performed as elective day surgery cases for neonates, infants, and children.
Main Results:
- Excellent cosmetic and functional results were achieved in all patients.
- No complications or significant morbidity were reported.
- One case of inguinal hernia recurrence occurred in a 7-year-old boy.
Conclusions:
- The "low inguinal groove incision" is a safe and effective alternative for pediatric inguinal pathologies in both boys and girls.
- This novel incision provides superior cosmetic and functional results compared to traditional methods.
Background:
The traditional approach to pediatric inguinal pathologies has been the suprapubic transverse inguinal incision. Alternative incisions for better cosmetic results may be considered.
Materials And Methods:
The recently defined "low inguinal groove incision" was used in a consecutive series of 483 children having indirect groin hernias, hydroceles, and palpable undescended testes, etc. The neonates, infants, and children were operated on as elective day surgery cases.
Results:
All children ended with excellent cosmetic and functional results. There were no complications or morbidity apart from a recurrence of an inguinal hernia in a 7 year-old boy. In addition to the series of girls reported earlier, this novel surgical incision has further been employed in boys with excellent results.