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Treatment for incarcerated indirect hernia with "Cross-Internal Ring" inguinal oblique incision in children
Xue-Qiang Yan1, Jun Yang1, Nan-Nan Zheng1
1Department of Pediatric Surgery, Tongji Medical College, Wuhan Children's Hospital, Huazhong University of Science and Technology, Wuhan 430016, China.
Insights
The Cross-Internal Ring inguinal oblique incision is a safe and effective surgical approach for treating pediatric incarcerated indirect hernias with severe abdominal distension. This method demonstrated no recurrence or complications in a recent study.
Area of Science:
- Pediatric Surgery
- Surgical Innovation
- Hernia Repair
Background:
- Incarcerated indirect hernia (IIH) with severe abdominal distension presents surgical challenges.
- The "Cross-Internal Ring" inguinal oblique incision is a novel approach for IIH treatment.
Purpose of the Study:
- To evaluate the efficacy and safety of the "Cross-Internal Ring" inguinal oblique incision.
- To assess its utility in pediatric patients with IIH and severe abdominal distension.
Main Methods:
- Retrospective review of 13 pediatric patients with IIH and severe abdominal distension.
- Surgical treatment performed using the "Cross-Internal Ring" inguinal oblique incision.
Main Results:
- All 13 patients (9 male, 4 female) underwent successful surgery.
- No complications such as intestinal perforation, abscess, or infection were observed.
- Average postoperative hospital stay was 5.2 days, with no recurrence or iatrogenic cryptorchidism during 6-18 months follow-up.
Conclusions:
- The "Cross-Internal Ring" inguinal oblique incision is a simple, safe, and reliable surgical technique.
- It is suitable for treating pediatric incarcerated indirect hernias complicated by severe abdominal distension.
Background:
This study aims to evaluate the utility of the "Cross-Internal Ring" inguinal oblique incision for the surgical treatment of incarcerated indirect hernia (IIH) complicated with severe abdominal distension.
Materials And Methods:
Patients of IIH complicated with severe abdominal distension were reviewed retrospectively. All patients received operation through the "Cross-Internal Ring" inguinal oblique incision.
Results:
There were totally 13 patients were included, male to female ratio was 9-4. The time for patients to resume oral feeding varying from 2 to 5 days after operation, no complications include delayed intestinal perforation, intra-abdominal abscess, and incision infection happened. Average postoperative hospital stay was 5.2 days. All cases were followed up for 6-18 months. No recurrence or iatrogenic cryptorchidism happened.
Conclusion:
"Cross-Internal Ring" inguinal oblique incision is a simple, safe, and reliable surgical method to treat pediatric IIH complicated with severe abdominal distension.
