Treatment for incarcerated indirect hernia with “Cross?Internal Ring” inguinal oblique incision in children

Xue?Qiang Yan, Jun Yang, Nan?Nan Zheng, Hou?Fang Kuang, Xu?Fei Duan, Hong?Qiang Bian


Background: Tis 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: Tere were totally 13 patients were included, male to female ratio was 9?4. Te 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.


Children, incarcerated inguinal hernia, incision, internal ring, perforation, severe abdominal distension

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