Journal of Research in Medical Sciences1735-1995229201709271069010690EN20170724<span class="fontstyle0">Background: </span><span class="fontstyle2">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. </span><span class="fontstyle0">Materials and Methods: </span><span class="fontstyle2">Patients of IIH complicated with severe abdominal distension were reviewed retrospectively. All patients received operation through the “Cross?Internal Ring” inguinal oblique incision. </span><span class="fontstyle0">Results: </span><span class="fontstyle2">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. </span><span class="fontstyle0">Conclusion: </span><span class="fontstyle2">“Cross?Internal Ring” inguinal oblique incision is a simple,  safe, and reliable surgical method to treat pediatric IIH complicated with  severe abdominal distension. </span> <br style="font-style: normal; font-variant: normal; font-weight: normal; letter-spacing: normal; line-height: normal; orphans: 2; text-align: -webkit-auto; text-indent: 0px; text-transform: none; white-space: normal; widows: 2; word-spacing: 0px;" />http://jrms.mui.ac.ir/index.php/jrms/article/view/10690http://jrms.mui.ac.ir/index.php/jrms/article/download/10690/5550