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

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. © 2017 journal of research in medical sciences.