Research Information System
Hernia, vol.7, no.4, pp.181-184, 2003 (SCI-Expanded)
The popular incision for surgical approach to pediatric inguinal pathologies has been the suprapubic transverse inguinal incision. Yet alternative incisions may be considered. A prospectively randomized study of a consecutive series of 256 male infants and children with various inguinal pathologies (mainly indirect inguinal hernias) were treated surgically using the "high trans-scrotal skin-crease incision," over a period of 84 months (7 years) and were compared and found to be clinically better than age- and sex-matched 278 controls with suprapubic transverse inguinal incisions for wound healing/infection, edema, seroma, hematoma, malpositioning or atrophy of testes and recurrence of the primary pathology. The results in the study group were cosmetically and clinically more favorable, and better than the control group. Nosocomial infections, complications of incarceration, and emergency surgery have resulted in an acceptable morbidity rate of approximately 5%. Popularized use of the high trans-scrotal incision and further clinical experience is recommended to facilitate even better results. been most popular. Other inguinoscrotal surgical procedures, such as orchidopexies and the management of hydroceles and varicoceles have usually been carried out by the same exposure, resulting in a "comparably good scar," hidden underneath the child's diapers or underpants. Bianchi et al., in 1989, reported their high trans-scrotal approach to the palpable undescended testes. This clinical study was undertaken to further assess the pros and cons of the high trans-scrotal vs suprapubic transverse inguinal incisions in two groups of sex- and age-matched patients. The objective of the study was to investigate whether or not the inguinoscrotal incision is less noticeable with skin-crease properties and provides an access to the inguinal canal as good as the suprapubic incision but having no different rate of infection or morbidity. © Springer-Verlag 2003.