Low inguinal groove incision for indirect inguinal hernias in girls: a preliminary report on an incisional proposal.

Abstract

Work on an innovative transscrotal incision to the palpable undescended testes has recently been applied in the management of inguinal hernias and hydroceles. This route is considered less traumatic and a more cosmetically acceptable technique. Near-perfect cosmesis was achieved using a new incisional approach for inguinolabial abnormalities in female infants and children in a series comprised of 25 girls with indirect inguinal hernias operated on consecutively as day cases through an incision placed at the lower portion of the inguinal groove. The low inguinal groove incision has enabled almost scar-free healing at the incision site. The results have been excellent. There has been no serious morbidity and no mortality. Although initially cumbersome to master, this new technique is hoped to become an ad hoc method once the pediatric surgeon has passed through the learning curve.