• Xue-Qiang Yan, Jun Yang, Nan-Nan Zheng, Hou-Fang Kuang, Xu-Fei Duan, and Hong-Qiang Bian.
• Department of Pediatric Surgery, Tongji Medical College, Wuhan Children's Hospital, Huazhong University of Science and Technology, Wuhan 430016, China.
• J Res Med Sci. 2017 Jan 1; 22: 106.

BackgroundThis 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 MethodsPatients of IIH complicated with severe abdominal distension were reviewed retrospectively. All patients received operation through the "Cross-Internal Ring" inguinal oblique incision.ResultsThere 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.

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