title: Inguinal reoperation for undescended testis and hernia: approach to the spermatic cord through the cremaster fascia.
abstract: OBJECTIVE
  Reoperation of the inguinal canal is difficult with few available lucid descriptions of the technique. We reviewed our experience with a unique surgical approach to the spermatic cord through the cremaster fascia in patients who had undergone previous operations for undescended testis or hernia and report its outcome.
  
  
  METHODS
  A total of 54 inguinal reoperations were performed in 45 boys with an undescended testis or indirect inguinal hernia using a unique surgical approach through the cremaster fascia.
  
  
  RESULTS
  Of the 54 inguinal canal reoperations surgery was successful in all but 1 patient who sustained a transected vas deferens (1.8% complication rate).
  
  
  CONCLUSIONS
  The surgical approach to the inguinal canal through the cremaster fascia is an effective technique for reoperation of the inguinal canal after orchiopexy or hernial repair.
authors.affiliation: Department of Urology, University of Arkansas College of Medicine and Arkansas Children's Hospital, Little Rock, Arkansas, USA.
authors.forename: J F
authors.initials: JF
authors.lastname: Redman
mesh_terms: D000293:Adolescent; D000328:Adult; D002648:Child; D002675:Child, Preschool; D003456:Cryptorchidism / Q000601:surgery*; D000071938:Fasciotomy; D006552:Hernia, Inguinal / Q000601:surgery*; D006801:Humans; D007223:Infant; D008297:Male; D012086:Reoperation; D013085:Spermatic Cord / Q000601:surgery; D013521:Urologic Surgical Procedures, Male / Q000379:methods*