Scrotal approach for inguinal hernia and hydrocele repair in boys.
OBJECTIVE
The scrotal approach to repairing inguinal hernias and hydroceles in boys is a relatively new approach, which offers the paediatric surgeon the choice of leaving a more cosmetically acceptable scar. This paper reports the experience of one centre using this approach.


METHODS
195 consecutive repairs in 176 boys were studied. The operative technique is described.


RESULTS
With an average follow-up of 13 months, there was one recurrence. There were no wound infections. Testicular size was equal or larger than the contralateral testicle in all but two cases. All boys had an excellent cosmetic result.


CONCLUSIONS
The scrotal approach for inguinal hernia or hydrocele repair is a safe procedure without added morbidity and with excellent cosmetic results.
Fearne
Ch
Ch
Consultant Paediatric Surgeon, Paediatric Surgical Unit, Fairyland, St. Luke's Hospital, Gwardamangia, Malta. slpd@maltanet.net
Abela
M
M
Aquilina
D
D
D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D013505:Digestive System Surgical Procedures; D006552:Hernia, Inguinal / Q000601:surgery*; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D008297:Male; D012189:Retrospective Studies; D012611:Scrotum / Q000601:surgery; D006848:Testicular Hydrocele / Q000601:surgery*