How is the fascia repaired in simple inguinal abdominal hernia repair in children?

Updated: Jul 23, 2019
  • Author: Assar A Rather, MBBS, MD, FACS; Chief Editor: John Geibel, MD, DSc, MSc, AGAF  more...
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Answer

If fascial repair seems necessary, the transversalis fascia is sutured to the shelving margin of the ilioinguinal ligament. The incision is closed in layers, and a single adhesive strip is placed. The testis must be pulled into the scrotum to prevent iatrogenic cryptorchidism (see the image below).

Iatrogenic cryptorchid testis in child. Taking car Iatrogenic cryptorchid testis in child. Taking care to position testis in scrotum is integral part of completion of hernia repair in boys.

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