Abstract
This paper presents results from a case record review of the transcrotal approach to undescended testes, hydrocoecle, and hernia in 457 children at the Royal Manchester Children's Hospital between 1984 and 1991. Our results show that orchidopexy for the palpable undescended testis and routine inguinal herniotomy in children can be safely performed through a single high scrotal incision. This approach involves much less dissection. Healing is excellent and complications are minimal. The procedure lends itself to the day-case child.
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