Scrotal Elevation and Postoperative Scrotal Haematoma in Children Undergoing Surgery for Inguinoscrotal Swellings: A Narrative Review
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Abstract
Background: Surgery for inguinoscrotal swellings in children is one of the commonest operations performed by paediatric surgeons. Postoperative scrotal haematoma remains a frequent complication despite advances in surgical technique. Scrotal elevation has been proposed as a simple measure to reduce postoperative morbidity.
Objective: To review the available evidence on the effect of scrotal elevation on the incidence, severity and duration of postoperative scrotal haematoma in children undergoing surgery for inguinoscrotal swellings.
Methods: A narrative review was conducted using PubMed, Google Scholar and Scopus. Articles published from database from January 1986 to December 2025 were searched using combinations of the terms ‘scrotal elevation’, ‘scrotal support’, ‘scrotal haematoma’, ‘inguinal hernia’, hydrocele’, ‘postoperative care’ and ‘children’. Studies evaluating scrotal elevation or support in patients undergoing surgery for inguinoscrotal swellings were considered. As this was a narrative review, a formal PRISMA-based study selection process was not undertaken. However, search databases, search terms, eligibility criteria and limitations of the available evidence were described to improve transparency.
Results: Available evidence suggests that scrotal elevation may decrease the incidence, severity and duration of postoperative scrotal haematoma in children. Techniques described include scrotal hitching, adhesive tape support, scrotal suspension sutures and supportive garments. However, the evidence is limited by methodological heterogeneity and a paucity of paediatric-specific comparative studies.
Conclusion: Scrotal elevation is a simple, low-cost adjunct that may reduce the incidence, severity and duration of postoperative scrotal haematoma in children undergoing surgery for inguinoscrotal swellings.
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