The effect of suturing technique and material on complication rate following hypospadias repair
Küçük Resim Yok
Tarih
1997
Yazarlar
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Hippokrates Verlag Gmbh
Erişim Hakkı
info:eu-repo/semantics/closedAccess
Özet
Ninety-seven children with distal hypospadias were treated surgically using perimeatal-based flap urethroplasty (Mathieu procedure) in a two and a half years period. A review of the medical records revealed two distinct groups of patients according to the suturing type and suture material. In the first group of 36 patients (group I), neourethra was constructed using 6/0 polyglactine (Vicryl(R)) in a single layer, full-thickness, uninterrupted fashion. Skin flaps were approximated using interrupted simple 5/0 polyglactine (Vicryl(R)) sutures. In the second group of 61 patients (group II), 7/0 polydioxanone (PDS(R)) was used in the urethral anastomosis performed in a subcuticular, uninterrupted fashion. The skin flaps were closed using interrupted simple 5/0 rapidly absorbable polyglactine (Rapid Vicryl(R)) sutures. Patients were followed-up from 6 to 12 months. Urethral or meatal stenosis was not observed in any patient. There was no infectious complication. Urethrocutaneous fistula rate was significantly higher in group I (16.6%) compared to group II (4.9%) (p < 0.01). Complication rate following hypospadias repair can be reduced by the use of a subcutaneous suture technique utilizing polydioxanone suture material in urethroplasties.
Açıklama
Anahtar Kelimeler
hypospadias, complications, suture material, polydioxanone, polyglactine
Kaynak
European Journal of Pediatric Surgery
WoS Q Değeri
Q4
Scopus Q Değeri
Q2
Cilt
7
Sayı
3
