The effect of suturing technique and material on complication rate following hypospadias repair

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dc.contributor.authorUlman, I
dc.contributor.authorErikci, V
dc.contributor.authorAvanoglu, A
dc.contributor.authorGokdemir, A
dc.date.accessioned2019-10-27T11:53:45Z
dc.date.available2019-10-27T11:53:45Z
dc.date.issued1997
dc.departmentEge Üniversitesien_US
dc.description.abstractNinety-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.en_US
dc.identifier.doi10.1055/s-2008-1071079en_US
dc.identifier.endpage157en_US
dc.identifier.issn0939-7248
dc.identifier.issue3en_US
dc.identifier.pmid9241502en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.startpage156en_US
dc.identifier.urihttps://doi.org/10.1055/s-2008-1071079
dc.identifier.urihttps://hdl.handle.net/11454/34938
dc.identifier.volume7en_US
dc.identifier.wosWOS:A1997XL27000008en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherHippokrates Verlag Gmbhen_US
dc.relation.ispartofEuropean Journal of Pediatric Surgeryen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjecthypospadiasen_US
dc.subjectcomplicationsen_US
dc.subjectsuture materialen_US
dc.subjectpolydioxanoneen_US
dc.subjectpolyglactineen_US
dc.titleThe effect of suturing technique and material on complication rate following hypospadias repairen_US
dc.typeArticleen_US

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