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Necrosis of the Ventral Penile Skin Flap: A Complication of Hypospadias Surgery in Children
المؤلفون المشاركون
Bakal, Ünal
Abeş, Musa
Sarac, Mehmet
المصدر
العدد
المجلد 2015، العدد 2015 (31 ديسمبر/كانون الأول 2015)، ص ص. 1-3، 3ص.
الناشر
Hindawi Publishing Corporation
تاريخ النشر
2015-04-01
دولة النشر
مصر
عدد الصفحات
3
التخصصات الرئيسية
الملخص EN
Objectives.
To review cases of hypospadias that were repaired with TIPU method and consequently resulted in the necrosis of ventral penile skin flaps.
Methods.
Eighty-three patients with hypospadias underwent TIPU procedure by two surgeons.
Neourethra in all patients was covered with dartos flap prepared from the preputium or penile shaft.
In cases where ventral skin could not be covered primarily, closure was ensured by using preputial Ombredanne or Byars’ flaps to repair ventral defects.
Results.
The median age of patients was 4 years.
Twenty-five (30.12%) patients that underwent hypospadias repair had urethral opening at the coronal level, 33 (39.75%) at the distal penis, 10 (12.04%) at the midpenis, and 15 (18.07%) at the proximal penis.
The ventral skin defect could not be primarily covered in 10 patients with penile shaft hypospadias.
Consequently, Byars’ method was used in 8 of these patients to cover the defect and the Ombredanne method was used in the remaining 2.
Ventral skin flap necrosis developed in 5 patients (4 Byars and 1 Ombredanne).
It was medically treated in 4 patients.
Urethral fistula developed in the other patient whose necrosis was deeper.
The mean hospital stay was 7 days for patients without necrosis, and 14 for those with necrosis.
Conclusion.
We are of the opinion that dartos flaps used in the TIPU method in order to cover neourethra and decrease the incidence of fistula development lead to necrosis in the Ombredanne or Byars’ flaps by causing low blood supply to the preputium and thus extend hospital stay.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Bakal, Ünal& Abeş, Musa& Sarac, Mehmet. 2015. Necrosis of the Ventral Penile Skin Flap: A Complication of Hypospadias Surgery in Children. Advances in Urology،Vol. 2015, no. 2015, pp.1-3.
https://search.emarefa.net/detail/BIM-1053988
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Bakal, Ünal…[et al.]. Necrosis of the Ventral Penile Skin Flap: A Complication of Hypospadias Surgery in Children. Advances in Urology No. 2015 (2015), pp.1-3.
https://search.emarefa.net/detail/BIM-1053988
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Bakal, Ünal& Abeş, Musa& Sarac, Mehmet. Necrosis of the Ventral Penile Skin Flap: A Complication of Hypospadias Surgery in Children. Advances in Urology. 2015. Vol. 2015, no. 2015, pp.1-3.
https://search.emarefa.net/detail/BIM-1053988
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references
رقم السجل
BIM-1053988
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
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