The Use of Autologous Platelet Rich Fibrin Membrane as a Second Layer in Snodgrass Repair of Distal Hypospadias
Background: Hypospadias is a common pediatric health problem. Snodgrass [Tubularized Incised Plate Urethroplasty]surgical repair was adopted as the standard technique, although different techniques had been described. However, higher complication rate continues to be a problem. The aim of the work:...
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| Format: | Article |
| Language: | English |
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Al-Azhar University, Faculty of Medicine (Damietta)
2021-04-01
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| Series: | International Journal of Medical Arts |
| Subjects: | |
| Online Access: | https://ijma.journals.ekb.eg/article_158048_e9cb269285987eaef5b678c4f27697b7.pdf |
| _version_ | 1818855491416096768 |
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| author | Ahmed Shaker Fouad Al-Awadi Hazem Ahmed Megahed Mohamed Mohamed Ahmed Shahin Fahmy Alsayed Abdul Aziz |
| author_facet | Ahmed Shaker Fouad Al-Awadi Hazem Ahmed Megahed Mohamed Mohamed Ahmed Shahin Fahmy Alsayed Abdul Aziz |
| author_sort | Ahmed Shaker Fouad Al-Awadi |
| collection | DOAJ |
| description | Background: Hypospadias is a common pediatric health problem. Snodgrass [Tubularized Incised Plate Urethroplasty]surgical repair was adopted as the standard technique, although different techniques had been described. However, higher complication rate continues to be a problem. The aim of the work: To evaluate the use of platelet rich fibrin membrane as an intermediate layer in the Snodgrass repair of distal hypospadias. Patients and Methods: Thirty children were included. All were evaluated preoperatively by full history taking, clinical examination and laboratory investigations. Then all were treated by Tubularized Incised Plate Urethroplasty with the use of platelet rich fibrin membrane as an intermediate layer. They then followed up and any early or late complications were registered. Results: Hypospadias was recurrent among 83.3%. Patient age ranged between one and six years and the mean operative time was 67±5.4 minutes; the mean hospital stay duration was 7.0±1.2 days. The success rate was 93.3% and complication rate was 6.7%. Complications were edema in 6.7%, urethro-cutaneous fistula [UCF] in 6.7% and skin infection among 3.3%. Conclusion: The use of a platelet rich fibrin membrane is a feasible and safe intermediate layer for hypospadias surgery in Tubularized Incised Plate Urethroplasty. The procedure is quick and straightforward and has a low postoperative complication. |
| first_indexed | 2024-12-19T08:09:27Z |
| format | Article |
| id | doaj.art-cd41be7453b643ba835f6b9c7d9200fa |
| institution | Directory Open Access Journal |
| issn | 2636-4174 2682-3780 |
| language | English |
| last_indexed | 2024-12-19T08:09:27Z |
| publishDate | 2021-04-01 |
| publisher | Al-Azhar University, Faculty of Medicine (Damietta) |
| record_format | Article |
| series | International Journal of Medical Arts |
| spelling | doaj.art-cd41be7453b643ba835f6b9c7d9200fa2022-12-21T20:29:41ZengAl-Azhar University, Faculty of Medicine (Damietta)International Journal of Medical Arts2636-41742682-37802021-04-01321377138310.21608/ijma.2021.44160.1181158048The Use of Autologous Platelet Rich Fibrin Membrane as a Second Layer in Snodgrass Repair of Distal HypospadiasAhmed Shaker Fouad Al-Awadi0Hazem Ahmed Megahed1Mohamed Mohamed Ahmed Shahin2Fahmy Alsayed Abdul Aziz3Department of Surgery, Damietta Faculty of Medicine, Al-Azhar University, EgyptDepartment of Surgery, Damietta Faculty of Medicine, Al-Azhar University, EgyptDepartment of Surgery, Damietta Faculty of Medicine, Al-Azhar University, EgyptDepartment of Clinical Pathology, Damietta Faculty of Medicine, Al-Azhar University, EgyptBackground: Hypospadias is a common pediatric health problem. Snodgrass [Tubularized Incised Plate Urethroplasty]surgical repair was adopted as the standard technique, although different techniques had been described. However, higher complication rate continues to be a problem. The aim of the work: To evaluate the use of platelet rich fibrin membrane as an intermediate layer in the Snodgrass repair of distal hypospadias. Patients and Methods: Thirty children were included. All were evaluated preoperatively by full history taking, clinical examination and laboratory investigations. Then all were treated by Tubularized Incised Plate Urethroplasty with the use of platelet rich fibrin membrane as an intermediate layer. They then followed up and any early or late complications were registered. Results: Hypospadias was recurrent among 83.3%. Patient age ranged between one and six years and the mean operative time was 67±5.4 minutes; the mean hospital stay duration was 7.0±1.2 days. The success rate was 93.3% and complication rate was 6.7%. Complications were edema in 6.7%, urethro-cutaneous fistula [UCF] in 6.7% and skin infection among 3.3%. Conclusion: The use of a platelet rich fibrin membrane is a feasible and safe intermediate layer for hypospadias surgery in Tubularized Incised Plate Urethroplasty. The procedure is quick and straightforward and has a low postoperative complication.https://ijma.journals.ekb.eg/article_158048_e9cb269285987eaef5b678c4f27697b7.pdfhypospadiassnodgrassplatelet-rich fibrinautologousintermediate |
| spellingShingle | Ahmed Shaker Fouad Al-Awadi Hazem Ahmed Megahed Mohamed Mohamed Ahmed Shahin Fahmy Alsayed Abdul Aziz The Use of Autologous Platelet Rich Fibrin Membrane as a Second Layer in Snodgrass Repair of Distal Hypospadias International Journal of Medical Arts hypospadias snodgrass platelet-rich fibrin autologous intermediate |
| title | The Use of Autologous Platelet Rich Fibrin Membrane as a Second Layer in Snodgrass Repair of Distal Hypospadias |
| title_full | The Use of Autologous Platelet Rich Fibrin Membrane as a Second Layer in Snodgrass Repair of Distal Hypospadias |
| title_fullStr | The Use of Autologous Platelet Rich Fibrin Membrane as a Second Layer in Snodgrass Repair of Distal Hypospadias |
| title_full_unstemmed | The Use of Autologous Platelet Rich Fibrin Membrane as a Second Layer in Snodgrass Repair of Distal Hypospadias |
| title_short | The Use of Autologous Platelet Rich Fibrin Membrane as a Second Layer in Snodgrass Repair of Distal Hypospadias |
| title_sort | use of autologous platelet rich fibrin membrane as a second layer in snodgrass repair of distal hypospadias |
| topic | hypospadias snodgrass platelet-rich fibrin autologous intermediate |
| url | https://ijma.journals.ekb.eg/article_158048_e9cb269285987eaef5b678c4f27697b7.pdf |
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