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158048

The Use of Autologous Platelet Rich Fibrin Membrane as a Second Layer in Snodgrass Repair of Distal Hypospadias

Article

Last updated: 24 Dec 2024

OverviewSimilar Items

Subjects

-

Tags

Surgery

Abstract

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.

DOI

10.21608/ijma.2021.44160.1181

Keywords

hypospadias, Snodgrass, Platelet-rich Fibrin, Autologous, Intermediate

Authors

First Name

Ahmed Shaker

Last Name

Fouad Al-Awadi

MiddleName

-

Affiliation

Department of Surgery, Damietta Faculty of Medicine, Al-Azhar University, Egypt

Email

dr.af.shaker@gmail.com

City

Mansura

Orcid

-

First Name

Hazem Ahmed

Last Name

Megahed

MiddleName

-

Affiliation

Department of Surgery, Damietta Faculty of Medicine, Al-Azhar University, Egypt

Email

doctor_hazem_m@domazhermedicine.edu.eg

City

Mansoura

Orcid

-

First Name

Mohamed Mohamed

Last Name

Ahmed Shahin

MiddleName

-

Affiliation

Department of Surgery, Damietta Faculty of Medicine, Al-Azhar University, Egypt

Email

dr.m_shahin@domazhermedicine.edu.eg

City

Cairo

Orcid

-

First Name

Fahmy Alsayed

Last Name

Abdul Aziz

MiddleName

-

Affiliation

Department of Clinical Pathology, Damietta Faculty of Medicine, Al-Azhar University, Egypt

Email

fahmy.cp@domazhermedicine.edu.eg

City

Cairo

Orcid

-

Volume

3

Article Issue

2

Related Issue

24821

Issue Date

2021-04-01

Receive Date

2020-09-26

Publish Date

2021-04-01

Page Start

1,377

Page End

1,383

Print ISSN

2636-4174

Online ISSN

2682-3780

Article File

IJMA_Volume 3_Issue 2_Pages 1377-1383.pdf

PDF . 1.4MB

Link

https://ijma.journals.ekb.eg/article_158048.html

Detail API

https://ijma.journals.ekb.eg/service?article_code=158048

Order

27

Type

Original Article

Type Code

816

Publication Type

Journal

Publication Title

International Journal of Medical Arts

Publication Link

https://ijma.journals.ekb.eg/

MainTitle

The Use of Autologous Platelet Rich Fibrin Membrane as a Second Layer in Snodgrass Repair of Distal Hypospadias

Details

Type

Article

Created At

22 Jan 2023