Abstract
Amaç: Çalışmanın amacı distal hipospadias nedeni ile Snodgrass tekniği uygulanarak günübirlik veya tek-gecelik hastane kalış süresi ile opere edilmiş hastalarda hızlandırılmış cerrahi konseptinin uygulanabilirliğini değerlendirmektir.
Gereç
ve
Yöntemler: Distal hipospadias nedeni ile 2012-2017 seneleri arasında opere edilmiş olan hastalar geriye dönük olarak incelendi. Proksimal hipospadias ve herhangi bir ek anomalinin eşlik ettiği hastalar çalışma dışı bırakıldı. Hipospadias tipi, hasta yaşı, uygulanan teknik, hastane kalış süresi ve komplikasyon bilgileri hastane kayıtlarından elde edildi.
Bulgular: Çalışmaya 67 hasta dahil edildi. Ortalama yaş 1.5 yıl (6 ay-14 yaş)’dı. Tüm hastalara onarım yöntemi olarak Snodgrass tekniği uygulanmıştır. Ortalama takip süresi 29 ay (1-82 ay)’dı. Otuz dokuz hasta tek gece hospitalize edilerek ertesi gün, 28 hasta günübirlik hasta olarak aynı gün taburcu edilmiştir. Hiçbir hastada postoperatif komplikasyon izlenmemiştir.
Sonuç:
Distal hipospadias onarımı hızlandırılmış cerrahi konseptinin uygulanabileceği mükemmel bir girişim çeşitidir.
Keywords
References
- 1. Moradi M, Moradi A, Ghaderpanah F. Comparison of Snodgrass and Mathieu surgical techniques in anterior distal shaft hypospadias repair. Urol J 2005;2: 28-31.
- 2. Ducket JW. Hypospadias. In : Walsh PC, Refik AB, Stamey TA, Vaugh ED Jr, et al, editors. Campbell’s Urology. 7th edition. Philadelphia: WB Saunders 1998; 2093-116.
- 3. Brustia P, Renghi A, Gramaglia L, Porta C, Cassatella R, De Angelis R, et al. Mininvasive abdominal aortic surgery. Early recovery and reduced hospitalization after multidisiplinary approach. J Cardiocasc Surg (Torino) 2003;44:629-35.
- 4. Bertin KC. Minimally invasive outpatient total hip artroplasty: a financial analysis. Clin Orthop Relat Res 2005;435:154-63.
- 5. Schukfen N, Reismann M, Ludwikowski B, Hofmann AD, Kaemmerer A, Metzelder ML, et al. İmplementation of fast-track pediatric surgery in a German nonacademic institution without previous fast-track experience. Eur j Pediatr Surg 2014;24:419-25.
- 6. El Darawany HM, Al Damhogy ME. Urethral mobilization as an alternative procedure for distal hypospadias repair. Urology 2017;104:183-6.
- 7. Okoro PE, Tsang T. Short hospital stay versus day-care Mathieu hypospadias repair. Afr J Pediatric Surg 2008;5:29-31.
- 8. Moradi M, Moradi A, Ghanderpanah F. Comparison of Snodgrass and Mathieu surgical technique in anterior distal shaft hypospadias repair. Urol J 2005;2:28-31.
- 9. Hakim S, Merguerian PA, Robinowitz R, Shortliffe LD, McKenna PH. Outcome analyses of the modified Mathieu hypospadias repair: comparison of stended and unstended repairs. J Urol 1996;156:836-8.
- 10. Resimann M, Arar M, Hofmann A, Schukfeh N, Ure B. Feasibility of fast-track elements in pediatric surgery. Eur J Pediatr Surg 2012;22:40-4.
Abstract
Objective: The aim of this study is to evaluate feasibility of fast-track surgery concept in children with distal hypospadias who are treated by Snodgrass technique.
Material
and
Methods: Children who were operated due to distal hypospadias between 2012 and 2017 were evaluated retrospectively. Patients with proximal hypospadias and patients with any concomitant anomalies were excluded from the study. Type of hypospadias, age of patients, surgical technique, duration of hospitalization stay and complications were retrospectively analyzed.
Results:
There were 67 children in the study. Mean age was 1.5 years (6 months-14 years). Snodgrass procedure was the method of choice in all cases. The mean follow-up time was 29 months (1-82 months). Thirty-nine children stayed at the hospital overnight and in 28 children the procedure was carried out as a day-case surgery. There were no postoperative complications in any of cases.
Conclusion: Distal hypospadias surgery seems to be an excellent type of procedure for implementation of fast-track concept.
Keywords
References
- 1. Moradi M, Moradi A, Ghaderpanah F. Comparison of Snodgrass and Mathieu surgical techniques in anterior distal shaft hypospadias repair. Urol J 2005;2: 28-31.
- 2. Ducket JW. Hypospadias. In : Walsh PC, Refik AB, Stamey TA, Vaugh ED Jr, et al, editors. Campbell’s Urology. 7th edition. Philadelphia: WB Saunders 1998; 2093-116.
- 3. Brustia P, Renghi A, Gramaglia L, Porta C, Cassatella R, De Angelis R, et al. Mininvasive abdominal aortic surgery. Early recovery and reduced hospitalization after multidisiplinary approach. J Cardiocasc Surg (Torino) 2003;44:629-35.
- 4. Bertin KC. Minimally invasive outpatient total hip artroplasty: a financial analysis. Clin Orthop Relat Res 2005;435:154-63.
- 5. Schukfen N, Reismann M, Ludwikowski B, Hofmann AD, Kaemmerer A, Metzelder ML, et al. İmplementation of fast-track pediatric surgery in a German nonacademic institution without previous fast-track experience. Eur j Pediatr Surg 2014;24:419-25.
- 6. El Darawany HM, Al Damhogy ME. Urethral mobilization as an alternative procedure for distal hypospadias repair. Urology 2017;104:183-6.
- 7. Okoro PE, Tsang T. Short hospital stay versus day-care Mathieu hypospadias repair. Afr J Pediatric Surg 2008;5:29-31.
- 8. Moradi M, Moradi A, Ghanderpanah F. Comparison of Snodgrass and Mathieu surgical technique in anterior distal shaft hypospadias repair. Urol J 2005;2:28-31.
- 9. Hakim S, Merguerian PA, Robinowitz R, Shortliffe LD, McKenna PH. Outcome analyses of the modified Mathieu hypospadias repair: comparison of stended and unstended repairs. J Urol 1996;156:836-8.
- 10. Resimann M, Arar M, Hofmann A, Schukfeh N, Ure B. Feasibility of fast-track elements in pediatric surgery. Eur J Pediatr Surg 2012;22:40-4.
Details
| Primary Language | English |
|---|---|
| Subjects | Internal Diseases |
| Journal Section | ORIGINAL ARTICLES |
| Authors | |
| Publication Date | March 18, 2020 |
| Submission Date | September 14, 2018 |
| Published in Issue | Year 2020 Volume: 14 Issue: 2 |
The publication language of Turkish Journal of Pediatric Disease is English.
Manuscripts submitted to the Turkish Journal of Pediatric Disease will go through a double-blind peer-review process. Each submission will be reviewed by at least two external, independent peer reviewers who are experts in the field, in order to ensure an unbiased evaluation process. The editorial board will invite an external and independent editor to manage the evaluation processes of manuscripts submitted by editors or by the editorial board members of the journal. The Editor in Chief is the final authority in the decision-making process for all submissions. Articles accepted for publication in the Turkish Journal of Pediatrics are put in the order of publication, with at least 7 articles in each issue, taking into account the acceptance dates. If the articles sent to the reviewers for evaluation are assessed as a senior for publication by the reviewers, the section editor and the editor considering all aspects (originality, high scientific quality and citation potential), it receives publication priority in addition to the articles assigned for the next issue.
The aim of the Turkish Journal of Pediatrics is to publish high-quality original research articles that will contribute to the international literature in the field of general pediatric health and diseases and its sub-branches. It also publishes editorial opinions, letters to the editor, reviews, case reports, book reviews, comments on previously published articles, meeting and conference proceedings, announcements, and biography. In addition to the field of child health and diseases, the journal also includes articles prepared in fields such as surgery, dentistry, public health, nutrition and dietetics, social services, human genetics, basic sciences, psychology, psychiatry, educational sciences, sociology and nursing, provided that they are related to this field. can be published.