LIMITATIONS AND COMPLICATIONS OF TUNICA VAGINALIS FLAP AS AN INTERPOSITION LAYER IN HYPOSPADIAS :- A HOSPITAL BASED STUDY
Journal Title: IJSR-International Journal Of Scientific Research - Year 2017, Vol 6, Issue 9
Abstract
Objective: To obtain better outcome of hypospadias repair, it seems that use of a vascularized tunica vaginalis flap as a second layer combined with Snodgrass procedure results in better outcome. This is a prospective study of 25patients conducted during July 2015 to July 2017 to evaluate the limitations and complications of tunica vaginalis vascular flap as second layer in Hypospadias repair and redo surgery. Material and Method: Patients were admitted on outpatient department basis and operated after proper workup. Wound infections/dehiscence, acute bleed, urinary leak, edema, stricture, development of meatal stenosis, scrotal disorders, etc were regarded as surgical complications. A need for repeat surgical intervention (fistula) during the follow-up was considered as a failure. Result: Successrate was seen in 24 cases (96%), with 5 cases (20%) developing early / late complications and failure was seen in 1 case (4%). Conclusion: Tunica vaginalis has good vascularity, easy availability, not affected by penile disorders, with long pedicle length to vascularise the entire neourethraupto the glans. Tunica vaginalis flap may have a benefit in circumcised patients. Some may feel, harvesting the flap is meticulous, tedious and time consuming requiring a learning curve with risk of injury to testes, vas or spermatic cord or vessels.
Authors and Affiliations
Bhatnagar Amit, Kansal Sandeep, Monga Y. P, Chauhan Adarsh
Keywords
Related Articles
- EP ID EP512436
- DOI -
- Views 56
- Downloads 0
LYMPHOMA OF TESTIS-A RARE CASE REPORT
Primary testicular lymphoma constitutes 1-2% of Non-Hodgkin's lymphomas affecting elderly men >60 years of age. The most common histologic type is Diffuse large B cell lymphoma (DLBCL). Differential diagnosis includessem...
PREVALENCE OF IMPACTED MAXILLARY CANINE TEETH & DENTIGEROUS CYST (A PROSPECTIVE STUDY)
Objectives & Aims Canine impaction is one of the anomalies that should be considered by clinicians in detail. The aim of this study was to determine the incidence, prevalence, patterns & potential distribution of impacte...
A CLINICAL STUDY ON THE MANAGEMENT OF INGUINAL HERNIAS IN CHILDREN AT OUR INSTITUTE:
Background: Inguinal and scrotal swellings are frequently encountered in the surgical practice, especially in children. It is also important to study the factors which are associated with inguinal hernia, especially in c...
Choledochoduodenostomy: Our Experience in 50 Consecutive Patients
Choledochoduodenostomy is a surgical drainage procedure for choledocholithiasis in the presence of dilated common bile duct. It has been reported as a more effective treatment for choledocholithiasis than T-tube drainage...
MEASURING SERVICE QUALITY GAP OF PUBLIC TRANSPORT CORPORATION IN SALEM REGION
In India, usage of public transport has been reduced over the recent years due to the various problems, i.e. trafc, congestion, air and noise pollution, climate change. Over the last few years Government of India has be...