Tubularized Incised Plate (TIP) Repair Improves Outcome of Hypospadias Repair
Journal Title: Journal of Surgery - Year 2016, Vol 4, Issue 2
Abstract
Aim of the study: To analyze if a change of surgical method affects the complication rate in hypospadias surgery. Methods: Over a period of six years, the Mathieu procedure was replaced by the Tubularized Incised Plate (TIP) repair as the most favored method of grade 1-2 hypospadias repair at our clinic. All operated boys were prospectively registered during those years. Two three-year-periods were outlined with equal number of patients: 2010- 2012 and 2013-2015, but with the preferred method of repair reversed. The end point was any complication calling for a reoperation. Main results: In the first period 69 boys were operated where of 50 Mathieu and 19 TIP. 35 (51%) boys required a reoperation. In the second period 73 boys were operated whereof 19 Mathieu and 54 TIP. 15 (21%) required a reoperation, P < 0.01. Research limitations: The study is prospective but the technique preferred was the choice of the surgeon. Follow up will be continued due to acknowledged accumulation of complications over time. Conclusion: Method seems to matter. Advantage TIP. We are not aware of any other prospective study following a shift in paradigm and at the same time comparing these two procedures for hypospadias repair.
Authors and Affiliations
Hans Winberg
Keywords
Related Articles
- EP ID EP203833
- DOI 10.13188/2332-4139.1000033
- Views 145
- Downloads 0
Delayed Cardiac Injury from Gradual Bullet Fragment Erosion into the Right Ventricle
Penetrating cardiac injuries are among the most lethal of all traumatic injuries, with many studies citing mortalities of 70-90% [1-3]. Such injuries account for a very small proportion of annual trauma admissions (0.1%)...
Postoperative Pneumoperitoneum: Clearing the Air
Introduction: Pneumoperitoneum seen on postoperative imaging presents a diagnostic dilemma. It can be a normal finding secondary to air that was introduced at surgery, which typically resolves in a matter of days. On the...
Outcomes of Extracorporeal Life Support in Trauma
Background: Extracorporeal life support (ECLS) is a lifesaving treatment for critically ill trauma patients with refractory cardiopulmonary failure. The purpose of this analysis is to use a large national trauma database...
A Study of the Demography, Clinical Features and Management of Inguinal Hernia in a Tertiary Care Hospital
Background: An inguinal hernia is a common condition that affects all ages and both sexes. Its surgical management is also a common surgical procedure. The risk factor includes muscle weakness, COPD, Bronchial Asthma, he...
The Current Indications and Options for Aortic Valve Surgery
This review article provides an overview of various aortic valve pathologies and when intervention is indicated with each one. The management options and their controversies are then reviewed, including new technologies,...