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 154
- Downloads 0
Effect and Molecular Mechanism of Wnt/β-Catenin Signaling Pathway on Apoptosis after Spinal Cord Injury
Secondary injury plays a more important role in the development of spinal cord injury (SCI), mainly due to apoptosis, inflammatory response, oxidative stress and other causes, especially neuronal cell apoptosis inhibits...
Tubularized Incised Plate (TIP) Repair Improves Outcome of Hypospadias Repair
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...
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...
The Role of Wider Safety Margins in the Prognosis of the Basal Cell Carcinoma of the Face and Scalp
The aim of this study was to assess the wider safety margins and its role in recurrence rate of the Basal Cell Carcinoma of the face and scalp. We excise the basal cell carcinoma with wider safety margins (5 mm). In all...
Early Migration of the R3 Uncemented Acetabular Component: A Prospective 2 Year Radiostereometric Analysis
Background: Radiostereometric Analysis (RSA) is a highly accurate and true three dimensional method that analyses implant micromotion following total joint replacement surgery. This methodology was used to assess the mig...