Background: Hypospadias repair is a common pediatric operation. Several kinds of dressings are currently available, with their benefits and side effects.
Aim: The aim of our study was to introduce a new method of dressing, by pouring several layers of cyanoacrylate (CA) glue as the dressing, in hypospadias surgery.
Materials And Methods: Twenty out of the 61 patients with hypospadias, with a mean age of 13.5 months, were enrolled in this study. Forty-one had conventional dressing (pressure wrap dressing), while CA glue was used in 20 patients. CA glue was applied around the penis and its base four times and each time it took one minute to dry. All patients were followed postoperatively for two weeks and six to twelve months, for early and late complications, respectively.
Results: One out of 20 developed wound hematoma, one had skin necrosis with infection, and edema was present in all. All these were easily diagnosed and managed rapidly. In the group treated with conventional methods, there were five infections, seven hematomas, all the patients in the group had edema and painful removal of the dressing, and 10 needed repeat dressing.
Conclusions: CA glue is impermeable to urine and stool, and prevents edema and hematoma. Used in several layers, it is a good alternative dressing in hypospadias surgery.
Download full-text PDF |
Source |
---|---|
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3409657 | PMC |
http://dx.doi.org/10.4103/1947-2714.98593 | DOI Listing |
Sci Rep
October 2024
Division of Nephrology, Department of Pediatrics, Faculty of Medicine, Universitas Padjadjaran/Dr. Hasan Sadikin General Hospital, Bandung, Indonesia.
This study aimed to evaluate a 3-day transparent film dressing protocol after hypospadias repair. A retrospective observational study was conducted in boys with hypospadias who were operated in our institution between 2022 and 2023. Postoperatively, the penis was wrapped with a transparent film dressing, which was removed after 3 days.
View Article and Find Full Text PDFIntroduction: There are many alternatives available regarding postoperative care in hypospadias surgery. The objective of this study was to assess the current care situation in our environment and to review the evidence available for pediatric surgeons who conduct this procedure.
Materials And Methods: A survey regarding the main aspects of hypospadias postoperative care was created and distributed to pediatric surgeons.
Int Urol Nephrol
June 2024
Department of Urology, Anhui Provincial Children's Hospital, Hefei, 230000, Anhui, China.
Objective: To evaluate the efficacy of different dressing methods in wound healing and the postoperative outcome in children who underwent hypospadias repair.
Methods: Altogether 109 children with distal hypospadias who underwent urethroplasty were recruited from our hospital between January 2021 and March 2023. All patients were randomized in two groups according to the different dressing methods: Group A receiving 3 M antimicrobial incise drape + MEBO (moisture-exposed burn ointment) and Group B receiving absorbent dressing + elastic bandage dressing.
World J Urol
October 2023
Division of Pediatric Urology, Cohen Children's Medical Center, Zucker School of Medicine at Hofstra/Northwell, New Hyde Park, 321 Crossways Park Drive, Woodbury, New York, 11797, USA.
Purpose: To determine trends in hypospadias management, including surgical techniques and perioperative care, by pediatric urologists in North America.
Methods: An anonymous online survey was devised to assess approaches to hypospadias repair and management, including anesthetic considerations, catheter placement, choice of dressing, and postoperative antibiotic treatment. The survey was sent to all practicing members of the Societies for Pediatric Urology.
J Pediatr Urol
October 2023
Department of Urology, West Virginia University Hospital, Morgantown, WV, USA.
Introduction: Double-diaper technique with an open-drainage catheter is a common practice after hypospadias repair. However, double-diapering may increase the burden of postoperative care and has not been compared to single-diapering with an open-drainage catheter.
Objectives: This study investigates whether the single-diaper technique is associated with inferior surgical outcomes compared to the double-diaper technique.
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!