Single-stage correction of posterior hypospadias (178 cases). Comparison of three techniques: free skin graft, free bladder mucosal graft, transverse pedicle preputial graft

Détails

ID Serval
serval:BIB_55FD3BF66D36
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Institution
Titre
Single-stage correction of posterior hypospadias (178 cases). Comparison of three techniques: free skin graft, free bladder mucosal graft, transverse pedicle preputial graft
Périodique
European Journal of Pediatric Surgery
Auteur⸱e⸱s
Valla  J. S., Takvorian  P., Dodat  H., Galifer  R. B., Chavrier  Y., Aubert  D., Morisson-Lacombe  G., Montupet  P., Reinberg  O., Dyon  J. F.
ISSN
0939-7248 (Print)
Statut éditorial
Publié
Date de publication
10/1991
Volume
1
Numéro
5
Pages
287-90
Notes
Comparative Study
Journal Article --- Old month value: Oct
Résumé
Three techniques have been developed for single-stage repair of posterior hypospadias: free skin grafts, free bladder mucosal grafts, and pedicle preputial grafts. This multicenter retrospective study of 178 children who underwent surgery for posterior hypospadias was designed to compare the results achieved with these procedures. Free skin grafts (15 cases) resulted in the most frequent complications, and in particular the most severe strictures; in our opinion this technique should be abandoned. Pedicle preputial grafts (133 cases) gave the greatest number of successes from the outset, and should be preferred whenever the dimensions of the prepuce are sufficient for urethroplasty. Results with bladder mucosal grafts (30 cases) were not as good as with preputial grafts, but this technique remains the only solution when the meatus is in a very posterior position, and for children who have already undergone multiple operations.
Mots-clé
Adolescent Child Child, Preschool Humans Hypospadias/*surgery Infant Male Mucous Membrane/transplantation Skin Transplantation Surgical Flaps Urethra/*surgery Urinary Bladder
Pubmed
Web of science
Création de la notice
28/01/2008 10:12
Dernière modification de la notice
20/08/2019 15:10
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