Öz
Amaç: Çalışmanın amacı distal hipospadias nedeni ile Snodgrass tekniği uygulanarak günübirlik veya tek-gecelik hastane kalış süresi ile opere edilmiş hastalarda hızlandırılmış cerrahi konseptinin uygulanabilirliğini değerlendirmektir.
Gereç
ve
Yöntemler: Distal hipospadias nedeni ile 2012-2017 seneleri arasında opere edilmiş olan hastalar geriye dönük olarak incelendi. Proksimal hipospadias ve herhangi bir ek anomalinin eşlik ettiği hastalar çalışma dışı bırakıldı. Hipospadias tipi, hasta yaşı, uygulanan teknik, hastane kalış süresi ve komplikasyon bilgileri hastane kayıtlarından elde edildi.
Bulgular: Çalışmaya 67 hasta dahil edildi. Ortalama yaş 1.5 yıl (6 ay-14 yaş)’dı. Tüm hastalara onarım yöntemi olarak Snodgrass tekniği uygulanmıştır. Ortalama takip süresi 29 ay (1-82 ay)’dı. Otuz dokuz hasta tek gece hospitalize edilerek ertesi gün, 28 hasta günübirlik hasta olarak aynı gün taburcu edilmiştir. Hiçbir hastada postoperatif komplikasyon izlenmemiştir.
Sonuç:
Distal hipospadias onarımı hızlandırılmış cerrahi konseptinin uygulanabileceği mükemmel bir girişim çeşitidir.
Anahtar Kelimeler
Kaynakça
- 1. Moradi M, Moradi A, Ghaderpanah F. Comparison of Snodgrass and Mathieu surgical techniques in anterior distal shaft hypospadias repair. Urol J 2005;2: 28-31.
- 2. Ducket JW. Hypospadias. In : Walsh PC, Refik AB, Stamey TA, Vaugh ED Jr, et al, editors. Campbell’s Urology. 7th edition. Philadelphia: WB Saunders 1998; 2093-116.
- 3. Brustia P, Renghi A, Gramaglia L, Porta C, Cassatella R, De Angelis R, et al. Mininvasive abdominal aortic surgery. Early recovery and reduced hospitalization after multidisiplinary approach. J Cardiocasc Surg (Torino) 2003;44:629-35.
- 4. Bertin KC. Minimally invasive outpatient total hip artroplasty: a financial analysis. Clin Orthop Relat Res 2005;435:154-63.
- 5. Schukfen N, Reismann M, Ludwikowski B, Hofmann AD, Kaemmerer A, Metzelder ML, et al. İmplementation of fast-track pediatric surgery in a German nonacademic institution without previous fast-track experience. Eur j Pediatr Surg 2014;24:419-25.
- 6. El Darawany HM, Al Damhogy ME. Urethral mobilization as an alternative procedure for distal hypospadias repair. Urology 2017;104:183-6.
- 7. Okoro PE, Tsang T. Short hospital stay versus day-care Mathieu hypospadias repair. Afr J Pediatric Surg 2008;5:29-31.
- 8. Moradi M, Moradi A, Ghanderpanah F. Comparison of Snodgrass and Mathieu surgical technique in anterior distal shaft hypospadias repair. Urol J 2005;2:28-31.
- 9. Hakim S, Merguerian PA, Robinowitz R, Shortliffe LD, McKenna PH. Outcome analyses of the modified Mathieu hypospadias repair: comparison of stended and unstended repairs. J Urol 1996;156:836-8.
- 10. Resimann M, Arar M, Hofmann A, Schukfeh N, Ure B. Feasibility of fast-track elements in pediatric surgery. Eur J Pediatr Surg 2012;22:40-4.
Öz
Objective: The aim of this study is to evaluate feasibility of fast-track surgery concept in children with distal hypospadias who are treated by Snodgrass technique.
Material
and
Methods: Children who were operated due to distal hypospadias between 2012 and 2017 were evaluated retrospectively. Patients with proximal hypospadias and patients with any concomitant anomalies were excluded from the study. Type of hypospadias, age of patients, surgical technique, duration of hospitalization stay and complications were retrospectively analyzed.
Results:
There were 67 children in the study. Mean age was 1.5 years (6 months-14 years). Snodgrass procedure was the method of choice in all cases. The mean follow-up time was 29 months (1-82 months). Thirty-nine children stayed at the hospital overnight and in 28 children the procedure was carried out as a day-case surgery. There were no postoperative complications in any of cases.
Conclusion: Distal hypospadias surgery seems to be an excellent type of procedure for implementation of fast-track concept.
Anahtar Kelimeler
Kaynakça
- 1. Moradi M, Moradi A, Ghaderpanah F. Comparison of Snodgrass and Mathieu surgical techniques in anterior distal shaft hypospadias repair. Urol J 2005;2: 28-31.
- 2. Ducket JW. Hypospadias. In : Walsh PC, Refik AB, Stamey TA, Vaugh ED Jr, et al, editors. Campbell’s Urology. 7th edition. Philadelphia: WB Saunders 1998; 2093-116.
- 3. Brustia P, Renghi A, Gramaglia L, Porta C, Cassatella R, De Angelis R, et al. Mininvasive abdominal aortic surgery. Early recovery and reduced hospitalization after multidisiplinary approach. J Cardiocasc Surg (Torino) 2003;44:629-35.
- 4. Bertin KC. Minimally invasive outpatient total hip artroplasty: a financial analysis. Clin Orthop Relat Res 2005;435:154-63.
- 5. Schukfen N, Reismann M, Ludwikowski B, Hofmann AD, Kaemmerer A, Metzelder ML, et al. İmplementation of fast-track pediatric surgery in a German nonacademic institution without previous fast-track experience. Eur j Pediatr Surg 2014;24:419-25.
- 6. El Darawany HM, Al Damhogy ME. Urethral mobilization as an alternative procedure for distal hypospadias repair. Urology 2017;104:183-6.
- 7. Okoro PE, Tsang T. Short hospital stay versus day-care Mathieu hypospadias repair. Afr J Pediatric Surg 2008;5:29-31.
- 8. Moradi M, Moradi A, Ghanderpanah F. Comparison of Snodgrass and Mathieu surgical technique in anterior distal shaft hypospadias repair. Urol J 2005;2:28-31.
- 9. Hakim S, Merguerian PA, Robinowitz R, Shortliffe LD, McKenna PH. Outcome analyses of the modified Mathieu hypospadias repair: comparison of stended and unstended repairs. J Urol 1996;156:836-8.
- 10. Resimann M, Arar M, Hofmann A, Schukfeh N, Ure B. Feasibility of fast-track elements in pediatric surgery. Eur J Pediatr Surg 2012;22:40-4.
Ayrıntılar
| Birincil Dil | İngilizce |
|---|---|
| Konular | İç Hastalıkları |
| Bölüm | ORIGINAL ARTICLES |
| Yazarlar | |
| Yayımlanma Tarihi | 18 Mart 2020 |
| Gönderilme Tarihi | 14 Eylül 2018 |
| Yayımlandığı Sayı | Yıl 2020 Cilt: 14 Sayı: 2 |
