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《Journal of Applied Clinical Pediatrics》 2012-23
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Application of Fascial Flap Covering Technique in Hypospadias Repair

LUO Yi-ge,YANG Ti-quan,DONG Chun-qiang,LIU Qiang,CHEN Chao,WEI Ting(Department of Pediatric Surgery,the First Affiliated Hospital of Guangxi Medical University,Nanning 530021,Guangxi Zhuang Autonomous Region,China)  
Objective To investigate the technique and feasibility of fascial flap covering technique of raw surface in hypospadias reparation. Methods Six hundred and three cases of hypospadias were collected in which urethroplasty was carried out.Their ages range was from 2 years to 18 years.The operations for 486 cases were the first time,and the other 117 cases were treated the second or many times.According to the deficits of hypospadias,different types of urethroplasty were chosen,such as Mathieu,Pedicle island flap,Snodgrass,Duckett,Duckett + Duplay,Duplay,Thiersch and Tunica mucosa vesicas mrinariae procedures.All cases were divided into 2 groups according to the time limit of treatment and the covering methods of urethral raw surface.Fascial flap group(360 cases):these new urethras were covered by difference fascial flaps(urethra′s progradated fascial flap,mentula revolved fascial flap,mentula De-epithelialized skin flap,scrotum vaso-axis fascial flap and free fascial flap) and then mentula raw surface was covered by transferring skin flap and suturing allotopia.Skin flap group(243 cases):skin flap was used for covering mentula raw surface directly.All cases were treated with the same sutures and urethra supporting mate-rials.Infection prophylaxis was given postoperatively and urethral catheters were removed 10-14 days later. Results In all the types of urethroplasty,the incidence rate of urinary fistula in the fascial flap group was lower than that in the skin flap group.Except the Duplay and Tunica mucosa vesicae urinariae procedures,there was statistical significance between the 2 groups(Pa0.05).In the fascial flap group,there were 37 cases with urinary fistula,and no severe complication occurred such as whole urethra breakdown,the overall urinary fistula rate was 10.3%.In the skin flap group,there were 77 cases with urinary fistula and 17 cases with whole urethra breakdown.The overall urinary fistula rate was 31.7%(P=0.000). Conclusions The Fascial flap covering techniques can be generally undertaken which provide a favourable tissue covering for new urethra and reduce the convenience of urethral fistula.Fascial flap covering techniques can provide a favorable,and reduce the accident of urinary fistula.Fascial flap techniques would be used as a routine procedure for raw surface covering in urethroplasty.
【CateGory Index】: R699
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【Citations】
Chinese Journal Full-text Database 4 Hits
1 ZHANG Yuanfeng1 LV Jun1 YAO Huaqiang1 ZHANG Lichao1ZHANG Xiaoming1 ZHANG Jianfeng1 HU Weilie1(1Department of Urology,the General Hospital of Guangzhou Command,PLA,Guangzhou,510010,China);Snodgrass procedure combined with de-epithelialized skin flap covering technique in hypospadias repair in child[J];Journal of Clinical Urology;2008-11
2 CHEN Jia-bo,YANG Ti-quan(Department of Pediatric Surgery,the First Affiliated Hospital of Guangxi Medical University,Nanning 530021,Guangxi Zhuang Autonomous Region,China);Application of Pedicle Prepuce Island Skin Flap in Reoperation of Hypospadias[J];Journal of Applied Clinical Pediatrics;2011-01
3 HUANG Yan,ZHANG Shu-feng,LI Pei-qiang;Snodgrass Urethroplasty for Hypospadia in Children[J];Journal of Applied Clinical Pediatrics;2011-15
4 LIU Yuanbo, LI Senkai,LI Yangqun,et al. Plastic Surgery Hospital of Chinese Academy of Medical Science,Beijing 100041, China \;;Anatomic study of the circular blood supply system of the scrotal skin\[J];Chinese Journal of Plastic Surgery and Burns;2001-01
【Co-citations】
Chinese Journal Full-text Database 10 Hits
1 Wang Song,Yin Chuangao,Hu Jun,et alDepartment of Radiology,Anhui Province Children's Hospital,Hefei 230051,China;CT diagnosis and differential diagnosis of Wilmstumors for children[J];Anhui Medical Journal;2010-11
2 Chao Min,Cai Ying,CaoYongsheng,et al Department of Urology,Anhui Children's Hospital,Hefei 230051,China;The clinical analysis of children's duplication of kidney[J];Anhui Medical Journal;2012-03
3 HOU Jin-hua,GU Heng,WANG Chang-bing,YU Tong-hui(Department of Urology,NO.123 Hospital of PLA,Bengbu Anhui 233015,China);Repairing complex anterior urethral stricture with adjacent pedicle complex tissue flaps:report of 12 cases[J];Journal of Bengbu Medical College;2010-01
4 PENG Da-zhen1,LU Gen-sheng1,ZHU Kai-chang2,SHEN Wen-hao1,ZHI Yi1(1Institute of Urinary Surgery,Southwest Hospital,Third Military Medical University,Chongqing 400038;2Department of Urology,No.210 Hospital of PLA,Dalian 116021,Liaoning Province,China);Diagnosis and treatment of 138 hermaphroditism cases[J];Acta Academiae Medicinae Militaris Tertiae;2009-19
5 LUO Shu-you,LI Xin-ning,SHI Qun-feng.Department of Pediatric Surgery,Guangxi Maternal and Child Health Hospital,Nanning 530003,China;Retention of gubernaculum testis in laparoscopic operation for child abdominal cryptorchidism[J];Journal of Laparoscopic Surgery;2011-08
6 YE Jian-qing,ZHANG Dong-xu,LI Xun-gang,et al.Department of Urology,Changzheng Hospital,Second Military Medical University,Shanghai 200003,China;Retroperitoneal laparoscopic heminephroureterectomy in treatment of duplex kidney and ureter deformity[J];Journal of Laparoscopic Surgery;2012-07
7 ;儿童睾丸扭转发生的原因分析及临床护理[J];Journal of Nurses Training;2010-19
8 ;小儿肾积水围手术期护理[J];Journal of Nurses Training;2011-08
9 ;儿童尿道下裂术后尿道狭窄的预防性护理[J];Journal of Nurses Training;2011-11
10 ;后尿道瓣膜症患儿的护理体会[J];Journal of Nurses Training;2012-05
【Secondary Citations】
Chinese Journal Full-text Database 7 Hits
1 Wu Dapeng,Wu Qifei,Xing Junping (Department of Urology,The First Affiliated Hospital,Medical School of Xi'an Jiaotong University,Xi'an 710061,China);Modified Duckeet urethroplasty for severe proximal hypospadias[J];Journal of Modern Urology;2008-03
2 CHEN Jia-bo,YANG Ti-quan(Department of Pediatric Surgery,the First Affiliated Hospital of Guangxi Medical University,Nanning 530021,Guangxi Zhuang Autonomous Region,China);Application of Pedicle Prepuce Island Skin Flap in Reoperation of Hypospadias[J];Journal of Applied Clinical Pediatrics;2011-01
3 XIAO Yuan-song,LV Jun,YANG Huai,et al.Department of Urology,General Hospital of Guangzhou Command,PLA,Guangzhou 510010,China;The use and effect of subcutaneous flap and tunica vaginalis flap technique in hypospadias repair and hypospadias fistulas repair[J];Chinese Journal of Urology;2005-03
4 Su Zexuan;Xu Yichao;Zhong Shizhen.(The Affiliated Hospital,Medical College of Jinan University,Guangzhou 510630);Pedunculated scrotal flap in the treatment of complicated urethral stricture[J];CHINESE JOURNAL OF VROLOGY;1996-01
5 ZHANG Wei-ping SUN Ning HUANG Cheng-ru BAI Ji-Wu TIAN Jun XIE Xiang-kui SONG Hong-cheng Department of Urology,Beijing Children's Hospital Affiliated to Capital University of Medical Science,Beijing 100045,China;Snodgrass urethroplasty for the anterior hypospadias[J];Chinese Journal of Pediatric Surgery;2006-10
6 YANG Mingyong, LI Senkai, LI Yangqun, et al. Plastic Surgery Hospital, Peking Union Medical College, Chinese Academy of Medical Sciences,Beijing,100041, P. R. China.;REPEATED USE OF SCROTAL SEPTUM FLAP TO REPAIR FAILED HYPOSPADIAS[J];Chinese Journal of Reparative and Reconstructive Surgery;2004-06
7 Li Shiying, Li Senkai, Zhuang Hongxing, Sun Bo, Meng Shihe, Cheng Junping , Yuan Lin , Liu Muzhi and Zhong Shizhen(Hospital of Plastic Surgery, Beijing) Anatomy Department of the Ist Military Medical College, Guangzhou;Indications for Using Scrotal Septal Flap in Hypospadias Repair and Studies on Its Regional Anatomy[J];Acta Academiae Medicinae Sinicae;1986-04
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