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Journal of Paediatric Surgeons of Bangladesh
Original Articles · Vol. 3 No. 1 (2012)

Preputial Dartos Reinforced Snodgrass Tubularized Incised Plate Urethroplasties in Distal Hypospadias to Prevent Urethrocutaneous Fistula

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JPSB
Journal of
Paediatric Surgeons of Bangladesh
Published : January 2012
CONTENTSVolume 03Number 1January 2012
Editorial
Gastric Transposition in Long- Gap Esophageal Atresia
Md Abu Jafor
01
Review Articles
Spina Bifida and Hydrocephalus in children: Role of a Paediatric Surgeon
Md Tosadeque Hossain Siddiqui, Shoheli Alam, Zeba Ahmed
37
Original Articles
Bishop Koop Technique is Preferred than Primary Anastomosis in Managing Jejunoileal Atresia in a Setup without Neonatal Intensive Care Unit - Our Initial Experience
MA Mushfiqur Rahman, Md Abdullah Al Farooq, Md Akbar Husain Bhuiyan, Minhajuddin Sajid, Tanvir K Chowdhury, Golam Habib
05
Preputial Dartos Reinforced Snodgrass Tubularized Incised Plate Urethroplasties in Distal Hypospadias to Prevent Urethrocutaneous Fistula
Md Shah Alam Talukder, Debesh Ch Talukder, Md Abdullah Al Mahmud, Mohammed Showkot Ali, Nadiuzzaman Khan, Shankar Chandra Das, Sangul Islam, Md Shafiqul Bari
12
Short Term Outcome of Palliative Measures Taken for Clinically Labeled Unresectable Carcinoma Pancreas
Md Abdullah Al Farooq, MA Mushfiqur Rahman, Tania Tajreen, Mohammad Ali
18
An Audit of the Patients Treated in Paediatric Surgery Department of Ad-din Women’s Medical College Hospital, Dhaka
Musrat Rahman, Rezaul Islam, SM A Alim
26
Comparison between the Outcome of Tunica Vaginalis Blanket Wrap and Non-wrap Procedures in Urethroplasty
Mohammad Minhajuddin Sajid, Md Shahid Karim
30
Case Reports
Inflammatory Myofibroblastic Tumour in Antimesenteric Border of Descending Colon of Children: A Case Report
Shahnoor Islam, AKM Amirul Morshed, Afiqul Islam
47
Subcutaneous Emphysema: A Rare Postoperative Complication after Tonsillectomy
Manilal Aich Litu, Nurul Karim Chowdhury, Mohammad Amzad Hossain, Abdullah Al Mamun, Mashuque Mahmud, Dipali Bishwas, Utpal Kumar Dutta, Md Zahedul Alam
51
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ASSOCIATION OF PAEDIATRIC SURGEONS OF BANGLADESH (APSB)
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Authors

  • Md Shah Alam TalukderProfessor & Head Dept of paediatric surgery, MMCH, Mymensingh
  • Debesh Ch TalukderAsstt. Prof of ENT, DMCH, Dhaka
  • Md Abdullah Al MahmudAssistant Registrar, Dept of paediatric surgery, MMCH, Mymensingh
  • Mohammed Showkot AliLecturer, Anatomy, MMC
  • Nadiuzzaman KhanRegistrar, Dept of paeditric surgery, MMCH, Mymensingh
  • Shankar Chandra DasMedical Officer, Gazipur Sadar Hospital, Gazipur
  • Sangul IslamMS (Paediatrics) Final part student, MMCH, Mymensingh
  • Md Shafiqul BariRegistrar, Dept of paediatric surgery, MMCH, Mymensingh

Keywords

Urethroplasty Urethrocutaneous Fistula Preputial Dartos Reinforced Snodgrass Tubularized Incised Plate

Abstract

Urethro cutaneous fistula (U-C fistula) is the most common complication of hypospadias surgery. It frequently needs separate surgeries for closure, which bring a great deal of physical and mental agony and monetary involvement of the patient and his family. Many efforts have been invented to prevent the u-c fistula with various degree of success. We would like to see the outcome of Preputial Dartos Reinforced Snodgrass Tubularized Incised Plate Urethroplasties in Distal Hypospadias to Prevent Urethrocutaneous Fistula. This interventional study was performed to see the outcome of preputial dartos reinforced Snodgrass tubularized incised plate urethroplasties in distal hypospadias specially urethrocutaneous fistula prevention. For this purpose 40 patients were selected having distal hypospadias age ranging from 6 months to 11 years admitted in the Department of Pediatric Surgery, Mymensingh Medical College & Hospital during the period of January 2010 to March 2011. Out of 40 patients, 20 were in group-A (preputial dartos flap) and another 20 were included in group - B (without flap). All this patients were followed by perioperative and postoperative care. Few patients developed postoperative pyrexia, wound infection, stent blockage which were treated accordingly leaving minimum morbidity. Both groups of patients were followed up for 3 months after surgery. Present study is probably a better technique to prevent fistula associated morbidities in distal Snodgrass TIP urethroplasties.

Journal of Paediatric Surgeons of Bangladesh (2012) Vol. 3 (1): 12–17

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