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Association of Paediatric Surgeons of Bangladesh
Journal of Paediatric Surgeons of Bangladesh
Original Articles · Vol. 8 No. 1 (2017)

Comparison of dartos flap and dartos flap plus spongioplasty to prevent fistula in tubularized incised plate urethroplasty

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JPSB
Journal of
Paediatric Surgeons of Bangladesh
Published : January 2017
CONTENTSVolume 08Number 1January 2017
Editorial
Childhood malignancies in Bangladesh: Challenges and solutions
AKM Amirul Morshed
01
Review Articles
Choledochal cyst and new Era in its management
Kaniz Hasina
28
Original Articles
Comparison of dartos flap and dartos flap plus spongioplasty to prevent fistula in tubularized incised plate urethroplasty
Sahadeb Kumar Das, Kaniz Hasina, Md Ashraf Ul Huq, Jaglul Gaffer Khan
05
Evaluation of postoperative wound infection in children
Partha Sarathy Majumder, Anuradha Karmaker, Md Mahbubul Alam, Lutfan Nessa
11
Role of laparoscopy in the management of impalpable testis in children: Approach in our country
Muhammed Moinul Huque, Ashraf Ul Huq, Kaniz Hasina, Md Jafrul Hannan
15
Laparoscopic assisted transanal endorectal pull-through procedure for Hirschsprung’s disease in children: Our experience
Md Mozammel Hoque, Md Jafrul Hannan
20
Gastric outlet obstruction in children secendery to corrosive ingestion
Zahid Boksh, Kaniz Hasina, Ansar Ali, Golam Kibria, Sharifuzzaman, Masfiqur Rahman
24
Case Reports
Vaginal yolk sac tumour in infant : A rare case report
AKM Amirul Morshed, Zohora Jameela Khan, Habiba Khatun, Delowar Hossain, Iffat Ara Shamsad, Ashraf Ul Huq, Shahnoor Islam
36
Typhoid ulcer causing massive per-rectal bleeding : A rare case report
Musrat Rahman Deeba, Ahmed Sayeed, Imran Rahman Sabbir
38
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ASSOCIATION OF PAEDIATRIC SURGEONS OF BANGLADESH (APSB)
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Authors

  • Sahadeb Kumar DasIndoor Medical Officer, Dept. of Pediatric Surgery, Dhaka Medical College and Hospital, Dhaka
  • Kaniz HasinaProfessor, Dept. of Pediatric Surgery, Dhaka Medical College and Hospital, Dhaka.
  • Md Ashraf Ul HuqProfessor and Head, Dept. of Pediatric Surgery, Dhaka Medical College and Hospital, Dhaka.
  • Jaglul Gaffer KhanAssociate Professor, Dept. of Pediatric Surgery, Dhaka Medical College and Hospital, Dhaka.

Keywords

Hypospadias UC fistula Dartos flap Spongioplasty

Abstract

Introduction: Hypospadias is one of the most common congenital anomalies and more than 300 operation techniques have been described for primary hypospadias. The complication rate varies with the complexity of the repair and the surgeon’s experience level. To decrease fistula rate, an additional tissue cover after neourethra reconstruction has been described using various tissues. This technique of spongioplasty with dartos flap interposition allows a better quality of the intermediate layer, with the object of preventing fistula. Aims and Objectives: The aim of our study is to evaluate the role of paraurethral spongial tissue plus dartos flap using an additional tissue cover to prevent fistula formation in patients who underwent urethroplasty with the Snodgrass technique. Materials and Methods: It’s a prospective study, performed on 60 patients aged 15 months to 144 months who underwent mid penile and distal hypospadias repair using the Snodgrass technique. The patients were assigned to one of the two groups. In Group I (30 patients), neourethra was covered with dartos flap, and in Group II (30 patients), the neourethra was covered with dartos flap plus spongioplasty. Results: Urethral fistula were encountered in twelve cases (40%) in Group I, and five cases 16.7%) in Group II (p value 0.045). Conclusions: Considering the results of this study, approximation of the corpus spongiosum along with dartos flap as an intermediate layer in urethral coverage as part of Snodgrass technique reduces the rate of fistula formation. This procedure can be applied easily and effectively to prevent the formation of fistula.

Journal of Paediatric Surgeons of Bangladesh (2017) Vol. 8 (1): 5–10

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