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Association of Paediatric Surgeons of Bangladesh
Journal of Paediatric Surgeons of Bangladesh
Original Articles · Vol. 8 No. 2 (2017)

Dorsal double layer dartos flap in the Snodgrass technique of hypospadias repair: An experience in Dhaka Medical College Hospital

Cover
JPSB
Journal of
Paediatric Surgeons of Bangladesh
Published : July 2017
CONTENTSVolume 08Number 2July 2017
Editorial
Paediatric laparoscopy in Bangladesh: Current situation after over a decade of introduction
Md Jafrul Hannan
41
Review Articles
Scope of Paediatric urology in Bangladesh
Mohammed Shadrul Alam
66
Original Articles
Paediatric inguinal herniotomy with and without exploration of inguinal canal
S M Borhan Uddin, Md Abdul Wahed, Md Tahidur Rahman, Sakil Mohammad, Md Touhid Alam, Md Salahuddin
43
Dorsal double layer dartos flap in the Snodgrass technique of hypospadias repair: An experience in Dhaka Medical College Hospital
Sahadeb Kumar Das, Kaniz Hasina, Md Ashraf Ul Huq, Jaglul Gaffer Khan, S M Shafiqul Alam, Md Tawhidul Islam
47
Evaluation of post-operative outcome in different surgical management for benign adnexal mass in children
Sifat Zereen Khan, Kaniz Hasina, Jaglul Gaffer Khan, S M Shafiqul Alam
52
Superficial surgical site infections: A comparative study between elective and emergency gastrointestinal surgeries in children
Syed Abdul Adil, Md Mahbubul Alam, Partha Sarathy Majumder, Kaniz Hasina, Tahmina Hossain
58
An objective assessment of the results of hypospadias surgery
Md Abu Jafor, Sheikh Zahid Boksh, Md Samidur Rahman, Mafia Afshin Laz, A H M Abdul Hai
63
Case Reports
Endoscopy guided retrieval of gastric foreign body by mini laparotomy following peg principle in a toddler
Masfique Ahmed Bhuiyan, Kaniz Hasina, Nazmus Sakib Ferdous, Bipul Bhushon Das, S M Shafiqul Alam, Mohammed Moinul Huque, Sifat Zereen Khan
71
The Official Journal of the
ASSOCIATION OF PAEDIATRIC SURGEONS OF BANGLADESH (APSB)
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Authors

  • Sahadeb Kumar DasDept. 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 KhanDept. of Pediatric Surgery, Dhaka Medical College and Hospital, Dhaka.
  • S M Shafiqul AlamDept. of Anaesthesiology and ICU, Dhaka Medical College and Hospital, Dhaka.
  • Md Tawhidul IslamDept. of Pediatric Surgery, Dhaka Medical College and Hospital, Dhaka.

Keywords

Hypospadias UC fistula Meatal Stenosis Residual Chordee Dartos Flap

Abstract

Introduction: Hypospadias is one of the most common congenital anomalies and more than 300 operation techniques have been described for primary hypospadias. The Snodgrass technique and its modification have become a preferred for all varieties of hypospadias in the past decade. However fistula is the most common of this technique. The aim of the study is to investigate the importance of double layer dartos flap to prevent fistula formation in the Snodgrass technique. Materials and Methods: It’s a retrospective study, among 52 patients aged 11 months to 144 months who underwent mid penile and distal hypospadias repair in the Snodgrass technique using dorsal dartos flap for neo-urethral coverage. This study was done in the Department of Pediatric Surgery in Dhaka Medical College & Hospital from November 2014 to December 2016. Results: Urethrocutaneous (UC) fistula were encountered in 10 patients (19.23%), meatal stenosis in 3 patients (5.76%), partial glanular dehiscence in 1 patient and residual chordee in 1 patient. Conclusions: For preventing fistula formation, urethral covering by a well vascularized dorsal double layer dartos flap should be the important part of the Snodgrass technique.

Journal of Paediatric Surgeons of Bangladesh (2017) Vol. 8 (2): 47–51

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