medigraphic.com

2008, Number 2

<< Back Next >>

Rev Mex Cir Pediatr 2008; 15 (2)

Use of Fibrin Sealant for Urethrocutaneous Fistula Closure: Comparative Study

Sánchez-Sagástegui F, Cuevas-Alpúche JO, Olivera-Vásquez J, Aguilar-Anzures R

Language: Spanish
References: 16
Page: 77-82
PDF size: 230.47 Kb.


ABSTRACT

Introduction: Urethrocutaneous fistula (UCF) formation is the most common complication after hypospadias repair. Many surgical techniques have been used. The fibrin sealant (FS) contribute in the healing of wound improvement. This is a comparative study using FS.
Materials and Methods: A patients with an urethrocutaneous fistula after hypospadias repair were submitted. A Group 1: simple suture line closure and Group 2: simple suture line closure plus application of fibrin sealant. We show the result
Results: A 23 patients were divided in two groups. Group 1: 11 cases, 6 (54.5%) the fistula resolve without complications and 5 (45.4%) with recidivism of the fistula. Group 2: 12 cases, 5 (41.6%) the fistula resolve and 7 (58.3%) with recidivism of the fistula.
Conclusion: The use of fibrin sealant do not diminish the risk of recurrence in the closure of urethrocutaneous fistula after hypospadias repair.


REFERENCES

  1. Leung AK, Robson WL. Hypospadias: an update. Asian J Androl 2007;9(1):16-22.

  2. Snodgrass WT. Tubularized incised plate hypospadias repair: indications, technique, and complications. Urology 1999;54(1):6-11.

  3. Secrest CL, Jordan GH, Winslow BH, et al. Repair of the complications of hypospadias surgery. The Journal of urology 1993;150(5 Pt 1):1415-8.

  4. Smith PJ, Townsend PL, Hiles JR, Bryson JR. Hypospadias--problems of postoperative fistulae formation and a modified 2-stage procedure to reduce these. British journal of urology 1976;48(7):703-7.

  5. Kass EJ, Bolong D. Single stage hypospadias reconstruction without fistula. The Journal of urology 1990;144(2 Pt 2):520-2; discussion 30.

  6. Shankar KR, Losty PD, Hopper M, Wong L, Rickwood AM. Outcome of hypospadias fistula repair. BJU Int 2002;89(1):103-5.

  7. Routh JC, Wolpert JJ, Reinberg Y. Tunneled tunica vaginalis flap is an effective technique for recurrent urethrocutaneous fistulas following tubularized incised plate urethroplasty. The Journal of urology 2006;176(4 Pt 1):1578-80; discussion 81.

  8. Landau EH, Gofrit ON, Meretyk S, et al. Outcome analysis of tunica vaginalis flap for the correction of recurrent urethrocutaneous fistula in children. The Journal of urology 2003;170(4 Pt 2):1596- 9; discussion 9.

  9. Cimador M, Castagnetti M, De Grazia E. Urethrocutaneous fistula repair after hypospadias surgery. BJU Int 2003;92(6):621-3.

  10. Jackson MR. Fibrin sealants in surgical practice: An overview. Am J Surg 2001;182(2 Suppl):1S- 7S.

  11. Shekarriz B, Stoller ML. The use of fibrin sealant in urology. The Journal of urology 2002;167(3):1218- 25.

  12. Spotnitz WD. Commercial fibrin sealants insurgical care. Am J Surg 2001;182(2 Suppl):8S-14S.

  13. Kjaergard HK. Suture support: is it advantageous? Am J Surg 2001;182(2 Suppl):15S-20S.

  14. Papadopoulos I, Schnapka B, Kelami A. [Use of human fibrin glue in the closure of vesicovaginal fistulas]. Urol Int 1985;40(3):141-4.

  15. Kinahan TJ, Johnson HW. Tisseel in hypospadias repair. Can J Surg 1992;35(1):75-7.

  16. Evans LA, Ferguson KH, Foley JP, Rozanski TA, Morey AF. Fibrin sealant for the management of genitourinary injuries, fistulas and surgical complications. The Journal of urology 2003;169(4):1360-2.




2020     |     www.medigraphic.com