The Use of Autologous Platelet Rich Fibrin Membrane as a Second Layer in Snodgrass Repair of Distal Hypospadias

Background: Hypospadias is a common pediatric health problem. Snodgrass [Tubularized Incised Plate Urethroplasty]surgical repair was adopted as the standard technique, although different techniques had been described. However, higher complication rate continues to be a problem. The aim of the work:...

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Autores principales:	Ahmed Shaker Fouad Al-Awadi, Hazem Ahmed Megahed, Mohamed Mohamed Ahmed Shahin, Fahmy Alsayed Abdul Aziz
Formato:	article
Lenguaje:	EN
Publicado:	Al-Azhar University, Faculty of Medicine (Damietta) 2021
Materias:	hypospadias snodgrass platelet-rich fibrin autologous intermediate Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/cd41be7453b643ba835f6b9c7d9200fa
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spelling	oai:doaj.org-article:cd41be7453b643ba835f6b9c7d9200fa2021-12-02T14:44:39ZThe Use of Autologous Platelet Rich Fibrin Membrane as a Second Layer in Snodgrass Repair of Distal Hypospadias2636-41742682-378010.21608/ijma.2021.44160.1181https://doaj.org/article/cd41be7453b643ba835f6b9c7d9200fa2021-04-01T00:00:00Zhttps://ijma.journals.ekb.eg/article_158048_e9cb269285987eaef5b678c4f27697b7.pdfhttps://doaj.org/toc/2636-4174https://doaj.org/toc/2682-3780Background: Hypospadias is a common pediatric health problem. Snodgrass [Tubularized Incised Plate Urethroplasty]surgical repair was adopted as the standard technique, although different techniques had been described. However, higher complication rate continues to be a problem. The aim of the work: To evaluate the use of platelet rich fibrin membrane as an intermediate layer in the Snodgrass repair of distal hypospadias. Patients and Methods: Thirty children were included. All were evaluated preoperatively by full history taking, clinical examination and laboratory investigations. Then all were treated by Tubularized Incised Plate Urethroplasty with the use of platelet rich fibrin membrane as an intermediate layer. They then followed up and any early or late complications were registered. Results: Hypospadias was recurrent among 83.3%. Patient age ranged between one and six years and the mean operative time was 67±5.4 minutes; the mean hospital stay duration was 7.0±1.2 days. The success rate was 93.3% and complication rate was 6.7%. Complications were edema in 6.7%, urethro-cutaneous fistula [UCF] in 6.7% and skin infection among 3.3%. Conclusion: The use of a platelet rich fibrin membrane is a feasible and safe intermediate layer for hypospadias surgery in Tubularized Incised Plate Urethroplasty. The procedure is quick and straightforward and has a low postoperative complication.Ahmed Shaker Fouad Al-AwadiHazem Ahmed MegahedMohamed Mohamed Ahmed ShahinFahmy Alsayed Abdul AzizAl-Azhar University, Faculty of Medicine (Damietta)articlehypospadiassnodgrassplatelet-rich fibrinautologousintermediateMedicine (General)R5-920ENInternational Journal of Medical Arts, Vol 3, Iss 2, Pp 1377-1383 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	hypospadias snodgrass platelet-rich fibrin autologous intermediate Medicine (General) R5-920
spellingShingle	hypospadias snodgrass platelet-rich fibrin autologous intermediate Medicine (General) R5-920 Ahmed Shaker Fouad Al-Awadi Hazem Ahmed Megahed Mohamed Mohamed Ahmed Shahin Fahmy Alsayed Abdul Aziz The Use of Autologous Platelet Rich Fibrin Membrane as a Second Layer in Snodgrass Repair of Distal Hypospadias
description	Background: Hypospadias is a common pediatric health problem. Snodgrass [Tubularized Incised Plate Urethroplasty]surgical repair was adopted as the standard technique, although different techniques had been described. However, higher complication rate continues to be a problem. The aim of the work: To evaluate the use of platelet rich fibrin membrane as an intermediate layer in the Snodgrass repair of distal hypospadias. Patients and Methods: Thirty children were included. All were evaluated preoperatively by full history taking, clinical examination and laboratory investigations. Then all were treated by Tubularized Incised Plate Urethroplasty with the use of platelet rich fibrin membrane as an intermediate layer. They then followed up and any early or late complications were registered. Results: Hypospadias was recurrent among 83.3%. Patient age ranged between one and six years and the mean operative time was 67±5.4 minutes; the mean hospital stay duration was 7.0±1.2 days. The success rate was 93.3% and complication rate was 6.7%. Complications were edema in 6.7%, urethro-cutaneous fistula [UCF] in 6.7% and skin infection among 3.3%. Conclusion: The use of a platelet rich fibrin membrane is a feasible and safe intermediate layer for hypospadias surgery in Tubularized Incised Plate Urethroplasty. The procedure is quick and straightforward and has a low postoperative complication.
format	article
author	Ahmed Shaker Fouad Al-Awadi Hazem Ahmed Megahed Mohamed Mohamed Ahmed Shahin Fahmy Alsayed Abdul Aziz
author_facet	Ahmed Shaker Fouad Al-Awadi Hazem Ahmed Megahed Mohamed Mohamed Ahmed Shahin Fahmy Alsayed Abdul Aziz
author_sort	Ahmed Shaker Fouad Al-Awadi
title	The Use of Autologous Platelet Rich Fibrin Membrane as a Second Layer in Snodgrass Repair of Distal Hypospadias
title_short	The Use of Autologous Platelet Rich Fibrin Membrane as a Second Layer in Snodgrass Repair of Distal Hypospadias
title_full	The Use of Autologous Platelet Rich Fibrin Membrane as a Second Layer in Snodgrass Repair of Distal Hypospadias
title_fullStr	The Use of Autologous Platelet Rich Fibrin Membrane as a Second Layer in Snodgrass Repair of Distal Hypospadias
title_full_unstemmed	The Use of Autologous Platelet Rich Fibrin Membrane as a Second Layer in Snodgrass Repair of Distal Hypospadias
title_sort	use of autologous platelet rich fibrin membrane as a second layer in snodgrass repair of distal hypospadias
publisher	Al-Azhar University, Faculty of Medicine (Damietta)
publishDate	2021
url	https://doaj.org/article/cd41be7453b643ba835f6b9c7d9200fa
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The Use of Autologous Platelet Rich Fibrin Membrane as a Second Layer in Snodgrass Repair of Distal Hypospadias

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