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ORIGINAL ARTICLE
Year : 2017  |  Volume : 9  |  Issue : 4  |  Page : 348-352

Choosing an ideal vascular cover for Snodgrass repair


Department of Pediatric Surgery, Vydehi Institute of Medical Science, Bengaluru, Karnataka, India

Correspondence Address:
Mamatha Basavaraju
Door Number -178/2, Shivakrupa Venkatapura, 5th Cross, Koramangala, Bengaluru - 560 034, Karnataka
India
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DOI: 10.4103/UA.UA_90_17

PMID: 29118537

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Aim: The aim of this study is to compare tunica vaginalis (TV), dorsal dartos, and ventral dartos flap as a second layer vascular cover during Snodgrass repair. Materials and Methods: Data of 83 patients who underwent primary hypospadias repair with Snodgrass technique (age range: 1.6–12 years) were retrospectively collected and compared. They were divided into three groups. Group A (26 patients) included cases using TV flap, Group B (36 patients) included those where dorsal dartos from prepuce was used as second cover, and Group C (21 patients) included those with ventral dartos as cover. Results: In Group A, no complications recorded. Mild scrotal edema was present in 5 patients which was conservatively managed. In Group B, there were 8 fistulas, 2 glans breakdown, and 1 meatal stenosis. In Group C, there were 3 fistulas and 1 glans breakdown. Conclusion: TV flap is better than dorsal dartos and ventral dartos as vascular cover for primary hypospadias repair with Snodgrass technique.


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