Scrotal dartos flap for the prevention of the urethrocutaneous fistula on hypospadias urethroplasty
Scrotal dartos flap for the prevention of the urethrocutaneous fistula on hypospadias urethroplasty
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DOI：
10.1111/j.1442-2042.2005.01028.x
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发表时间：
2005-03-01
影响因子：
2.6
通讯作者：
Kohri, K
中科院分区：
文献类型：
--
作者：
Hayashi, Y;Kojima, Y;Kohri, K
背景：即使应用显微外科技术，尿路皮瘘也是严重的尿路下裂患者的常见并发症。患者和方法：从2001年6月到2003年7月，我们应用阴囊带蒂皮瓣包裹技术预防了14例尿道下裂患者的尿路皮瘘的发生。结果：除1例患者发生微小的尿瘘外，其余患者均获得修复，并通过一种简单的手术成功闭合。结论：我们推荐使用阴囊腹股沟包裹技术来覆盖新的输尿管，因为并发症较少，尽管获得该皮瓣可能需要较长的时间。
Background: Urethrocutaneous fistula is a common complication of urethroplasty for severe hypospadias, even when a microsurgical technique is applied.Patients and methods: From June 2001 to July 2003, we applied the scrotal dartos flap wrapping technique to prevent the occurrence of urethrocutaneous fistula in 14 patients with hypospadias.Results: Hypospadias was repaired without fistula formation in all but one patient, who developed a tiny fistula which was later closed successfully by a simple procedure.Conclusions: We recommend the scrotal dartos wrapping technique for covering the neourethra with a well-vascularized flap because of fewer complications, although the procedure to obtain the vascularized flap may take longer.