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Single incisional approach for reconstruction of hypospadias and concomitant inguinal hernia
Abdol-Mohammad Kajbafzadeh1, Shabnam Sabetkish1, Amir Hassan Mahboubi1
1Pediatric Urology Research Center, Department of Pediatric Urology, Children's Hospital, Pediatric Center of Excellence, Tehran University of Medical Sciences, Tehran, Iran.
Insights
A single incisional approach for hypospadias and inguinal hernia (IH) repair offers superior cosmetic outcomes and reduced pain compared to multiple incisions. This technique is a viable option for pediatric surgical management.
Area of Science:
- Pediatric Surgery
- Urology
Background:
- Hypospadias and inguinal hernia (IH) often require surgical correction.
- Standard surgical approaches involve multiple incisions, potentially impacting cosmetic results and patient recovery.
Purpose of the Study:
- To evaluate the feasibility, cosmetic results, and therapeutic value of a single incisional approach for combined hypospadias and IH repair.
- To compare this single-incision technique against traditional multiple-incision methods.
Main Methods:
- Sixty pediatric patients with hypospadias and IH underwent repair between 2005 and 2012.
- Patients were randomized into single incision (SIG) and multiple incision (MIG) groups.
- Outcomes assessed included complications, pain, analgesic use, operative time, hospital stay, and cosmetic results.
Main Results:
- Complication rates were similar between SIG and MIG groups.
- Excellent cosmetic results were achieved in 96.6% of SIG patients versus 73.3% in MIG patients.
- SIG patients required less analgesia and experienced shorter hospital stays.
Conclusions:
- The single incisional approach is feasible and yields better cosmetic outcomes for hypospadias-IH repair.
- This method offers advantages such as reduced postoperative pain and shorter operative times.
- It represents a viable surgical option for managing children with concomitant hypospadias and IH.
Objective:
To demonstrate the feasibility, cosmetic outcome and therapeutic values of our single incisional approach in patients with both hypospadias and inguinal hernia (IH) in comparison with standard multiple incisional techniques.
Materials And Methods:
Sixty hypospadias-IH repairs were performed from February 2005 to February 2012. These patients were divided into two groups according to their age and hypospadias location. They were then separated randomly into multiple incision (MIG) and single incision (SIG) groups. Early and late complications were taken into consideration. Postoperative pain, need for analgesics, operative time, hospital stay and cosmetic results were recorded for further evaluation.
Results:
Patients were followed up at 6-month intervals for up to 2 years postoperatively. Early and late complication rates were approximately the same in the two groups. 73.3% of patients in MIG and 96.6% in SIG attained an excellent cosmetic result according to two external surgeons. There was no case with poor cosmetic outcome in either group. More analgesic consumption was demanded in MIG patients.
Conclusion:
This method of surgery is reproducible with better cosmetic outcome and a slightly shorter hospital stay. It could be a viable option in the management of children with hypospadias and concomitant IH. Negligible postoperative pain and short operative time are the other advantages.
