Retrospective evaluation of anesthesia and surgery methods in proximal hypospadias cases

Retrospective evaluation of anesthesia and surgery methods in proximal hypospadias cases

Aim: The appropriate anesthetic technique to be used in cases of proximal hypospadias in children is a subject of debate. Local orregional anesthesia as well as intubation can be used. In this study, it was aimed to evaluate retrospectively the different anesthesiaand surgery techniques used and their perioperative outcomes in the cases of proximal hypospadias consulting our hospital.Materials and Methods: The hospital files of 30 cases operated on for proximal hypospadias were scanned retrospectively to evaluatethe different methods of anesthesia and repair surgery implemented. The patients operated under general anesthesia were groupedon the basis of the airway equipment used for anesthesia as Laryngeal mask airway (Group 1) and endotracheal intubation (Group2). Routine penile block implementation, effectiveness of anesthesia, side effects, hemodynamic changes and complications in allpatients were recorded.Results: A total of 56 sessions of operations on 28 patients were carried out. In 26 of the session’s laryngeal mask and in 30 sessionsendotracheal intubation were used. When the data of Group 1 and Group 2 were compared, the groups did not differ significantly withrespect to age, anesthesia methods and duration, hypospadias repair methods, duration and sessions, intraoperative parameters,hospital stay and complications (all p>0.05). The two groups differed on the ASA physical status classification values with Group 2values being significantly higher (p

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  • 1. Hadidi AT, Azmy AF. BAPS. Papers History of hypospadias: Lost in translation, J Pediatr Surg 2017;52: 211-7.
  • 2. Faure A, Bouty A, Nyo YL, O'Brien M, Heloury Y. Twostage graft urethroplasty for proximal and complicated hypospadias in children: A retrospective study. J Pediatr Urol 2016;1;12:286.
  • 3. Kirkpatrick K, Vashisht R. Anesthesia for Pediatric Urology in Gainburg DM, BrysonEO, Frost EAM eds. Anesthesia for urologic surgery. New York: Springer Science+Busines Media 2014:177-96.
  • 4. Karasu D, Yilmaz C, Ozgunay SE, et al. Effects of Different Anesthetic Agents on Surgical Site Hemorrhage During Circumcision. Urology J 2018;15:21-6.
  • 5. Can ÖS. Hipospadias Cerrahisinde Anestezi ve Ağrı Kontrolü. Turkiye Klinikleri J Pediatr 2017;7:312-5.
  • 6. Silvani P, Camporesi A, Agostino MR, et al. Caudal anesthesia in pediatrics: an update. Minerva Anestesiol 2006;72:453-9.
  • 7. Cimador M, Vallasciani S, Manzoni G, et al. Failed hypospadias in paediatric patients. Nat Rev Urol 2013;10:657-66.
  • 8. Saavedra-Belaunde JA, Soto-Aviles O, Jorge J, et al. Can regional anesthesia have an effect on surgical outcomes in patients undergoing distal hypospadia surgery? J Pediatr Urol 2017;13:45.
  • 9. Kundra P, Yuvaraj K, Agrawal K, Krishnappa S, Kumar LT. Surgical outcome in children undergoing hypospadias repair under caudal epidural vs penile block. Paediatr Anaesth 2012;22:707-12.
  • 10. Mahdavi A, Razavi AS, Malekianzadeh B, Sadeghi A. Comparison of the peak ınspiratory pressure and lung dynamic compliance between a classic laryngeal mask airway and an endotracheal tube in children under mechanical ventilation. Tanaffos 2017;16:289- 94.
  • 11. Soh CR, Ng SB, Lim SL. Dorsal penile nerve block. Paediatr Anaesth 2003;13:329-33.
  • 12. Carlsson P, Svensson J. The duration of pain relief after penile block to boys undergoing circumcision. Acta Anaesthesiol Scand 1984;28:432-4.
  • 13. Metzelder ML, Kuebler JF, Glueer S, et al. Penile block is associated with less urinary retention than caudal anesthesia in distal hypospadia repair in children. World J Urol 2010;28:87-91.
  • 14. Naja ZM, Ziade FM, Kamel R, et al. The effectiveness of pudendal nerve block versus caudal block anesthesia for hypospadias in children. Anesth Anal 2013;117:1401-7.
  • 15. Kendigelen P, Tutuncu AC, Emre S, et al. Pudendal versus caudal block in children undergoing hypospadias surgery: a randomized controlled trial. Reg Anesth Pain Med 2016;41:610-5.
  • 16. Alizadeh F, Heydari SM, Nejadgashti R. Effectiveness of caudal epidural block on interaoperative blood loss during hypospadias repair: A randomized clinical trial. J Pediatr Urol 2018;14:420.
  • 17. Tanseco PP, Randhawa H, Chua ME, et al. Postoperative complications of hypospadias repair in patients receiving caudal block vs. non-caudal anesthesia: A meta-analysis. Can Urol Assoc J 2018;3;13.
  • 18. Kim MH, Im YJ, Kil HK, et al. Impact of caudal block on postoperative complications in children undergoing tubularised incised plate urethroplasty for hypospadias repair: a retrospective cohort study. Anesthesia 2016;71:773-8.
  • 19. Braga LH, Jegatheeswaran K, McGrath M, et al. Cause and effect versus confounding is there a true association between caudal blocks and tubularized incised plate repair complications? J Urol 2017;197: 845-51.
Annals of Medical Research-Cover
  • Yayın Aralığı: Aylık
  • Yayıncı: İnönü Üniversitesi Tıp Fakültesi
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