Sezen ÖZKISACIK, Mesut YAZICI, Onur ÖZTAN, Nil ÇULHACI, Harun GÜRSOY

HİPOSPADİAS TÜBÜLARİZASYONUNDA KULLANILAN ÇİFT VERTİKAL İNSİZYON HANGİ DERİNLİKTE OLMALIDIR?

AMAÇ:Tübülarizasyon, özellikle hipospadias olmak üzere lümen gerektiren organların cerrahisinde kullanılantekniklerden biridir. Bu çalışmada çift vertikal insizyon ile oluşturulan tüplerde insizyon derinliğinin yaraiyileşmesi ve lümen genişliğine olan etkileri araştırılmıştır.GEREÇ veYÖNTEMLER:Yedi adet New Zealand tavşanda her bir tavşan üzerinde 3 adet derin 3 adet yüzeyelçift vertikal insizyon içeren toplam 42 adet tüp oluşturduk. Postoperatif 3., 5. ve 21. günlerde her bir tavşandan biryüzeyel, bir derin insizyonla yapılan tüp olmak üzere ikişer adet tüp çıkarıldı. Tüpler hematoxylin-eosin veMasson's trichrome ile boyandı ve inflamasyon, fibrozis ve lümen çapları açısından incelendi. Gruplar arasıparametrelerin karşılaştırılması için Mann-Whitney tek yönlü varyans analizi ve Kruskal-Wallis testi kullanıldı.İstatistiksel anlamlılık için P0.05)SONUÇ:Çalışmamızda derin insizyon ile yüzeyel insizyon arasında histopatolojik incelemede ve lümençaplarının değerlendirilmesinde anlamlı fark olmaması, aynı lümen genişliğine yüzeyel çift vertikal insizyon ileulaşılabilmesi çift vertikal yüzeyel insizyon ile tübülarizasyonun uygulanabilir bir teknik olduğunu göstermektedir

Anahtar Kelimeler:

Hipospadias, tubularizasyon, insizyon

How Deep Should The Double Vertical Incision Used In Tubularization For Hypospadias Be?

OBJECTIVE: Tubularization is one of the techniques used in surgery of luminal organs and especially for hypospadias. In this study, the effects of incision depth on wound healing and luminal dimensions were investigated. MATERIALand METHODS: Seven New Zealand rabbits were used. On the skin of each rabbit, 6 tubes were constructed (3 were with deep incision and 3 were superficial) with a total of 42 for the experiment. On postoperative days 3, 5 and 21, one tube with deep incision and one with superficial incision were removed from the each rabbit. The tubes were stained with hematoxylin-eosine and Masson's trichrome dyes. They were examined for inflammation, fibrosis and luminal diameters. Mann-Whitney U variance analysis and Kruskal- Wallis tests were used for statistical analysis. P0.05). CONCLUSION: Since there is no significant difference for histopathological examination and luminal diameter between groups with deep and superficial vertical incisions, and to be able to achieve similar luminal diameters with double superficial vertical incisions, tubularization with double superficial vertical incisions is suggested to be applicable to hypospadias surgery.

Keywords:

Hypospadias, tubularization, incision,

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