Ufuk ATEŞ, Gülnur GÖLLÜ, , Aydın YAĞMURLU, Ergun ERGÜN, Kutay BAHADIR, Günay EKBERLİ

Hızlandırılmış Cerrahinin Hipospadiaslı Çocuklarda Uygulanabilirliği

p.p1 {margin: 0.0px 0.0px 2.9px 0.0px; text-align: justify; font: 9.0px 'Helvetica Neue Light'} span.s1 {font: 9.0px 'Helvetica Neue'} Amaç: Çalışmanın amacı distal hipospadias nedeni ile Snodgrass tekniği uygulanarak günübirlik veya tek-gecelik hastane kalış süresi ile opere edilmiş hastalarda hızlandırılmış cerrahi konseptinin uygulanabilirliğini değerlendirmektir. Gereç ve Yöntemler: Distal hipospadias nedeni ile 2012-2017 seneleri arasında opere edilmiş olan hastalar geriye dönük olarak incelendi. Proksimal hipospadias ve herhangi bir ek anomalinin eşlik ettiği hastalar çalışma dışı bırakıldı. Hipospadias tipi, hasta yaşı, uygulanan teknik, hastane kalış süresi ve komplikasyon bilgileri hastane kayıtlarından elde edildi. Bulgular: Çalışmaya 67 hasta dahil edildi. Ortalama yaş 1.5 yıl (6 ay-14 yaş)’dı. Tüm hastalara onarım yöntemi olarak Snodgrass tekniği uygulanmıştır. Ortalama takip süresi 29 ay (1-82 ay)’dı. Otuz dokuz hasta tek gece hospitalize edilerek ertesi gün, 28 hasta günübirlik hasta olarak aynı gün taburcu edilmiştir. Hiçbir hastada postoperatif komplikasyon izlenmemiştir. Sonuç: Distal hipospadias onarımı hızlandırılmış cerrahi konseptinin uygulanabileceği mükemmel bir girişim çeşitidir.

Anahtar Kelimeler:

Hipospadias

Feasibility of Fast-Track Surgery in Children with Hypospadias

Objective: The aim of this study is to evaluate feasibility of fast-track surgery concept in children with distal hypospadias who are treated by Snodgrass technique.Material and Methods: Children who were operated due to distal hypospadias between 2012 and 2017 were evaluated retrospectively. Patients with proximal hypospadias and patients with any concomitant anomalies were excluded from the study. Type of hypospadias, age of patients, surgical technique, duration of hospitalization stay and complications were retrospectively analyzed. Results: There were 67 children in the study. Mean age was 1.5 years (6 months-14 years). Snodgrass procedure was the method of choice in all cases. The mean follow-up time was 29 months (1-82 months). Thirty-nine children stayed at the hospital overnight and in 28 children the procedure was carried out as a day-case surgery. There were no postoperative complications in any of cases. p.p1 {margin: 0.0px 0.0px 2.9px 0.0px; text-align: justify; font: 9.0px 'Helvetica Neue Light'} span.s1 {font: 9.0px 'Helvetica Neue'} span.s2 {font: 9.0px 'Helvetica Neue'; letter-spacing: -0.1px} span.s3 {letter-spacing: -0.1px} Conclusion: Distal hypospadias surgery seems to be an excellent type of procedure for implementation of fast-track concept.

Keywords:

Hypospadias,

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