The Use of Autologous Platelet Rich Fibrin Membrane as a Second Layer in Snodgrass Repair of Distal Hypospadias
Fouad Al-Awadi, A., Megahed, H., Ahmed Shahin, M., Abdul Aziz, F. (2021). The Use of Autologous Platelet Rich Fibrin Membrane as a Second Layer in Snodgrass Repair of Distal Hypospadias. EKB Journal Management System, 3(2), 1377-1383. doi: 10.21608/ijma.2021.44160.1181
Ahmed Shaker Fouad Al-Awadi; Hazem Ahmed Megahed; Mohamed Mohamed Ahmed Shahin; Fahmy Alsayed Abdul Aziz. "The Use of Autologous Platelet Rich Fibrin Membrane as a Second Layer in Snodgrass Repair of Distal Hypospadias". EKB Journal Management System, 3, 2, 2021, 1377-1383. doi: 10.21608/ijma.2021.44160.1181
Fouad Al-Awadi, A., Megahed, H., Ahmed Shahin, M., Abdul Aziz, F. (2021). 'The Use of Autologous Platelet Rich Fibrin Membrane as a Second Layer in Snodgrass Repair of Distal Hypospadias', EKB Journal Management System, 3(2), pp. 1377-1383. doi: 10.21608/ijma.2021.44160.1181
Fouad Al-Awadi, A., Megahed, H., Ahmed Shahin, M., Abdul Aziz, F. The Use of Autologous Platelet Rich Fibrin Membrane as a Second Layer in Snodgrass Repair of Distal Hypospadias. EKB Journal Management System, 2021; 3(2): 1377-1383. doi: 10.21608/ijma.2021.44160.1181

The Use of Autologous Platelet Rich Fibrin Membrane as a Second Layer in Snodgrass Repair of Distal Hypospadias

International Journal of Medical Arts
Article 27, Volume 3, Issue 2, April 2021, Page 1377-1383  XML PDF (1.31 MB)
Document Type: Original Article
DOI: 10.21608/ijma.2021.44160.1181
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Authors
Ahmed Shaker Fouad Al-Awadi email 1; Hazem Ahmed Megahed1; Mohamed Mohamed Ahmed Shahin1; Fahmy Alsayed Abdul Aziz2
1Department of Surgery, Damietta Faculty of Medicine, Al-Azhar University, Egypt
2Department of Clinical Pathology, Damietta Faculty of Medicine, Al-Azhar University, Egypt
Abstract
Background: Hypospadias is a common pediatric health problem. Snodgrass [Tubularized Incised Plate Urethroplasty]surgical repair was adopted as the standard technique, although different techniques had been described. However, higher complication rate continues to be a problem.
The aim of the work: To evaluate the use of platelet rich fibrin membrane as an intermediate layer in the Snodgrass repair of distal hypospadias.
Patients and Methods: Thirty children were included. All were evaluated preoperatively by full history taking, clinical examination and laboratory investigations. Then all were treated by Tubularized Incised Plate Urethroplasty with the use of platelet rich fibrin membrane as an intermediate layer. They then followed up and any early or late complications were registered. 
Results: Hypospadias was recurrent among 83.3%. Patient age ranged between one and six years and the mean operative time was 67±5.4 minutes; the mean hospital stay duration was 7.0±1.2 days. The success rate was 93.3% and complication rate was 6.7%. Complications were edema in 6.7%, urethro-cutaneous fistula [UCF] in 6.7% and skin infection among 3.3%.
Conclusion: The use of a platelet rich fibrin membrane is a feasible and safe intermediate layer for hypospadias surgery in Tubularized Incised Plate Urethroplasty.  The procedure is quick and straightforward and has a low postoperative complication.
Keywords
Hypospadias; Snodgrass; Platelet-Rich Fibrin; Autologous; Intermediate
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