Indian Journal of Plastic Surgery
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 ORIGINAL ARTICLE
Year : 2006  |  Volume : 39  |  Issue : 2  |  Page : 152--156

Role of tunica vaginalis interposition layer in hypospadias surgery


Deendayal Upadhyay Hospital, Hari Nagar, New Delhi, India

Correspondence Address:
Yog Raj Handoo
87/Samaj Kalyan Apartments, Vikaspuri, Delhi - 110 018
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0970-0358.29544

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Hypospadias surgery has evolved with more than 150 procedures for surgical correction of single anomaly .urethro-cutaneous fistula continues to be single most common complication of regardless of location of meatus, procedure performed and experience of surgeon. Every effort goes in prevention of this complication including overlapping suture line. Two stage repair, burying repaired urethra in scrotum, dartose flap. Parietal layer of tunica vaginalis from testis as a water proofing layer over reconstructed neo urethra decreasing fistula rate. Unlike dissection of dartose layer which can damage blood supply of overlying skin with impaired wound healing, tunica vaginalis brings vascular supply from outside source hence helping in healing of suture line of neo-urethra. Study of effectiveness of tunica vaginalis flap covering different hypospadias procedures in 126 cases over 6 years is presented with inference of significant decrease of urethra-cutaneous fistula rate.






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