Fistula after hypospadias: preliminary treatment results

Fistula is the commonest complication after hypospadias surgery ranged 10-30%. The results of surgery depending on the severity of hypospadias, surgical technique, and experience of the operating surgeon. This is a prospective study analysis the operational procedures in post-hypospadias urethral fistula repair. Through July 2015 to January 2017, 21 patients with 21 fistulas where classified their treatment into: 6 fistula with simple closure, 7 fistula simple closure with fascial layer, and 7 fistula dorsal slit with fascial layer. According to my experience I have successfully treated all urethral fistulas using my method, with success rate. We concluded that the midline urethral incision with the dartos flip flap is the main point for treatment of difficult urethral fistula after hypospadias operation.

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Preliminary treatment results of pegylated interferon alpha 2B and ribavirin in liver transplant recipients with recurrent hepatitis C virus nonresponsive to interferon alpha2B and ribavirin

Journal of Hepatology ◽

10.1016/s0168-8278(03)80818-8 ◽

2003 ◽

Vol 38 ◽

pp. 160

Author(s):

G.W. Neff ◽

M. Montalbano ◽

N. Ozden ◽

H. Muslu ◽

Y.M. Lee ◽

...

Keyword(s):

Hepatitis C ◽

Pegylated Interferon ◽

Preliminary Treatment ◽

Transplant Recipients ◽

Treatment Results ◽

Pegylated Interferon Alpha ◽

Recurrent Hepatitis ◽

Interferon Alpha 2B ◽

Recurrent Hepatitis C ◽

Liver Transplant Recipients

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Short-term outcomes of the over-the-scope clip proctology system for rectovaginal fistula repair: a prospective study

Techniques in Coloproctology ◽

10.1007/s10151-019-01948-5 ◽

2019 ◽

Vol 23 (3) ◽

pp. 245-249 ◽

Cited By ~ 2

Author(s):

Yiwei Tong ◽

Bertrand Trilling ◽

Pierre-Yves Sage ◽

Edouard Girard ◽

Jean-Luc Faucheron

Keyword(s):

Prospective Study ◽

Rectovaginal Fistula ◽

Fistula Repair ◽

Short Term ◽

Over The Scope Clip ◽

A Prospective Study

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Radiation exposure during C-arm-guided (fluoroscopy) small animal orthopaedic surgery

Veterinární Medicína ◽

10.17221/15/2018-vetmed ◽

2018 ◽

Vol 63 (No. 11) ◽

pp. 527-531

Author(s):

S. Sung ◽

S. Lim ◽

K. Min ◽

Y. Jung ◽

Y. Cho ◽

...

Keyword(s):

Radiation Exposure ◽

Orthopaedic Surgery ◽

Small Animal ◽

Exposure Dose ◽

Exposure Level ◽

Body Parts ◽

Thermoluminescent Dosimeters ◽

Protective Devices ◽

A Prospective Study ◽

Operating Surgeon

The purpose of the current study was to investigate the radiation exposure level of surgeons performing C-arm guided small animal orthopaedic surgery using thermoluminescent dosimeters located inside and outside personnel shielding devices at major body parts. A prospective study was conducted to measure the radiation exposure dose of individuals in three positions (first assistant, operating surgeon and anaesthesiologist) using thermoluminescent dosimeters placed inside and outside protective devices. The lead equivalent protective devices included panorama mask, thyroid shield, apron and arm shield placed at five anatomic sites (eye, thyroid, breast, gonad and hand). Radiation exposure was measured during 12 surgical procedures with mean kVp of 51 and mean mAs of 1.6. The equivalent doses for thyroid, breast and gonad (outside/inside in mSv) were 1.75/0.58, 2.01/0.13 and 3.03/0.11, respectively, for the first assistant and 1.69/1.46, 4.82/0.35 and 5.25/0.22 for the operating surgeon. The dose of eye, thyroid, breast, gonad and arm for the anaesthesiologist were 0.61/0.51, 0.35/0.3, 0.67/0.34, 0.72/0.29 and 0.62/0.35, respectively. The exposure dose to gonads outside the lead protection showed the highest values in all participants. With lead protection, there was a significant reduction in the exposure dose to the gonads (first assistant, 96%; operating surgeon, 96%; anaesthesiologist, 60%). These results suggest that a radiation shield is essential in veterinary surgery with C-arms, particularly for gonad protection. In addition, these results demonstrate that exposure dose decreases with increasing distance from the C-arm machine.

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