Saturday, June 30, 2012

Snod Grass technique of hypospadias repair (pics) (step-by-step operative urology)



Snod Grass technique of hypospadias repair (pics) (step-by-step operative urology)

5–0 polypropylene suture in glans for traction
artificial erection exclude curvature
Circumcising (subcoronal) incision



Degloving of penis
2 longitudinal incisions between urethral plate & glanular wings


midline incision of the urethral plate.
This manoeuvre is facilitated by counter-traction maintained by the surgeon and assistan






the urethral plate is tubularized (as Thiersch duplay principle) beginning at the neomeatus, using 6-0 or 7–0 polyglactin suture.
The first suture is placed through the epithelium at a point just distal to the midglans, so that the meatus has an oval, not rounded, configuration








Dartos pedicle flap (2nd layer) is dissected from the  preputial hood and dorsal skin
then either Rotated from side or button-holed and transposed ventrally to cover the entire neourethra (2nd layer to prevent fistulation)





Glansplasty by:
polyglactin suture through ventral lip of the meatus.
sutures placed subepithelially to complete glansplasty
No attempt is made to secure the glans to the underlying neourethra.  



Skin closures
also use subepithelial polyglactin sutures to minimize the risk of suture tracks.

Note: Snod grass repair can be used in more proximal hypospadias. 





Reply:

7 Comments:

Shankarabarathi said...

Awesome post!!
thanks,
Hypospadias surgery india

david joe said...

Thank you for spelling this out! this post is very informative and interesting.all the points are very useful. Simple but very effective writing. Thanks for sharing such a nice post.
Laparoscopic Surgery for Fibroid
Infertility specialists

Anonymous said...

It's Snodgrass, not Snod Grass.

faheem khan said...

Faheem Khan
Excellent work

faheem khan said...
This comment has been removed by the author.
Radiant Home Healthcare said...

This Blog is so informative where we get lots of information on any medical topic. Nice job keep it up!!
wellness consultant in chennai
weight management experts in chennai

david ken said...


God bless Dr.OLU for his marvelous work in my life, I was suffering for hypospadias since child hood and I was taking my medications and i wasn't satisfied and about to go for suddery, i needed to get the hypospadias out of my body, I searched about some possible cure for hypospadias and i saw a comment about Dr. OLU, how he cured a man with his herbal medicine, I contacted him and he guided me. I asked for solutions, he started the remedy for my health, he sent me the medicine through UPS SPEED POST. I took the medicine as prescribed by him and 7days later it was cleared, Dr. OLU truly you are great, do you need his help also? Why don't you contact him through drolusolutionhome@gmail.com
call or what-apps him through +2348140654426. .he also specialize on the following things

hirschsprungs disease

Hepatic B

Cancer

Penis growth

Thanks for the cure sir, you indeed save my life...I am really grateful sir,

Post a Comment

Twitter Delicious Facebook Digg Stumbleupon Favorites More

 
Design by Free WordPress Themes | Bloggerized by Lasantha - Premium Blogger Themes | Bluehost Review