Gilbert D A, Devine C J, Winslow B H, Horton C E, Getz S E
Plast Reconstr Surg. 1986 Mar;77(3):460-7. doi: 10.1097/00006534-198603000-00024.
Successful primary hypospadias repair depends on careful execution of surgical principles, particularly during the urethroplasty portion of the procedure. These principles include careful tissue handling, development of well-vascularized flaps, and avoidance of placing sutures in the uroepithelial surface. Despite meticulous repair, the complication rate requiring secondary surgery is 15 to 30 percent. For the past year, the authors have utilized an operating room microscope, microsurgical instruments, a specially designed microsuture, and a Biooclusive dressing to decrease the postoperative morbidity and subsequent complications requiring secondary surgery (6.5 percent). A comparison of 50 hypospadias patients on whom no microsurgical repair had been used was made with 62 patients on whom microsurgical techniques were employed. The nonmicrosurgical group had 17 complications, 12 of which required reoperation (24 percent). The microsurgical group had 8 complications, 4 of which required reoperation (6.5 percent).
成功的原发性尿道下裂修复取决于手术原则的仔细执行，尤其是在手术的尿道成形术部分。这些原则包括小心处理组织、形成血运良好的皮瓣以及避免在尿路上皮表面放置缝线。尽管进行了细致的修复，但需要二次手术的并发症发生率仍为15%至30%。在过去一年中，作者使用了手术室显微镜、显微外科器械、一种特殊设计的显微缝线和生物闭合敷料，以降低术后发病率以及随后需要二次手术的并发症发生率（6.5%）。将50例未采用显微手术修复的尿道下裂患者与62例采用显微手术技术的患者进行了比较。非显微手术组有17例并发症，其中12例需要再次手术（24%）。显微手术组有8例并发症，其中4例需要再次手术（6.5%）。
