■尿道下裂是一种男性先天性异常,需要通过管状切开的钢板(TIP)技术进行尿道成形术。这项技术很简单,结果很有希望,虽然术后并发症很少,包括相关的缝合技术。
■比较尿道下裂修复的TIP程序上的连续和间断缝合技术。
■本研究遵循系统评价和荟萃分析(PRISMA)指南的首选报告项目。作者彻底搜索了PubMed的电子数据库,Scopus,ScienceDirect,和WebofScience。比较的终点是总并发症,伤口感染,肉孔狭窄,龟头开裂,尿道狭窄表现为风险比(RR),以平均运行时间为平均差(MD),95%置信区间(CI)。所有统计分析均使用Revman5.4进行。
■纳入了十项符合条件的研究,共有1,894名患者。合并RR显示总体并发症无显著差异,手术部位感染,肉孔狭窄,龟头开裂,连续和间断缝合之间的尿道狭窄。在亚组分析中,当使用polyglactin材料时,中断缝合的并发症较少(RR:1.51,95%CI1.07~2.14;p=0.02).连续缝合显示平均手术时间少于间断缝合(MD:-6.67,95%CI-12.52至-0.82;p=0.03)。
■连续和间断缝合技术之间没有明显的并发症差异。使用聚乳酸材料的间断缝线时,并发症较少。然而,连续缝合需要较少的平均手术时间。
UNASSIGNED: Hypospadias is a male congenital anomaly that requires urethroplasty via the tubularized-incised plate (TIP) technique. This technique is simple, and the results are promising, although it has few postoperative complications, including the associated suture technique.
UNASSIGNED: Comparing the continuous and interrupted suturing techniques on the TIP procedure for hypospadias repair.
UNASSIGNED: This study followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. The authors thoroughly searched electronic databases of PubMed, Scopus, ScienceDirect, and Web of Science. The compared endpoints were the total complication, wound infection, meatal stenosis, glans dehiscence, and urethral stricture presented as risk ratio (RR), with mean operating time as mean difference (MD), in 95% confidence intervals (CIs). All statistical analyses were performed using Revman 5.4.
UNASSIGNED: Ten eligible studies were included, totalling 1,894 patients. Pooled RR showed no significant difference in overall complication, surgical site infection, meatal stenosis, glans dehiscence, and urethral stricture between continuous and interrupted sutures. In subgroup analysis, the interrupted suture had fewer complications when using polyglactin material (RR: 1.51, 95% CI 1.07 to 2.14; p = 0.02). The continuous suture showed lesser mean operative time than the interrupted suture (MD: -6 .67, 95% CI -12.52 to -0.82; p = 0.03).
UNASSIGNED: No significant complication difference existed between continuous and interrupted suturing techniques. Fewer complications were obtained when using interrupted sutures with polyglactin material. However, continuous suture required less mean operative time.