Surgical repair of total anomalous pulmonary venous connection (TAPVC) in patients with right atrial isomerism is associated with a significant risk of recurrent pulmonary venous obstruction (PVO). We evaluate the effect of sutureless repair to reduce the risk of recurrent PVO. Since November 2007, five patients, including three neonates, with right atrial isomerism underwent sutureless repair ...

OBJECTIVE To describe metoidioplasty, a technique for creating a neophallus from an enlarged clitoris in female transsexuals, without needing the complex, multi-staged surgical construction of a large phallus, as this reconstruction is one of the most difficult in female transsexuals. PATIENTS AND METHODS From September 1995 to April 2002 metoidioplasty was used in 22 patients (aged 18-33 yea...

This study was designed to compare the outcomes of double-faced tabularized preputial flap and Dockets procedure for repairing penoscrotal hypospadias. A retrospective analysis conducted on 200 patients who underwent either a tubularized or hypospadias repair between 2018 2022. These were partitioned into two gatherings given careful method utilized: Group (twofold confronted fold) B (Duckett s...

Tabularised incised plate urethroplasty (TIP) or Snodgrass procedure is a well accepted technique for distal penile hypospadias repair. Its main complication is formation of urethrocutaneous fistula in the post operative period. Different investigators have tried different reinforcement over neo-urethra to prevent fistula formation. Snodgrass originally applied Dartos flap over neo-urethra. But...

OBJECTIVE To compare the outcome of a single vs. a double-layer dartos interposition for preventing a fistula after tubularised incised-plate (TIP) distal hypospadias repair. PATIENTS AND METHODS We retrospectively reviewed the records of patients with primary distal hypospadias who had the hypospadias repaired between February 2009 and June 2011, operated by one surgeon (S.A.K.). In all of t...

BACKGROUND Focal cartilage lesions in the knee joint have limited capacity to heal. Current animal experiments show that incisions of the deep zone of a cartilage allograft allow acceptable integration for the graft. QUESTIONS/PURPOSES We performed this clinical study to determine (1) if the multiply incised cartilage graft is surgically applicable for focal cartilage lesions, (2) whether thi...