Abstract

Objective

To evaluate the efficacy of different dressing methods in wound healing and the postoperative outcome in children who underwent hypospadias repair.

Methods

Altogether 109 children with distal hypospadias who underwent urethroplasty were recruited from our hospital between January 2021 and March 2023. All patients were randomized in two groups according to the different dressing methods: Group A receiving 3 M antimicrobial incise drape + MEBO (moisture-exposed burn ointment) and Group B receiving absorbent dressing + elastic bandage dressing. The age at surgery, operation time, bleeding during the dressing, postoperative changes in glans color, dressing fell off, comfort of children during the dressing, difficulty in dressing removal, and degree of pain during dressing removal were compared between the two groups.

Results

Differences in age at surgery (p = 0.337) and operation time (p = 0.055) were not significant between the two groups. The overall effectiveness of the dressing was better in Group A than that in Group B. Only five cases in Group A had blood leakage after dressing (p = 0.006), and there was no dressing dislocation (p < 0.001) or glans color abnormality (p < 0.001). Moreover, the number of complication cases was less. The overall comfort and pain degree during dressing removal in Group A was better than that in Group B (p < 0.001).

Conclusion

Postoperative dressing using 3 M antimicrobial incise drape + MEBO can achieve lower incidence rates of bleeding during dressing, postoperative glans darkening, and dressing falling off, a lower pain degree during dressing removal, and a better overall comfort level than those of the control group. This method is cost-effective and clinically safe, which contributes to the postoperative recovery of children with hypospadias and is thus worth promoting and applying.

中文翻译：

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3M抗菌切口巾联合MEBO在尿道下裂术后伤口恢复中的应用

摘要

客观的

评价不同敷料方法对接受尿道下裂修复术的儿童伤口愈合和术后结局的效果。

方法

收集2021年1月至2023年3月我院收治的109例远端尿道下裂患儿行尿道成形术。根据不同包扎方法将所有患者随机分为两组：A组采用3M抗菌切口铺巾+MEBO（湿气烧伤）药膏）B组采用吸收性敷料+弹力绷带敷料。比较两组患者的手术年龄、手术时间、换药时出血情况、术后龟头颜色变化、换药脱落情况、患儿换药时的舒适度、取药难度、取药时疼痛程度等。

结果

 两组之间的手术年龄（p  = 0.337）和手术时间（p = 0.055）差异不显着。 A组敷料的整体效果优于B组。A组仅5例敷料后出现渗血（p  =0.006），且无敷料脱位（p  <0.001）或龟头颜色异常（p<0.001）。p  < 0.001）。此外，并发症病例数也较少。 A 组在去除敷料时的整体舒适度和疼痛程度优于 B 组（p  < 0.001）。

结论

术后采用3M抗菌切口铺巾+MEBO换药，与对照组相比，换药时出血、术后龟头发黑、换药脱落的发生率较低，去除换药时的疼痛程度较低，整体舒适度较好。该方法成本效益高，临床安全，有助于尿道下裂患儿术后康复，值得推广应用。