"Buried strip" versus "tube" in XXXX repair: analysis of 82 consecutive cases.

@entity1 @entity2650
The goal of this study was to analyze, discuss, and compare risks and results obtained with the "buried strip" and two "tube" techniques for @entity2650 repair in a personal series. From 1976 through 1982, 82 @entity1 underwent complete two-stage repair of @entity2650 using either the Denis Browne procedure (23 @entity1 ) or the Belt-Fuqua technique (41) and Byars procedure (18), respectively. Only those @entity1 with originally distal and mid shaft @entity2650 plus chordee were included in this series. The mean age at the time of repair was 4.9 years, with a range of two to sixteen years. The overall complication rate was 13.4 per cent (11 of 82). The tube procedures alone had a complication rate of 6.8 per cent (4 of 59) compared with 30 per cent (7 of 23) with the Denis Browne technique. Complications noted were: fistulas 6 (Denis Browne 5, Belt-Fuqua 1); meatal stenosis 4 (Denis Browne 2, Byars 2); urethral stricture 1 (Belt-Fuqua). Our results confirm the general belief that tube techniques have a higher reliability than does the Denis Browne procedure. Each procedure improves with the experience of the surgeon, although the tube technique appears to cause less trouble in our hands. The running subcutaneous and intracutaneous sutures give a far smoother healing. We believe this study supports the virtues of two-stage tube repairs.
