SOC
Surgery on Children

Surgery on Children Journal aims to publish issues related to Pediatric Surgery, Pediatric Neurosurgery, Pediatric Plastic Surgery, Pediatric Cardiovascular Surgery, Pediatric Orthopedic Surgery, Pediatric Vascular Surgery, Pediatric Gynecology and Obstetrics, Pediatric Ear Nose Throat, Ophthalmology, Pediatric Anesthesiology and Reanimation, Pediatric Urology, Pediatric Surgical Intensive Care Clinic, and other clinical surgery fields on children of the highest scientific and clinical value at an international level and accepts articles on these topics.

eISSN: 3023-7289
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Original Article
Effects of preoperative caudal epidural block on surgical outcomes in distal hypospadias surgery
Abstract
Aims: Hypospadias is an anomaly of the urogenital system with an incidence of approximately 0.5% in children. Caudal epidural block (CEB) is one of the most preferred analgesia methods in hypospadias surgery. Recently, there have been reports in the literature about an increase in postoperative complications (especially fistula) due to CEB after hypospadias surgery. In this study, we aimed to retrospectively evaluate the effect of CEB analgesia on surgical outcomes in distal hypospadias surgery performed in our center.
Methods: The study included 63 pediatric patients operated for distal hypospadias between 2020 and 2023. These patients were divided into two groups according to whether CEB was applied during surgery or not. Patients were evaluated in terms of surgical technique, age, and complications.
Results: A total of 63 pediatric surgeries with a mean age of 45.12±26.76 months and ranging from 1 to 10 years were analyzed. 63 cases with subcoronal hypospadias were included in the study. 26 cases(41.3%) underwent CEB, while 37 cases(58.7%) received intravenous analgesia (IA).The surgical complication rate in our study was 34.9%(n=22). There was no significant difference in postoperative complications between CEB and IA groups.
Conclusion: In this study, there was no statistically significant difference in the incidence of postoperative complications between CEB and IA in children operated for distal hypospadias. CEB can be used as a safe pain management method in hypospadias repair. However, we think that prospectively designed studies with a larger number of patients will be more useful in clarifying the issue.

Keywords : Anesthesia, epidural, caudal, child, hypospadias, postoperative complications

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Article available in :
Volume 1, Issue 4, 2024
Page : 94-97
https://doi.org/10.51271/SOC-0022
Article Information
Received : 22 Eki 2024
Accepted : 14 Kas 2024
Published : 05 Ara 2024
Corresponding Author :

Gökhan Berktuğ Bahadır: Department of Pediatric Surgery, Gülhane Training and Research Hospital, Ankara, Turkiye

[email protected]
Citation : Erten E, Atasever HE, Korkmaz G, et al. Evaluation of the effect of preoperative caudal epidural block on early complications of hypospadias in distal hypospadias surgery. Surg Child. 2024;1(4):94-97.

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