Abstract：
Male circumcision is a well-known old surgery, and several recently developed techniques have been scaled up, including the introduction of laser technology, as alternative approaches to overcome morbidity of conventional surgery scalpel/suture method OBJECTIVES: We aimed to perform a systematic review and meta-analysis of studies comparing laser circumcision versus conventional circumcision technique in terms of perioperative outcomes and efficacy (complications, unacceptable appearance, reoperation rate) both in children and adults.
This review was performed following the 2020 Preferred Reporting Items for Systematic Reviews and Meta-Analyses framework. Continuous variables were analyzed using the inverse variance of the mean difference with a random effect, 95% confidence interval (CI), and p-value. The incidence of complications, unacceptable appearance, and reoperation rate were pooled using the Cochran-Mantel-Haenszel Method with the random effect model and reported as odds ratio (OR), 95% CI, and p-value. Significance was set at p-value ≤0.05 and 95%CI.
Seven studies were included. In comparison to the conventional circumcision, laser circumcision shoved lower visual analogue score at 24-h, and 7 days after surgery, a lower rate of overall complication rate (OR 0.33, 95% CI 0.24-0.47, p < 0.001), scarring (OR 0.09, 95% CI 0.02, 0.41, p = 0.002), and unacceptable appearance (OR 0.09, 95% CI 0.05, 0.15, p < 0.001). We found no statistically significant difference in surgical time, and incidence of bleeding, infection, wound dehiscence, and reoperation rate.
Our review infers that laser-assisted circumcision is certainly a safe and strong contender as the procedure of choice in both children and adult populations.
This review was performed following the 2020 Preferred Reporting Items for Systematic Reviews and Meta-Analyses framework. Continuous variables were analyzed using the inverse variance of the mean difference with a random effect, 95% confidence interval (CI), and p-value. The incidence of complications, unacceptable appearance, and reoperation rate were pooled using the Cochran-Mantel-Haenszel Method with the random effect model and reported as odds ratio (OR), 95% CI, and p-value. Significance was set at p-value ≤0.05 and 95%CI.
Seven studies were included. In comparison to the conventional circumcision, laser circumcision shoved lower visual analogue score at 24-h, and 7 days after surgery, a lower rate of overall complication rate (OR 0.33, 95% CI 0.24-0.47, p < 0.001), scarring (OR 0.09, 95% CI 0.02, 0.41, p = 0.002), and unacceptable appearance (OR 0.09, 95% CI 0.05, 0.15, p < 0.001). We found no statistically significant difference in surgical time, and incidence of bleeding, infection, wound dehiscence, and reoperation rate.
Our review infers that laser-assisted circumcision is certainly a safe and strong contender as the procedure of choice in both children and adult populations.
摘要：
背景：男性包皮环切术是一种众所周知的古老手术，最近开发的几种技术已经扩大了规模，包括激光技术的引进,作为克服传统手术手术刀/缝合方法发病率的替代方法目的：我们旨在对激光包皮环切术与传统包皮环切术在围手术期结局和疗效方面的研究进行系统评价和荟萃分析（并发症，不可接受的外观，儿童和成人的再手术率)。
方法：本综述遵循2020年首选报告项目的系统评价和荟萃分析框架。连续变量使用具有随机效应的平均差的逆方差分析，95%置信区间(CI)，和p值。并发症的发生率，不可接受的外观，使用Cochran-Mantel-Haenszel方法与随机效应模型合并再手术率，并报告为比值比（OR），95%CI和p值。显著性设定为p值≤0.05和95CI。
结果：纳入7项研究。与传统包皮环切术相比，激光包皮环切术在24小时降低了视觉模拟评分，手术后7天，总体并发症发生率较低（OR0.33，95％CI0.24-0.47，p<0.001），瘢痕形成(OR0.09，95%CI0.02，0.41，p=0.002)，和不可接受的外观(OR0.09，95%CI0.05，0.15，p<0.001)。我们发现手术时间无统计学差异，和出血的发生率，感染,伤口裂开,和再手术率。
结论：我们的评论推断，激光辅助包皮环切术作为儿童和成人人群的首选手术，无疑是一种安全且有力的有力有力的有力有力有力的选择。
方法：本综述遵循2020年首选报告项目的系统评价和荟萃分析框架。连续变量使用具有随机效应的平均差的逆方差分析，95%置信区间(CI)，和p值。并发症的发生率，不可接受的外观，使用Cochran-Mantel-Haenszel方法与随机效应模型合并再手术率，并报告为比值比（OR），95%CI和p值。显著性设定为p值≤0.05和95CI。
结果：纳入7项研究。与传统包皮环切术相比，激光包皮环切术在24小时降低了视觉模拟评分，手术后7天，总体并发症发生率较低（OR0.33，95％CI0.24-0.47，p<0.001），瘢痕形成(OR0.09，95%CI0.02，0.41，p=0.002)，和不可接受的外观(OR0.09，95%CI0.05，0.15，p<0.001)。我们发现手术时间无统计学差异，和出血的发生率，感染,伤口裂开,和再手术率。
结论：我们的评论推断，激光辅助包皮环切术作为儿童和成人人群的首选手术，无疑是一种安全且有力的有力有力的有力有力有力的选择。
