PDF(Pubmed)
Abstract：
OBJECTIVE: Circumcision is the most common surgical procedures performed in males. Medical circumcision is recommended for diseases such as phimosis, paraphimosis, balanoposthitis and common urinary tract infections, although there is no exact indication. Conversely, Jewish and Muslim individuals commonly undergo circumcision regardless of medical necessity. Circumcision devices are designed to shorten surgery time, achieve an aesthetic appearance and ensure safe surgery. The aim of this study is to evaluate the effectiveness of the NeoAlis clamp, a disposable circumcision device, by comparing it with the sleeve technique in children.
METHODS: Between 2017 and 2023, retrospective evaluation of 2626 patients who underwent circumcision using either the NeoAlis clamp (group 1) or the sleeve technique (group 2) was conducted. Operation time, results, cost, complications were compared between the two groups.
RESULTS: The study encompassed 2626 patients who fulfilled the inclusion criteria. Group 1 comprised 2403 patients, whereas Group 2 consisted of 223 patients. The overall complication rate, as denoted by n = 47, was 1.7%. Group 1 operation time was shorter than group 2. Bleeding, the most feared complication in the early period, was higher in the second group. No statistically significant difference was observed between the two groups regarding cost comparison.
CONCLUSIONS: The primary concern during circumcision is to avoid complications related to general anesthesia in newborns and infants. The use of disposable ring devices has been facilitated by the shorter operation time and the absence of the need for sutures when performing circumcision under local anesthesia. However, knowledge of advanced surgical circumcision techniques is necessary in cases of bleeding and inappropriate ring placement.
METHODS: Between 2017 and 2023, retrospective evaluation of 2626 patients who underwent circumcision using either the NeoAlis clamp (group 1) or the sleeve technique (group 2) was conducted. Operation time, results, cost, complications were compared between the two groups.
RESULTS: The study encompassed 2626 patients who fulfilled the inclusion criteria. Group 1 comprised 2403 patients, whereas Group 2 consisted of 223 patients. The overall complication rate, as denoted by n = 47, was 1.7%. Group 1 operation time was shorter than group 2. Bleeding, the most feared complication in the early period, was higher in the second group. No statistically significant difference was observed between the two groups regarding cost comparison.
CONCLUSIONS: The primary concern during circumcision is to avoid complications related to general anesthesia in newborns and infants. The use of disposable ring devices has been facilitated by the shorter operation time and the absence of the need for sutures when performing circumcision under local anesthesia. However, knowledge of advanced surgical circumcision techniques is necessary in cases of bleeding and inappropriate ring placement.
摘要：
目的：包皮环切术是男性最常见的手术方式。医学包皮环切术建议用于包茎等疾病，副异位症,龟头炎和常见的尿路感染，虽然没有确切的迹象。相反，犹太人和穆斯林人通常接受包皮环切术，无论医疗需要。包皮环切术旨在缩短手术时间，实现美观的外观和确保安全的手术。这项研究的目的是评估NeoAlis钳的有效性，一次性包皮环切术装置,通过将其与儿童的袖子技术进行比较。
方法：在2017年至2023年之间，对2626例使用NeoAlis钳（第1组）或套管技术（第2组）进行包皮环切术的患者进行了回顾性评估。操作时间,结果，成本,比较两组并发症。
结果：该研究包括2626名符合纳入标准的患者。第一组包括2403名患者，而第2组包括223例患者。总并发症发生率，用n=47表示，为1.7%。第1组手术时间短于第2组。出血,早期最令人恐惧的并发症，第二组较高。在成本比较方面，两组之间没有观察到统计学上的显着差异。
结论：包皮环切术的主要问题是避免新生儿和婴儿全身麻醉相关的并发症。在局部麻醉下进行包皮环切术时，较短的手术时间和不需要缝合线，从而促进了一次性环形装置的使用。然而,在出血和环放置不当的情况下，需要先进的手术包皮环切技术的知识。
方法：在2017年至2023年之间，对2626例使用NeoAlis钳（第1组）或套管技术（第2组）进行包皮环切术的患者进行了回顾性评估。操作时间,结果，成本,比较两组并发症。
结果：该研究包括2626名符合纳入标准的患者。第一组包括2403名患者，而第2组包括223例患者。总并发症发生率，用n=47表示，为1.7%。第1组手术时间短于第2组。出血,早期最令人恐惧的并发症，第二组较高。在成本比较方面，两组之间没有观察到统计学上的显着差异。
结论：包皮环切术的主要问题是避免新生儿和婴儿全身麻醉相关的并发症。在局部麻醉下进行包皮环切术时，较短的手术时间和不需要缝合线，从而促进了一次性环形装置的使用。然而,在出血和环放置不当的情况下，需要先进的手术包皮环切技术的知识。
