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使用Plastibell器械进行新生儿包皮环切术:实践审核

Newborn circumcision using the Plastibell device: an audit of practice.

作者信息

Duncan N D, Dundas S E, Brown B, Pinnock-Ramsaran C, Badal G

机构信息

Department of Surgery, Radiology and Intensive Care, University of the West Indies, Kingston 7, Jamaica.

出版信息

West Indian Med J. 2004 Jan;53(1):23-6.

Abstract

Circumcision of newborn male infants is widely practiced but controversial. Our experience gained circumcising 205 Jamaican neonates, using the Plastibell device is presented. Circumcisions, were requested by parents usually for hygienic reasons, and were brief outpatient procedures. Subcutaneous penile ring block with 1% lidocaine provided the most effective form of procedural analgesia. Bell separation usually occurred within 10 days of the procedure. Cosmetic results met with unanimous parental acceptance. Minor complications occurred in 2.4% of circumcisions. Physicians circumcising newborns must be readily accessible post procedure to address parental concerns and allay anxiety.

摘要

新生儿男性包皮环切术应用广泛但存在争议。本文介绍了我们使用Plastibell器械为205名牙买加新生儿进行包皮环切术的经验。包皮环切术通常因卫生原因由家长要求进行,且为简短的门诊手术。用1%利多卡因进行阴茎皮下环形阻滞是最有效的手术镇痛方式。包皮环通常在术后10天内脱落。外观效果得到了家长的一致认可。2.4%的包皮环切术出现了轻微并发症。为新生儿进行包皮环切术的医生术后必须随时可联系,以解决家长的担忧并缓解焦虑。

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