Essid Afif, Hamzaoui Mourad, Sahli Sondes, Houissa Taoufik
Service de Chirurgie pédiatrique A, Hôpital d'enfants de Tunis, Tunisie.
Prog Urol. 2005 Sep;15(4):745-7.
Circumcision, the most frequent operation in boys, is performed by various persons and is responsible for a considerable number of documented or non-documented complications.
The authors report a case of accidental traumatic amputation of the glans during ritual circumcision performed by a nurse on a 5-year-old boy. Reimplantation was successfully performed after suture of the glans. In the light of this case and a review of the literature, the authors describe the treatment and prevention of this type of lesion.
Circumcision is not a completely benign operation. Iatrogenic lesions are frequent but rarely serious. The best treatment is prevention, which requires education of the population about the importance of medicalized circumcision.
包皮环切术是男孩中最常见的手术，由不同人员实施，会导致大量有记录或无记录的并发症。
作者报告了一例由护士为一名5岁男孩进行宗教仪式包皮环切术时意外导致龟头外伤性截肢的病例。龟头缝合后成功进行了再植。鉴于此病例并回顾文献，作者描述了这类损伤的治疗与预防方法。
包皮环切术并非完全无害的手术。医源性损伤很常见，但很少严重。最佳治疗方法是预防，这需要对公众进行关于医疗化包皮环切术重要性的教育。
