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英国一项提供包皮环切夹环切术的独特服务:9年结果回顾

A unique service in UK delivering Plastibell circumcision: review of 9-year results.

作者信息

Palit Victor, Menebhi David K, Taylor Ian, Young Margaret, Elmasry Yasser, Shah Tariq

机构信息

Yorkshire Deanery, 11 Mildred Avenue, Royton, Oldham, Lancashire, OL2 6AD, UK.

出版信息

Pediatr Surg Int. 2007 Jan;23(1):45-8. doi: 10.1007/s00383-006-1805-6. Epub 2006 Oct 6.

DOI:10.1007/s00383-006-1805-6
PMID:17024296
Abstract

Muslim infants undergo circumcision for religious reasons and Bradford has a high Muslim population. The National Health Service in UK does not provide religious circumcision, so in 1996 a nurse-delivered circumcision service led by consultant urologists was set up at a no-profit and cost-only basis. Plastibell circumcision was offered to all infants between 6 and 14 weeks old and performed under local anaesthesia. Information leaflets and videotapes about the procedure were available to parents prior to the procedure. A three monthly audit of the service was undertaken. Between July 1996 and June 2005 (9 years) 1,129 circumcisions were performed. The common complications were problems with the ring (3.6%) and bleeding (3%). Overall, there was 96% satisfaction rate among the service users. The Plastibell technique for circumcision is a simple method and can be safely performed by trained nurses with acceptable complication rates.

摘要

由于宗教原因,穆斯林婴儿会接受包皮环切术,而布拉德福德有大量穆斯林人口。英国国家医疗服务体系不提供宗教性包皮环切术,因此在1996年,由泌尿外科顾问医生主导、护士实施的包皮环切术服务以非营利且仅收取成本的方式设立。所有6至14周大的婴儿均可接受Plastibell包皮环切术,并在局部麻醉下进行。在手术前,会向家长提供有关该手术的信息传单和录像带。对该服务每三个月进行一次审核。在1996年7月至2005年6月(9年)期间,共进行了1129例包皮环切术。常见并发症包括环切环问题(3.6%)和出血(3%)。总体而言,服务使用者的满意度为96%。Plastibell包皮环切术是一种简单的方法,经过培训的护士可以安全地实施,并发症发生率也在可接受范围内。

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本文引用的文献

1
Newborn circumcision using the Plastibell device: an audit of practice.使用Plastibell器械进行新生儿包皮环切术:实践审核
West Indian Med J. 2004 Jan;53(1):23-6.
2
Circumcision of the young infant in a developing country using the Plastibell.在发展中国家使用塑料环套对幼儿进行包皮环切术。
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A circumcision service for religious reasons.出于宗教原因的包皮环切手术服务。
在巴基斯坦实施男性婴幼儿割礼项目。
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Plastibell circumcision: Comparison between neonates and infants.包皮环套环切术:新生儿与婴儿的比较
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Assessment of risk factors for surgical complications in neonatal circumcision clinic.新生儿包皮环切术诊所手术并发症危险因素的评估。
Can Urol Assoc J. 2019 Apr;13(4):E108-E112. doi: 10.5489/cuaj.5460. Epub 2018 Sep 27.
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Reported Male Circumcision Practices in a Muslim-Majority Setting.在穆斯林占多数地区报告的男性包皮环切术做法。
Biomed Res Int. 2017;2017:4957348. doi: 10.1155/2017/4957348. Epub 2017 Jan 17.
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Plastibell circumcision of 2,276 male infants: a multi-centre study.2276例男婴的包皮环切术:一项多中心研究。
Pan Afr Med J. 2016 Feb 9;23:35. doi: 10.11604/pamj.2016.23.35.7841. eCollection 2016.
BJU Int. 1999 May;83(7):807-9. doi: 10.1046/j.1464-410x.1999.00000.x.
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Post circumcision meatal stenosis: 12 years' experience.包皮环切术后尿道口狭窄:12年经验
N Z Med J. 1998 Feb 27;111(1060):57-8.
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A randomized trial to assess childhood circumcision with the Plastibell device compared to a conventional dissection technique.一项随机试验,旨在评估使用Plastibell装置进行儿童包皮环切术与传统解剖技术相比的效果。
Br J Surg. 1981 Aug;68(8):593-5.
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