Gnassingbé K, Akakpo-Numado K G, Anoukoum T, Songne B, Lamboni D, Kokoroko E K, Tékou H A
Service de chirurgie pédiatrique, CHU Tokoin, FMMP, université de Lomé, BP 57, Lomé, Togo. jeanpi
Prog Urol. 2010 Jul;20(7):532-7. doi: 10.1016/j.purol.2009.12.010. Epub 2010 Feb 12.
To describe the various techniques used for the circumcision in newborns and infants in the operating room of the Lomé Teaching Hospital (Togo) and to compare their results.
It is about a prospective study carried out in the operating room of the Lomé Teaching Hospital from June 15th, 2007 to December 15th, 2008 (18 months). It concerned newborns and infants circumcised according to two techniques: the technique using grips only (group A: n=138; 69%) and the technique using Gomco clamp (group B: n=62; 31%). The Khi(2) test with the threshold 5% was used for the statistical analysis.
According to the duration of the intervention, 34 newborns and infants (24.6%) were circumcised within less than 15 minutes in the group A and 27 (43.5%) in the group B (p<0.05). According to the importance of the bleeding and to the type of material used, 28 newborns and infants (20.30%) had bled much in the group A and one (1,61%) in the group B (p<0.05). According to the postoperative complications and to the technique used, nine newborns and infants (9.4%) had postoperational complications in the group A and two (3.2%) in the group B. The wound had healed within less than 6 days in one infant (0.7%) in the group A and six (9.7%) in the group B (p<0.05). One hundred penises (72.46%) were considered to be very satisfying in the group A and 55 (88.7%) in the group B (p<0.05).
The technique using Gomco clamp for circumcision had more advantages than that using only the grips. It was much more safe for the child.
描述多哥洛美教学医院手术室中用于新生儿和婴儿包皮环切术的各种技术，并比较其结果。
这是一项于2007年6月15日至2008年12月15日（18个月）在洛美教学医院手术室进行的前瞻性研究。研究对象为根据两种技术进行包皮环切术的新生儿和婴儿：仅使用夹子的技术（A组：n = 138；69%）和使用Gomco夹的技术（B组：n = 62；31%）。采用阈值为5%的卡方检验进行统计分析。
根据干预持续时间，A组有34名新生儿和婴儿（24.6%）在不到15分钟内完成包皮环切术，B组有27名（43.5%）（p<0.05）。根据出血情况和所用材料类型，A组有28名新生儿和婴儿（20.30%）出血较多，B组有1名（1.61%）（p<0.05）。根据术后并发症和所用技术，A组有9名新生儿和婴儿（9.4%）出现术后并发症，B组有2名（3.2%）。A组有1名婴儿（0.7%）的伤口在不到6天内愈合，B组有6名（9.7%）（p<0.05）。A组有100例阴茎（72.46%）被认为非常满意，B组有55例（88.7%）（p<0.05）。
使用Gomco夹进行包皮环切术的技术比仅使用夹子的技术具有更多优势。对儿童来说更安全。
