Abdulwahab-Ahmed Abdullahi, Mungadi Ismaila A
Department of Surgery, Usmanu Danfodiyo University Teaching Hospital Sokoto, Nigeria.
J Surg Tech Case Rep. 2013 Jan;5(1):1-7. doi: 10.4103/2006-8808.118588.
Male circumcision is a controversial subject in surgical practice. There are, however, clear surgical indications of this procedure. The American Academy of Pediatrics (AAP) recommends newborn male circumcision for its preventive and public health benefits that has been shown to outweigh the risks of newborn male circumcision. Many surgical techniques have been reported. The present review discusses some of these techniques with their merits and drawbacks. This is an attempt to inform the reader on surgical aspects of male circumcision aiding in making appropriate choice of a technique to offer patients. Pubmed search was done with the keywords: Circumcision, technique, complications, and history. Relevant articles on techniques of circumcision were selected for the review. Various methods of circumcision including several devices are in use for male circumcision. These methods can be grouped into three: Shield and clamp, dorsal slit, and excision. The device methods appear favored in the pediatric circumcision while the risk of complications increases with increasing age of the patient at surgery.
男性包皮环切术在外科手术实践中是一个有争议的话题。然而,该手术有明确的手术指征。美国儿科学会(AAP)建议对新生儿进行男性包皮环切术,因为其预防和公共卫生益处已被证明超过新生儿男性包皮环切术的风险。已经报道了许多手术技术。本综述讨论了其中一些技术及其优缺点。这是为了让读者了解男性包皮环切术的手术方面,有助于为患者选择合适的技术。使用关键词“包皮环切术、技术、并发症和历史”在PubMed上进行搜索。选择了关于包皮环切术技术的相关文章进行综述。包括几种器械在内的各种包皮环切术方法都用于男性包皮环切术。这些方法可分为三类:包皮环和夹、背侧切开和切除。器械方法在小儿包皮环切术中似乎更受青睐,而手术时患者年龄越大,并发症风险越高。