Talini Carolina, Antunes Letícia Alves, Carvalho Bruna Cecília Neves de, Schultz Karin Lucilda, Del Valle Maria Helena Camargo Peralta, Aranha Junior Ayrton Alves, Cosenza Wilmington Roque Torres, Amarante Antonio Carlos Moreira, Silveira Antonio Ernesto da
Hospital Pequeno Príncipe, Curitiba, PR, Brazil.
Einstein (Sao Paulo). 2018;16(3):eAO4241. doi: 10.1590/s1679-45082018ao4241. Epub 2018 Aug 9.
Objective To evaluate post-operative complications of circumcision requiring surgical reintervention. Methods Retrospective analysis of medical records of patients submitted to circumcision from May 1st, 2015 to May 31st, 2016. Results A total of 2,441 circumcisions were performed; in that, 1,940 using Plastibell and 501 by the classic technique. Complications requiring surgical reintervention were found in 3.27% of patients. When separated by surgical technique, 3.4% of circumcisions using Plastibell device required reoperation, as compared to 3% of conventional technique (p=0.79). Preputial stenosis was most frequently found in classic circumcision, with statistical significance (p<0.001). Bleeding was more frequent when using Plastibell device, but the difference was not statistically different (p=0.37). Patients' age was also evaluated to investigate if this variable influenced on the postoperative outcome, but no significant difference was found. Conclusion There was no statistically significant difference when comparing complications between the different techniques performed at this hospital. Preputial stenosis was most frequently found in the classic circumcision, while bleeding was more prevalent when using Plastibell device. Patients' age did not influence in complications.
目的 评估包皮环切术后需要再次手术干预的并发症。方法 回顾性分析2015年5月1日至2016年5月31日接受包皮环切术患者的病历。结果 共进行了2441例包皮环切术；其中，1940例使用包皮环，501例采用传统技术。3.27%的患者出现需要再次手术干预的并发症。按手术技术分类，使用包皮环装置的包皮环切术中有3.4%需要再次手术，而传统技术为3%（p = 0.79）。包皮狭窄在传统包皮环切术中最为常见，具有统计学意义（p < 0.001）。使用包皮环装置时出血更频繁，但差异无统计学意义（p = 0.37）。还评估了患者年龄以调查该变量是否影响术后结果，但未发现显著差异。结论 比较该医院采用的不同技术的并发症时，无统计学显著差异。包皮狭窄在传统包皮环切术中最为常见，而使用包皮环装置时出血更普遍。患者年龄对并发症无影响。
