Ferhatoglu Murat F, Kartal Abdulcabbar, Gurkan Alp
General Surgery, Okan University Medical Faculty, Istanbul, TUR.
Cureus. 2019 Apr 27;11(4):e4555. doi: 10.7759/cureus.4555.
Introduction Circumcision is the oldest and most frequently used surgical procedure. It dates back to at least 10,000 years from today. The debate on the benefits and necessity of circumcision is ongoing. In this study, we aimed to determine the complications and complication rate of circumcisions occurring in our circumcision clinic and to compare these with the complication rates in the world. Methods A total of 198 male patients circumcised between 2011 at 2019 at Bursa State Hospital was enrolled in the presented retrospective study. Demographic data of the patients were assessed and the height and weight of the patients were evaluated according to the child growth standards and weight for age percentile charts for boys of the World Health Organization (WHO). All early or late complications were noted after circumcision. Results The mean age of the patients was 93.57±40.12 (2-248) months. The mean follow-up time was 16.32±9.24 (2-35) months. Sixteen patients had bleeding, four patients had a penile hematoma, and 108 patients had penile edema. There is no statistically significant difference in the penile edema occurrence according to the weight of the patients (p=0.58). Conclusion Circumcision is a frequently applied procedure. Like any other surgery, perioperative and postoperative complications can be observed. More importantly, a significant number of these complications can be prevented by careful surgery and postoperative care.
引言 包皮环切术是最古老且最常用的外科手术。它至少可追溯到距今一万年前。关于包皮环切术的益处和必要性的争论仍在继续。在本研究中,我们旨在确定我院包皮环切门诊进行的包皮环切术的并发症及并发症发生率,并将其与全球的并发症发生率进行比较。方法 本回顾性研究纳入了2011年至2019年在布尔萨市立医院接受包皮环切术的198例男性患者。评估患者的人口统计学数据,并根据世界卫生组织(WHO)的儿童生长标准和男孩年龄别体重百分位数图表评估患者的身高和体重。记录包皮环切术后所有早期或晚期并发症。结果 患者的平均年龄为93.57±40.12(2 - 248)个月。平均随访时间为16.32±9.24(2 - 35)个月。16例患者出现出血,4例患者出现阴茎血肿,108例患者出现阴茎水肿。阴茎水肿的发生率在不同体重的患者中无统计学显著差异(p = 0.58)。结论 包皮环切术是一种常用的手术。与其他任何手术一样,围手术期和术后并发症都可能出现。更重要的是,通过仔细的手术操作和术后护理,这些并发症中的很大一部分是可以预防的。