儿童包皮环切术后龟头缺血：两例报告。
Glans ischemia after circumcision in children: Two case reports.
作者信息
Codrich Daniela, Boscarelli Alessandro, Cerrina Alessia, Scarpa Maria-Grazia, Iaquinto Marianna, Olenik Damiana, Guida Edoardo, Schleef Jurgen
机构信息
Department of Pediatric Surgery and Urology, Institute for maternal and child health-IRCCS Burlo Garofolo, Trieste 34137, Italy.
出版信息
World J Clin Pediatr. 2021 Jul 9;10(4):79-83. doi: 10.5409/wjcp.v10.i4.79.
BACKGROUND
Circumcision refers to the removal of the skin covering the tip of the penis and is one of the most common surgical procedures performed in childhood. Even though circumcision is a well-standardized operation, several minor and major complications may be experienced by paediatric surgeons. Glans ischemia (GI) has been widely reported in the paediatric literature as a complication following circumcision. Nonetheless, etiopathogenesis of GI is not well defined and management guidelines are lacking.
CASE SUMMARY
We describe our experience with this rare and scary complication using subcutaneous enoxaparin alone or in association with a topical vasodilator.
CONCLUSION
Hypothetical causes and different management strategies are discussed.
背景
包皮环切术是指切除覆盖阴茎头的皮肤，是儿童期最常见的外科手术之一。尽管包皮环切术是一项标准化程度很高的手术，但小儿外科医生仍可能会遇到一些或轻或重的并发症。阴茎头缺血（GI）作为包皮环切术后的一种并发症，在儿科文献中已有广泛报道。然而，GI的病因尚不明确，且缺乏管理指南。
病例总结
我们描述了单独使用皮下注射依诺肝素或联合局部血管扩张剂治疗这种罕见且可怕并发症的经验。
结论
讨论了可能的病因及不同的管理策略。
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