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传统割礼师进行包皮环切术引发的灾难性并发症。

Catastrophic Complications of Circumcision by Traditional Circumcisers.

作者信息

Ahmed Faisal, Al-Wageeh Saleh, Ghabisha Saif, Al-Shami Ebrahim, Al-Naggar Khalil, Obaid Ghamdan, Eslahi Ali, Alfaragi Mohammed

机构信息

Urology Research Center, Al-Thora General Hospital, Department of Urology, School of Medicine, Ibb University of Medical Science, Ibb, Yemen.

Department of General Surgery, School of Medicine, Ibb University of Medical Science, Ibb, Yemen.

出版信息

Open Access Emerg Med. 2021 Sep 21;13:425-429. doi: 10.2147/OAEM.S322683. eCollection 2021.

DOI:10.2147/OAEM.S322683
PMID:34584467
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8464584/
Abstract

Circumcision is one of the important public surgeries performed globally. It is a popular non-therapeutic procedure that can be performed by people of various abilities and skills, ranging from trained medical practitioners to non-specialists, depending on their cultural and social backgrounds. Consequently, this surgery may cause varying types and frequencies of complications. Glans amputation and death due to severe bleeding, as a complication of this procedure, are rare, and the patients are left with morbidity and life-long complications. Here, we describe two cases of catastrophic complications due to ritual circumcision (one penile glans amputation and one death).

摘要

包皮环切术是全球范围内开展的重要公共外科手术之一。这是一种常见的非治疗性手术,根据不同的文化和社会背景,从训练有素的医学从业者到非专科医生等具备各种能力和技能的人都可以进行。因此,该手术可能会导致不同类型和频率的并发症。作为该手术的并发症,因严重出血导致的龟头切除和死亡较为罕见,患者会留下伤残和终身并发症。在此,我们描述两例因宗教仪式包皮环切术导致的灾难性并发症(一例龟头切除和一例死亡)。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/22e6/8464584/03b58eae2e15/OAEM-13-425-g0002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/22e6/8464584/f63946030523/OAEM-13-425-g0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/22e6/8464584/03b58eae2e15/OAEM-13-425-g0002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/22e6/8464584/f63946030523/OAEM-13-425-g0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/22e6/8464584/03b58eae2e15/OAEM-13-425-g0002.jpg

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本文引用的文献

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J Pediatr Urol. 2020 Aug;16(4):471.e1-471.e5. doi: 10.1016/j.jpurol.2020.06.014. Epub 2020 Jun 19.
2
Opinions and Perceptions Regarding Traditional Male Circumcision With Related Deaths and Complications.关于传统男性包皮环切术及其相关死亡和并发症的观点与认知。
Am J Mens Health. 2018 Mar;12(2):453-462. doi: 10.1177/1557988317736991. Epub 2017 Oct 26.
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Epinephrine Injection Associated Scrotal Skin Necrosis.肾上腺素注射相关的阴囊皮肤坏死
仪式性割礼后儿童全龟头切除——1例报告及文献复习
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Repair of total penile skin loss after ritual circumcision using a scrotal flap: a case report.采用阴囊皮瓣修复割礼术后全阴茎皮肤缺失 1 例报告
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J Pediatr Urol. 2013 Dec;9(6 Pt A):763-8. doi: 10.1016/j.jpurol.2012.09.012. Epub 2012 Nov 5.
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Complications of circumcision in male neonates, infants and children: a systematic review.男性新生儿、婴儿和儿童包皮环切术的并发症:系统评价。
BMC Urol. 2010 Feb 16;10:2. doi: 10.1186/1471-2490-10-2.
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EAU Guidelines on Urethral Trauma.EAU 指南:尿道创伤
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Traditional circumcision during manhood initiation rituals in the Eastern Cape, South Africa: a pre-post intervention evaluation.南非东开普省成年礼仪式中的传统包皮环切术:干预前后评估
BMC Public Health. 2008 Feb 19;8:64. doi: 10.1186/1471-2458-8-64.
8
Increased morbidity after circumcision from a hidden complication.包皮环切术后因一种隐匿性并发症导致发病率增加。
BJU Int. 2001 Dec;88(9):938-40. doi: 10.1046/j.1464-4096.2001.02416.x.
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Management of penile amputation injuries.阴茎离断伤的处理
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