Leeches 和断端再植后尾骨麻醉在新生儿割礼时阴茎头切断后的应用。

Leeches and Caudal Analgesia After Replantation for Glans Amputation During Neonatal Circumcision.

机构信息

Division of Urology, Department of Surgery, The Hospital for Sick Children, Toronto, Ontario, Canada.

Division of Plastic Surgery, Department of Surgery, The Hospital for Sick Children, Toronto, Ontario, Canada.

出版信息

Urology. 2022 Jul;165:e32-e35. doi: 10.1016/j.urology.2022.02.015. Epub 2022 Mar 6.

DOI:10.1016/j.urology.2022.02.015

PMID:35263644

Abstract

Neonatal circumcision is one of the most commonly performed surgical procedures in the world. As with all surgeries, it carries risks, including rare, but devastating complications, such as glans, and/or penile shaft amputation. Complete glans amputation with successful replantation has been previously reported. Herein we report a case of complete amputation at the penile midshaft in a 28-day-old neonate with a unique approach to postoperative care including the use of leech therapy, topical heparin, and caudal analgesia following successful microvascular replantation.

摘要

新生儿包皮环切术是世界上最常见的手术之一。与所有手术一样，它都有风险，包括罕见但严重的并发症，如龟头和/或阴茎干切断。以前有报道过成功再植的完全龟头切断。在此，我们报告了一例 28 天大的新生儿阴茎中干完全切断的病例，采用了独特的术后护理方法，包括使用水蛭疗法、局部肝素和成功的微血管再植术后尾骨镇痛。