Paediatric sutureless circumcision-an alternative to the standard technique.

Hdl Handle:
http://hdl.handle.net/10147/206271
Title:
Paediatric sutureless circumcision-an alternative to the standard technique.
Affiliation:
Department of Urology, Galway University Hospital, Galway, Ireland,, drbriankelly@hotmail.com.
Citation:
Pediatr Surg Int. 2011 Oct 19.
Journal:
Pediatric surgery international
Issue Date:
31-Jan-2012
URI:
http://hdl.handle.net/10147/206271
DOI:
10.1007/s00383-011-3015-0
PubMed ID:
22009213
Abstract:
INTRODUCTION: Circumcision is one of the most commonly performed surgical procedures in male children. A range of surgical techniques exist for this commonly performed procedure. The aim of this study is to assess the safety, functional outcome and cosmetic appearance of a sutureless circumcision technique. METHODS: Over a 9-year period, 502 consecutive primary sutureless circumcisions were performed by a single surgeon. All 502 cases were entered prospectively into a database including all relevant clinical details and a review was performed. The technique used to perform the sutureless circumcision is a modification of the standard sleeve technique with the use of a bipolar diathermy and the application of 2-octyl cyanoacrylate (2-OCA) to approximate the tissue edges. RESULTS: All boys in this study were pre-pubescent and the ages ranged from 6 months to 12 years (mean age 3.5 years). All patients had this procedure performed as a day case and under general anaesthetic. Complications included: haemorrhage (2.2%), haematoma (1.4%), wound infection (4%), allergic reaction (0.2%) and wound dehiscence (0.8%). Only 9 (1.8%) parents or patients were dissatisfied with the cosmetic appearance. CONCLUSION: The use of 2-OCA as a tissue adhesive for sutureless circumcisions is an alternative to the standard suture technique. The use of this tissue adhesive, 2-OCA, results in comparable complication rates to the standard circumcision technique and results in excellent post-operative cosmetic satisfaction.
Language:
ENG
ISSN:
1437-9813 (Electronic); 0179-0358 (Linking)

Full metadata record

DC FieldValue Language
dc.date.accessioned2012-01-31T16:35:40Z-
dc.date.available2012-01-31T16:35:40Z-
dc.date.issued2012-01-31T16:35:40Z-
dc.identifier.citationPediatr Surg Int. 2011 Oct 19.en_GB
dc.identifier.issn1437-9813 (Electronic)en_GB
dc.identifier.issn0179-0358 (Linking)en_GB
dc.identifier.pmid22009213en_GB
dc.identifier.doi10.1007/s00383-011-3015-0en_GB
dc.identifier.urihttp://hdl.handle.net/10147/206271-
dc.description.abstractINTRODUCTION: Circumcision is one of the most commonly performed surgical procedures in male children. A range of surgical techniques exist for this commonly performed procedure. The aim of this study is to assess the safety, functional outcome and cosmetic appearance of a sutureless circumcision technique. METHODS: Over a 9-year period, 502 consecutive primary sutureless circumcisions were performed by a single surgeon. All 502 cases were entered prospectively into a database including all relevant clinical details and a review was performed. The technique used to perform the sutureless circumcision is a modification of the standard sleeve technique with the use of a bipolar diathermy and the application of 2-octyl cyanoacrylate (2-OCA) to approximate the tissue edges. RESULTS: All boys in this study were pre-pubescent and the ages ranged from 6 months to 12 years (mean age 3.5 years). All patients had this procedure performed as a day case and under general anaesthetic. Complications included: haemorrhage (2.2%), haematoma (1.4%), wound infection (4%), allergic reaction (0.2%) and wound dehiscence (0.8%). Only 9 (1.8%) parents or patients were dissatisfied with the cosmetic appearance. CONCLUSION: The use of 2-OCA as a tissue adhesive for sutureless circumcisions is an alternative to the standard suture technique. The use of this tissue adhesive, 2-OCA, results in comparable complication rates to the standard circumcision technique and results in excellent post-operative cosmetic satisfaction.en_GB
dc.language.isoENGen_GB
dc.titlePaediatric sutureless circumcision-an alternative to the standard technique.en_GB
dc.contributor.departmentDepartment of Urology, Galway University Hospital, Galway, Ireland,, drbriankelly@hotmail.com.en_GB
dc.identifier.journalPediatric surgery internationalen_GB
dc.description.provinceConnacht-

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