Clinical analysis of traditional surgery and circumcision stapler in the treatment of children with phimosis and prepuce
10.3969/j.issn.1673-9701.2024.05.010
- VernacularTitle:传统包皮环切术与吻合器治疗儿童包茎、包皮过长的临床效果比较研究
- Author:
Yonglang TU
1
;
Guohua GAO
2
;
Linde WU
3
;
Xiyuan CHEN
4
Author Information
1. Department of Surgery, Yunnan Maternl and Child Health Care Hospital, Kunming 650000, Yunnan, China
2. Department of Surgery, Puyang People’s Hospital, Puyang 457005, Henan, China
3. Department of Organ Transplant, The First Affiliated Hospital of Kunming Medical University, Kunming 650000, Yunnan, China
4. Department of Neurosurgery, Interventional, Hepatobiliary Surgery, Honghe Autonomous Prefecture 3rd Hospital, Gejiu 66100, Yunnan, China
- Publication Type:Journal Article
- Keywords:
Children;
Phimosis,Prepuce;
Traditional circumcision;
Disposable circumcision stapler
- From:
China Modern Doctor
2024;62(5):44-46,50
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the surgical effect and incidence of complications of traditional circumcision and disposable circumcision stapler in the treatment of phimosis and overlength of prepuce.Methods A retrospective analysis of 261 children with excessive phimosis and prepuce treated in the Department of Pediatric Surgery of our hospital from January 2021 to January 2023.The control group included 129 cases,who were treated by traditional methods,and the others 132 cases as test group,were treated by disposable circumferential stapler.We observed correlation indicators of intraoperative and postoperative between the two groups.Operation time,intraoperative blood loss were intraoperative indicators,and,postoperative pain degree,postoperative incision healing time,severe edema of incision margin,incision dehiscence,postoperative rebleeding,postoperative infection,and appearance satisfaction were observed in the postoperation period.Results The operation time,intraoperative blood loss,and postoperative rebleeding of the disposable circumferential stapler group were significantly less than those of the control group,while the postoperative incision healing time and the incidence of severe edema of the incision in the control group had obvious advantages compared with the test group.There was no significant difference in pain degree,postoperative infection rate,incision dehiscence and appearance satisfaction.Conclusions The benefits of traditional circumcision are that postoperative recovery is relatively fast and the degree of edema at the incision margin is mild.And complete hemostasis,surgical operation easily,safety,and suitable for subordinate medical institutions are advantages of disposable circumcision stapler compare with traditional model,meanwhile it is not as good as traditional methods in terms of postoperative recovery.
