Paediatric sutureless circumcision and modified circumcision: Video demonstration

Featherstone, Neil C.; Murphy, Feilim

doi:10.1016/j.jpurol.2011.12.002

Cited by 6 publications

(6 citation statements)

References 4 publications

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“…The polymerization occurs at room temperature and does not require the use of solvent or an added catalyst. [24][25][26][27] As already shown by Voznesensky et al the use of glue can lead to a reduction in the operative time with beneficial economic effects; 28 similarly in our work the sutureless technique allowed significant shortening of the time needed for surgery.…”

Section: Resultssupporting

confidence: 63%

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Pediatric circumcision using n‐butyl‐cyanoacrylate plusMSmonomer: Bacteriostatic and cosmetic advantages over suture

et al. 2020

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Section: Resultssupporting

confidence: 63%

“…Cyanoacrylate is a liquid‐adhesive monomer which polymerizes on contact with basic substances such as blood or water. The polymerization occurs at room temperature and does not require the use of solvent or an added catalyst 24‐27 …”

Section: Discussionmentioning

confidence: 99%

Pediatric circumcision using n‐butyl‐cyanoacrylate plusMSmonomer: Bacteriostatic and cosmetic advantages over suture

et al. 2020

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“…Regardless of the technique used, the success of the procedure is based on easy execution under appropriate conditions of sedation and analgesia, antisepsis and hemostasis, removal of the inner and outer layers of the foreskin, protection of the glans and urethra, achieving good functional and aesthetic results, minimum with postoperative care 18,19 .…”

Section: The Conventional Dissection Technique Thementioning

confidence: 99%

Postoperative aesthetic and healing features of postectomy using three different surgical techniques: a randomized, prospective, and interdisciplinary analysis

FALCÃO

Stegani

Tenório

et al. 2020

Rev. Col. Bras. Cir.

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Objective: to compare the postoperative esthetic and healing aspects of postectomy performed by different surgical techniques, based on the evaluation of different specialty expert professionals. Methods: prospective and randomized clinical trial enrolling 149 preschool children with a medical indication for circumcision, divided into three groups: postectomy with the hemostatic device Plastibell® (PB group), conventional technique (CV group) and conventional with subcuticular stitches (SC group). Pictures were taken from patients at pre-defined angles on the 30th and 60th postoperative days. Photos were evaluated by three specialists (dermatologist, pediatrician and plastic surgeon), who assigned scores from 1 to 5 regarding the esthetic and healing features at each moment. Grades 4 or 5 from all specialists characterized “best result”. Data were analysed to compare the used surgical techniques, the judgments from specialties and postoperative complications. Results: most of the patients obtained the “best result” regarding healing (70%) and esthetics (56%). The final overall result showed the PB group as the best for healing (p=0.028) and the SC group as the best for esthetics (p=0.002). For the dermatologist, on the 60th postoperative day, the CV group presented the worst aesthetic result, whereas for the pediatrician and the plastic surgeon, the PB group presented the best healing result and the SC group had the best esthetic result. There was no difference between the groups regarding the presence of complications. Conclusion: the most common surgical techniques used to perform postectomy in children were differently assessed regarding healing and esthetic features by distinct medical professionals. The analysis of these two parameters among experts from related areas diverged among them and over time.

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“…There are different applications concerning who makes the operation and where it is made. However, since this procedure is a surgical intervention, the most appropriate method is to conduct it under hospital conditions, even in surgery rooms [6][7][8].…”

Section: Introductionmentioning

confidence: 99%

The effect of virtual reality glasses against the fear of circumcision: A randomized controlled trial

Türkmen¹,

Şahiner²,

Beşirik³

et al. 2022

J Surg Med

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Background/Aim: Circumcision is an invasive operation that male children undergo in our country and some others. During this process, the child can experience fear, anxiety, and pain simultaneously. As a randomized controlled VR study, this research was conducted to determine the effect of virtual reality (VR) glasses on reducing fear/anxiety and pain during circumcision in children. Methods: The study was conducted on 125 children (6-11 years old). The same healthcare team performed the circumcision of the children in both groups. The children were randomly split into VR and control groups. The children in the VR group, just before the circumcision, watched their preferred cartoon film via VR glasses. No additional procedure was applied to the children in the control group except for ordinary procedures in the hospital. The fear and pain status measured by Wong-Baker Faces Pain Rating Scale and Children Fair Scale of all the children were evaluated before and after the operation by the child, parents, and the observer. Descriptive statistics, chi-square, and t-tests analyzed the data. Results: There was no significant difference between the groups regarding demographic characteristics such as age, BMI, previous hospitalization, and anesthetic drug used before the procedure of the children included in the study. Preoperative (VR = 1.03 (0.18), control = 1.05 (0.22)) and pre-procedural (VR = 2.61 (1.02), control = 2.33 (1.22)) fear levels were also similar (P > 0.05). After the procedure, it was determined that the mean duration of the procedure (365.36 (64.73) sec), crying time (21.31 (41.74) sec), and fear scores (0.36 (0.68)) of the children in the VR group were lower (P < 0.001). However, pain mean scores were similar (P > 0.05). Conclusion: It is thought that watching a cartoon with VR glasses during the circumcision operation may be effective in reducing the child's fear level, crying, and operation time.

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Paediatric sutureless circumcision and modified circumcision: Video demonstration

Cited by 6 publications

References 4 publications

Pediatric circumcision using n‐butyl‐cyanoacrylate plusMSmonomer: Bacteriostatic and cosmetic advantages over suture

Pediatric circumcision using n‐butyl‐cyanoacrylate plusMSmonomer: Bacteriostatic and cosmetic advantages over suture

Postoperative aesthetic and healing features of postectomy using three different surgical techniques: a randomized, prospective, and interdisciplinary analysis

The effect of virtual reality glasses against the fear of circumcision: A randomized controlled trial

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