Zipper Injury of the Foreskin

Saraf, Pradeep G.

doi:10.1001/archpedi.1982.03970420081023

Cited by 7 publications

(6 citation statements)

References 2 publications

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“…The method mentioned in one article 7 (to push zip fastener in opposite direction from which it had originally trapped) is similar to the "rolling back" technique practised in this study. However, the commonest method described in the literature is the division of the median bar connecting anterior and posterior faceplates of a zip fastener, using bone cutter or mini hacksaw 5,9,14,15 . Though zip entrapment can be successfully released using various mechanical instruments, such procedures are potentially dangerous in the agitated child and may require general anaesthesia.…”

Section: Discussionmentioning

confidence: 99%

Zipper injuries: Extrication technique

Patil

Sunilkumar

Durgigudi

2018

Sri Lanka J Child Health

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Introduction: Zip injuries are the second most common cause of genital injuries in children. Several management techniques are reported. However these techniques are difficult and potentially dangerous, requiring general anaesthesia. "Rolling back" technique is an easy and safe method of extrication, without any mechanical device or anaesthesia. Objectives: To categorise zip injuries, to elucidate the principle behind the "Rolling back" technique, to educate the clinicians on how to extricate zip injuries and to prevent zip injuries by educating their parents. Method: Simulative experiments were conducted by entrapping cloth in the zip and extrication by "Rolling back" technique. Children in the age group 1 to 18 years with zip injuries presenting to the outpatient department (OPD) or emergency room (ER) were studied for 3 years. "Rolling back" technique has two components. If the skin is entrapped while closing the zip, then extrication is to open the zip. If entrapment occurs while opening the zip, then the technique is to close the zip. Results: Of 35 cases, 34 (97.2%) were boys and one (2.8%) was a girl. Twenty eight (82.4%) boys were uncircumcised and 06 (17.6%) were circumcised. Twenty five (71.4%) had anterior entrapment and 10 (28.6%) had posterior entrapment. In both types, uncircumcised boys had higher risk of entrapment. All were successfully managed by the "Rolling back" technique.

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Section: Discussionmentioning

confidence: 99%

Zipper injuries: Extrication technique

Patil

Sunilkumar

Durgigudi

2018

Sri Lanka J Child Health

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“…Knowledge of the parts of the zipper is necessary for extracting the trapped foreskin without additional trauma [1] . The zipper is a slide fastener consisting of a sliding piece and two strips of material with metal or plastic teeth along the edges.…”

Section: Discussionmentioning

confidence: 99%

Penile Zipper Injury

Nakagawa

Toguri²

2006

Med Princ Pract

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Objective: To report 2 cases with pediatric penile trauma due to penile zipper injury. Clinical Presentation and Intervention: Two boys presented to the emergency service because of penile zipper injury. The zipper was cut away and removed from the foreskin by cutting the median bar of the sliding piece of the zipper and the zipper teeth with a bone cutter. After opening the zipper teeth, the zipper fell apart, which allowed its removal from their foreskin. There was minimal trauma to the foreskin and the boys were sent home on the same day. Conclusion: Penile entrapment in a zipper is a presentation that may be seen in any emergency department. The 2 boys were treated successfully by cutting the median bar of the sliding piece of the zipper.

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“…It is difficult to estimate the true incidence of non-lifethreating injuries to the adult penis, especially zipper injuries, due to the embarrassing nature of the injury and reluctance of some patients to seek medical attention [4][5][6]. However, in those cases that do present for medical attention, it is usually immediately following the incident.…”

Section: Discussionmentioning

confidence: 99%