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01.03.2012 | Original Article | Ausgabe 3/2012

Pediatric Surgery International 3/2012

Paediatric sutureless circumcision—an alternative to the standard technique

Zeitschrift:
Pediatric Surgery International > Ausgabe 3/2012
Autoren:
Brian D. Kelly, Dara J. Lundon, Marie E. Timlin, Mazhar Sheikh, Nadeem B. Nusrat, Frank T. D’Arcy, Syed Q. Jaffry

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.

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