کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
4163037 1274297 2009 4 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Optimal time for neonatal circumcision: An observation-based study
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی پریناتولوژی (پزشکی مادر و جنین)، طب اطفال و بهداشت کودک
پیش نمایش صفحه اول مقاله
Optimal time for neonatal circumcision: An observation-based study
چکیده انگلیسی

ObjectiveA detailed observation-based study to determine the ideal age for neonatal circumcision.Patients and methodsA prospective study of 583 neonatal circumcisions was carried out over a 3-year period (December 2005–December 2008). First a penile ring block was performed with 1% lignocaine solution, injected with a 26G needle. Formula milk, expressed breast milk or 20% sucrose solution was given to the child ad libitum as a further soothing agent. Circumcision was performed utilizing the Gomco sutureless clamp technique. Neonatal/Infant Pain Scale (NIPS) was used to score the severity of pain. NIPS ≥2 was taken to imply a painful procedure.ResultsOnly 6.5% of neonates under 1 week of age scored NIPS ≥2 during the procedure, but this reached 100% by the 4th week of life. There were 2 minor complications in this cohort.ConclusionDespite current controversy over whether it is ethical for parents to consent to a non-therapeutic neonatal circumcision, it remains a widely practiced procedure. Therefore it is important for pediatric surgeons/urologists to perform circumcision safely with minimal trauma to the neonate. This study shows that painless circumcision is possible in almost all newborns if it is performed during the first week after birth.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Journal of Pediatric Urology - Volume 5, Issue 5, October 2009, Pages 359–362
نویسندگان
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