Those things about circumcision surgery

  Those things about circumcision Circumcision is now divided into several types. It can be divided into three kinds in terms of tools.  1, traditional scalpel scissors 2, electric knife, laser.  3, circumcision ring.  Three kinds of surgery advantages and disadvantages.  1, first of all, from the circumcision ring, it is the Korean invention, in recent years developed a new product. For patients who do not want to operate and are afraid of bleeding. But his disadvantage is the long disease cycle postoperative care is not convenient, the process of placing the circumcision ring is painful, local swelling is very strong. After surgery, because of poor skin healing, there are often local skin cracks that require secondary surgical suturing. Zhao Wei, Department of Urology, Liaocheng People’s Hospital 2, electric knife, laser surgery is currently used more. The advantage is less bleeding and good hemostasis, but it is because the cutting nature of the electric knife and laser is high temperature cauterization, so there is a very common complication — local scarring after surgery compared to the scope of his two surgeries. Usually nothing, but in the erection of the penis when the wound at the foreskin contraction elasticity is not enough, due to narrowing caused by penile swelling pain.  3, the traditional surgical method to the patient’s psychological pressure, intraoperative bleeding more (for comparison, a foreskin can be how much blood). The advantage is that the safety is higher than the first two. Not just because the surgical procedure is mature. Rather, there are fewer complications.  The problems and effects of circumcision contain several aspects.  1. The most common is the treatment of the inner and outer plates of the foreskin during circumcision. The textbook explains to keep the inner plate to the coronal sulcus 0.5 – 0.8 cm, in fact it is very difficult for you during the operation because it depends on your assistant’s skilled cooperation, he just has to pull hard because of tension, the foreskin will be deformed, once the inner plate of the foreskin is left too short, causing stenosis, the patient will curse you with his sexual partner for the rest of his life. So you’d better relax the boundaries in your mind, not sure how long it is to look at the 1.0 cm grid for elementary school students, and with the concept in mind, keep about 1.0 cm. The advantage of doing this is to fully ensure the cleanliness of the foreskin after surgery, but also to ensure that sex life is not affected.  2, post-operative glans and penis swelling, this has two causes. The first is caused by anesthesia injections in the root of the penis, and also the circumcision of the wound cut and trimmed more times. When cutting the foreskin try to do it in one go, the middle action does not stop. Do not hesitate to push the shears forward little by little, this will only cause the surgical incision is not neat, post-operative local edema is also very strong. Remember.  3, intraoperative hemostasis should be careful, rather than less. Both large and small vessels should be tied tightly. The cause of the second surgery, bleeding this reason accounts for most. In fact, this is very normal, not considered medical malpractice. But because this surgery is too small, do not know medical people around to say that you failed surgery, you have a mouth to defend, shame on the big one.  4, in the suture many people think it is easy, in fact, this is also the key. There are several options for sutures, silk thread is better than intestinal thread. Why? Because the foreskin is heavily edematous when sutured with intestinal thread. Patients will come and bother you because they are not satisfied until the swelling goes down. However, silk sutures have a disadvantage in that they need to be removed and are more painful for the patient. This depends on the patient’s situation to choose.  5, there is also the suture if the suture is too tight, or into the needle point and out of the needle point is misaligned, not aligned, then the incision is formed screw twist, the lighter is not beautiful, the heavier skin necrosis, local swelling for six months does not go away.  6, this is also an experience to tell everyone. Now many parents lead their children to make circumcision. This is a good sign that everyone pays attention to reproductive health. However, children cry and do not cooperate with the surgery, which greatly affects the results of the operation. So, too young children 2-6 years old to consider well to receive or not to receive consultation.  7, or about small children, now fat children, in the circumcised children there are many hidden penis, that is, the penis is not well developed, once you do according to the circumcision, the rest of the child’s life will be painful. So don’t harm a child’s life for a little benefit and a little advice. Want to do surgery is not bad this one.  8, according to the sixth and seventh I recommend that everyone (including both doctors and parents of children) to send such children to the regular children’s hospital, they have experience. Surgery safety is guaranteed.