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首页> 外文期刊>Journal of pediatric urology >The impact of electrocautery method on post-operative bleeding complications after non-newborn circumcision and revision circumcision
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The impact of electrocautery method on post-operative bleeding complications after non-newborn circumcision and revision circumcision

机译：电灼方法对非新生儿包皮环切术和翻修包皮环切术术后出血并发症的影响

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Purpose: We evaluated post-operative bleeding complications in non-newborns following use of monopolar versus bipolar electrocautery for circumcision or revision circumcision. Materials and methods: We retrospectively reviewed sequentially performed cases of circumcision and revision circumcision performed by nine pediatric urologists at our institution from 2005 to 2010. In order to incorporate both the monopolar and bipolar electrocautery experience for a single surgeon employing bipolar technique, sequential cases from 2002 to 2010 were reviewed. Variables assessed included age, procedure, method of electrocautery, skin approximation and dressing, and bleeding complications. Results: 1810 patients that underwent either circumcision or revision circumcision were reviewed. Complete data was available for 1617 patients. Age at operation was a mean 3.7 ± 4.9yrs and median 1.5yrs. Return for bleeding complication for all surgeons, was 2/336 (0.6%) for bipolar and 28/1281 (2.2%) for monopolar (p = 0.0545). For the single surgeon using bipolar technique, returns were 2/336 (0.6%) for bipolar and 5/309 (1.6%) for monopolar (p = 0.2133). Returns per procedure type were 1/200 (0.5%) bipolar and 24/844 (2.8%) monopolar for primary circumcision (p = 0.0513), and 1/136 (0.7%) bipolar and 4/437 (0.9%) monopolar (p = 0.84) for revision. Four of 1617 (0.2%) patients returned to the operating room [4/1281 (0.3%) monopolar (p = 0.31)]. There was no difference in return to the operating room for circumcision versus revision. Conclusion: Return for bleeding complications after circumcision and revision circumcision occurred more frequently after monopolar electrocautery compared to bipolar. However, there was no significant difference between the two electrocautery methods. Either form of electrocautery appears to be effective for this common pediatric urologic procedure.
机译：目的：我们评估了单极或双极电灼术用于包皮环切术或翻修包皮环切术后非新生儿的术后出血并发症。材料和方法：我们回顾性回顾了我院2005年至2010年由9名儿科泌尿科医师进行的包皮环切术和翻包皮环切术的连续病例。为了将单极和双极电烙术经验结合到采用双极技术的单个外科医生中，回顾2002年至2010年。评估的变量包括年龄，手术过程，电灼方法，皮肤近似和敷料以及出血并发症。结果：对1810例行包皮环切术或翻修包皮环切术的患者进行了回顾。有1617位患者的完整数据。手术年龄平均为3.7±4.9岁，中位数为1.5岁。所有外科医生的出血并发症回报率，双极为2/336（0.6％），单极为28/1281（2.2％）（p = 0.0545）。对于使用双极技术的单人外科医生，双极的收益为2/336（0.6％），单极的收益为5/309（1.6％）（p = 0.2133）。每种手术类型的原发性包皮环切术的收益率分别为1/200（0.5％）双极和24/844（2.8％）单极（p = 0.0513），1/136（0.7％）双极和4/437（0.9％）单极（ p = 0.84）进行修订。 1617名患者中有四名（0.2％）返回手术室[4/1281（0.3％）单极患者（p = 0.31）]。返回手术室进行包皮环切与翻修没有区别。结论：与双相电切术相比，单刀电灼后包皮环切术和翻修包皮环切术的出血并发症复发率更高。但是，两种电灼方法之间没有显着差异。两种形式的电灼似乎对这种常见的儿科泌尿外科手术都是有效的。

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