{"title":"降低≥5.5 kg婴儿Gomco包皮环切术出血风险的策略","authors":"Carlos Villanueva, Stephen Leahy","doi":"10.1016/j.jpurol.2025.04.032","DOIUrl":null,"url":null,"abstract":"<p><strong>Introduction: </strong>We sought to investigate whether some modifications to the office Gomco circumcision (OGC) result in reduced bleeding.</p><p><strong>Methods: </strong>Boys ≥5.5 kg had 6-8 interrupted sutures placed around the circumcision and had a specialized dressing. Boys <5.5 Kg had the standard OGC.</p><p><strong>Results: </strong>Out of 325 boys undergoing OGC, 125 were ≥5.5 kg, and 200 < 5.5 kg. Bleeding that required intervention occurred in 1 (0.5 %) infant weighing <5.5 kg, with no cases in the ≥5.5 kg group (p = 0.4285).</p><p><strong>Conclusion: </strong>These findings indicate that a modified OGC protocol can effectively mitigate bleeding risks for infants ≥5.5 kg.</p>","PeriodicalId":16747,"journal":{"name":"Journal of Pediatric Urology","volume":" ","pages":""},"PeriodicalIF":2.0000,"publicationDate":"2025-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Strategies to reduce bleeding risk in office Gomco circumcisions for babies ≥ 5.5 kg.\",\"authors\":\"Carlos Villanueva, Stephen Leahy\",\"doi\":\"10.1016/j.jpurol.2025.04.032\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Introduction: </strong>We sought to investigate whether some modifications to the office Gomco circumcision (OGC) result in reduced bleeding.</p><p><strong>Methods: </strong>Boys ≥5.5 kg had 6-8 interrupted sutures placed around the circumcision and had a specialized dressing. Boys <5.5 Kg had the standard OGC.</p><p><strong>Results: </strong>Out of 325 boys undergoing OGC, 125 were ≥5.5 kg, and 200 < 5.5 kg. Bleeding that required intervention occurred in 1 (0.5 %) infant weighing <5.5 kg, with no cases in the ≥5.5 kg group (p = 0.4285).</p><p><strong>Conclusion: </strong>These findings indicate that a modified OGC protocol can effectively mitigate bleeding risks for infants ≥5.5 kg.</p>\",\"PeriodicalId\":16747,\"journal\":{\"name\":\"Journal of Pediatric Urology\",\"volume\":\" \",\"pages\":\"\"},\"PeriodicalIF\":2.0000,\"publicationDate\":\"2025-05-02\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of Pediatric Urology\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1016/j.jpurol.2025.04.032\",\"RegionNum\":3,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"PEDIATRICS\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Pediatric Urology","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1016/j.jpurol.2025.04.032","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"PEDIATRICS","Score":null,"Total":0}
Strategies to reduce bleeding risk in office Gomco circumcisions for babies ≥ 5.5 kg.
Introduction: We sought to investigate whether some modifications to the office Gomco circumcision (OGC) result in reduced bleeding.
Methods: Boys ≥5.5 kg had 6-8 interrupted sutures placed around the circumcision and had a specialized dressing. Boys <5.5 Kg had the standard OGC.
Results: Out of 325 boys undergoing OGC, 125 were ≥5.5 kg, and 200 < 5.5 kg. Bleeding that required intervention occurred in 1 (0.5 %) infant weighing <5.5 kg, with no cases in the ≥5.5 kg group (p = 0.4285).
Conclusion: These findings indicate that a modified OGC protocol can effectively mitigate bleeding risks for infants ≥5.5 kg.
期刊介绍:
The Journal of Pediatric Urology publishes submitted research and clinical articles relating to Pediatric Urology which have been accepted after adequate peer review.
It publishes regular articles that have been submitted after invitation, that cover the curriculum of Pediatric Urology, and enable trainee surgeons to attain theoretical competence of the sub-specialty.
It publishes regular reviews of pediatric urological articles appearing in other journals.
It publishes invited review articles by recognised experts on modern or controversial aspects of the sub-specialty.
It enables any affiliated society to advertise society events or information in the journal without charge and will publish abstracts of papers to be read at society meetings.