儿科人群中机械与手工包皮环切术的比较研究:传统技术的替代方案?

B Zamora Vidal, M Gómez Cervantes, L F Ávila Ramírez, J Rodríguez de Alarcón García, E Domínguez Amillo, P Guillén Redondo, C Soto Beauregard
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引用次数: 0

摘要

目的:包皮环切术是小儿外科手术中最常见的手术方法之一。尽管手动缝合(MANS)被视为金标准技术,但最近开发出了易于使用的机械缝合(MECS)装置,在成年人群中具有更好的术后效果。我们研究的目的是比较在我们的环境中两种技术的手术时间和术后并发症的发生率。材料和方法:对2021年10月至2022年12月在我院接受包皮环切术的患者进行回顾性研究。根据所使用的技术(MANS与MECS)和患者年龄分析术后前14天观察到的手术时间和并发症(水肿、血肿、裂开)。MECS患者和患者的平均手术时间均显著缩短。结论:无论年龄大小,MECS包皮环切术是一种简单有效的技术,其手术时间均比MANS包皮环切除术短。年龄较大的儿童并发症发生率较低(≥ 12年),这意味着它是传统技术的有效替代品。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Comparative study of mechanical vs. manual circumcision in the pediatric population: An alternative to the conventional technique?

Objective: Circumcision is one of the most common surgical procedures in pediatric surgery. Even though manual suture (MANS) is regarded as the gold standard technique, easy-to-use mechanical suture (MECS) devices have been recently developed, with better postoperative results in the adult population. The objective of our study was to compare the operating time and incidence of postoperative complications between both techniques in our environment.

Materials and methods: A retrospective study of patients undergoing circumcision in our institution from October 2021 to December 2022 was carried out. Operating time and complications observed in the first 14 postoperative days (edema, hematoma, dehiscence) were analyzed according to the technique used (MANS vs. MECS) and patient age (< 12 and ≥ 12 years old).

Results: 173 patients (147 MANS, 26 MECS) were included. Mean operating time was significantly lower in MECS patients, both in patients < 12 years old (16 min vs. 10 min, p= 0.002) and in patients ≥ 12 years old (23 min vs. 12 min, p< 0.001). Regarding complications, MECS patients ≥ 12 years old had a lower rate of suture dehiscence (23.5% vs. 0%, p< 0.001), with no significant differences in the younger group.

Conclusions: MECS circumcision is a simple and effective technique involving shorter operating times than MANS circumcision, regardless of age. It has a lower rate of complications in older children (≥ 12 years), which means it stands as a valid alternative to the conventional technique.

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