Journal of Surgical Technique and Case Report
Journal of Surgical Technique and Case Report


 
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COMMENTARY
Year : 2014  |  Volume : 6  |  Issue : 1  |  Page : 46  

Dorsal slit-sleeve technique for male circumcision


Department of Surgery, Usmanu Danfodiyo University Teaching Hospital, Sokoto, Nigeria

Date of Web Publication24-Jun-2014

Correspondence Address:
Abdullahi Abdulwahab-Ahmed
Department of Surgery, Usmanu Danfodiyo University Teaching Hospital, Sokoto
Nigeria
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Source of Support: None, Conflict of Interest: None


PMID: 25013556

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How to cite this article:
Abdulwahab-Ahmed A, Umar A. Dorsal slit-sleeve technique for male circumcision. J Surg Tech Case Report 2014;6:46

How to cite this URL:
Abdulwahab-Ahmed A, Umar A. Dorsal slit-sleeve technique for male circumcision. J Surg Tech Case Report [serial online] 2014 [cited 2016 May 10];6:46. Available from: http://www.jstcr.org/text.asp?2014/6/1/46/135168

Sir,

The author of this paper has described in detail the surgical technique of combining dorsal slit and the sleeve methods of circumcision as a single procedure of circumcision of choice in their center. [1] The described technique is simple, easy to follow and readily reproducible. The author was able to show also that the complication rate of the procedure is comparable with complication rate reported for other methods employed in the male circumcision. [2]

With the current body of evidence in the literature showing the public health benefits of male circumcision, [3],[4],[5] one can say that the dorsal slit-sleeve technique would be a useful and handy procedure to offer patients, especially the older children and adults desirous of circumcision. It is in these categories of patients that the already known methods of circumcision have done relatively poorly as regards complications rates. [2],[4]

In our practice however, we have found the caudal epidural anesthesia particularly useful in the neonates for control of both procedural and immediate post-operative pain. This may be anesthesia of choice for those surgeons who like working on an untampered tissue which may not be attainable with field block of the penis as described by the author of this article.

Sir, permit us to congratulate the author on the presentation of this simple yet invaluable technique of male circumcision.

 
   References Top

1.Lukong CS. Dorsal slit-Sleeve technique for male circumcision. J Surg Tech Case Rep 2012;4:94-7.  Back to cited text no. 1
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2.Weiss HA, Larke N, Halperin D, Schenker I. Complications of circumcision in male neonates, infants and children: A systematic review. BMC Urol 2010;10:2.  Back to cited text no. 2
    
3.Morris BJ, Eley C. Male circumcision: An appraisal of current instrumentation. In: Fazel-Rezai R, editor. Biomedical Engineering-From Theory to Applications. Chapter 14. Rijeka, Croatia: University of Rijeka, InTech; 2011. p. 315-54.  Back to cited text no. 3
    
4.Wiswell TE, Geschke DW. Risks from circumcision during the first month of life compared with those for uncircumcised boys. Pediatrics 1989;83:1011-5.  Back to cited text no. 4
    
5.American Academy of Pediatrics Task Force on Circumcision. Male circumcision. Pediatrics 2012;130:e756-85.  Back to cited text no. 5
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