|
|
COMMENTARY |
|
Year : 2014 | Volume
: 6
| Issue : 1 | Page : 46 |
|
|
Dorsal slit-sleeve technique for male circumcision
Abdullahi Abdulwahab-Ahmed, Abubakar Umar
Department of Surgery, Usmanu Danfodiyo University Teaching Hospital, Sokoto, Nigeria
Date of Web Publication | 24-Jun-2014 |
Correspondence Address: Abdullahi Abdulwahab-Ahmed Department of Surgery, Usmanu Danfodiyo University Teaching Hospital, Sokoto Nigeria
Source of Support: None, Conflict of Interest: None
PMID: 25013556
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 |
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 | | |
1. | Lukong CS. Dorsal slit-Sleeve technique for male circumcision. J Surg Tech Case Rep 2012;4:94-7. [PUBMED] |
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. |
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. |
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. |
5. | American Academy of Pediatrics Task Force on Circumcision. Male circumcision. Pediatrics 2012;130:e756-85. [PUBMED] |
|