Immediate Complications of Elective Newborn Circumcision
| Autor: | Andrea Heras, Marcela I. Pineda, Allan J. Jacobs, Victoria Vallejo, Lourdes Cohen |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
Male
medicine.medical_specialty New York Hemorrhage Pediatrics 03 medical and health sciences Postoperative Complications 0302 clinical medicine 030225 pediatrics Chart review medicine Humans Local pressure 030212 general & internal medicine Retrospective Studies Medical treatment business.industry Incidence (epidemiology) Infant Newborn Retrospective cohort study General Medicine Surgical Instruments Surgery Clamp Circumcision Male Elective Surgical Procedures Hemostasis Pediatrics Perinatology and Child Health Complication business |
| Zdroj: | Hospital Pediatrics. 8:615-619 |
| ISSN: | 2154-1671 2154-1663 |
| DOI: | 10.1542/hpeds.2018-0005 |
| Popis: | OBJECTIVES: To determine the incidence of immediate complications of elective newborn circumcision in 2 community teaching hospitals. METHODS: We performed a retrospective chart review of all term neonates who had circumcision performed between August 2011 and December 2014 at 2 community hospitals in New York. Neonatal hospital records and subsequent inpatient and outpatient records were reviewed. We classified complications as minor, intermediate, and major. RESULTS: Out of a total of 1115 circumcisions, 1064 met inclusion criteria. There were 41 complications (3.9%), all involving hemorrhage. Sutures were used to control hemorrhage in 3 patients (0.3%). Local pressure or application of hemostatic chemical agents controlled bleeding in the remainder of patients. Bleeding was more common with the use of the Gomco clamp than with the Mogen clamp. Circumcisions performed with Gomco clamp represented 73.2% of the total complications compared with 26.8% with the Mogen clamp. There were no injuries to structures outside the prepuce or problems requiring medical treatment after discharge from the neonatal hospitalization. CONCLUSIONS: The most common immediate complication encountered during an elective neonatal circumcision was bleeding that required only pressure or topical thrombin to achieve hemostasis. Bleeding was more common with the use of the Gomco versus the Mogen clamp. To conclude, our data support the theory that elective infant circumcision can be performed safely in a hospital setting. |
| Databáze: | OpenAIRE |
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