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Published in: Irish Journal of Medical Science (1971 -) 1/2011

01-03-2011 | Original Article

A review of 100 consecutive sutureless child and adult circumcisions

Authors: F. T. D’Arcy, S. Q. Jaffry

Published in: Irish Journal of Medical Science (1971 -) | Issue 1/2011

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Abstract

Background

Circumcision is one of the world’s most common operations. Series describing a new technique involving the use of fibrin-based glue have become more apparent in the literature. Here we outline the first 100 such cases for 62 children and 38 adults in our practice describing complications and learning curve.

Methods

We reviewed all cases noting age, indication, cosmetic appearance and any potential complications. Reviews were carried out 2–6 weeks postoperatively.

Results

Phimosis accounted for 42% of cases; 58% were for religious reasons. Ages ranged from 6 months to 72 years, with 99% satisfied with the cosmetic immediate postoperative appearance. Three had minor delayed post-op bleeding, none necessitating a return to theatre. One had a reaction to the glue requiring antihistamines for a week. Two postoperative cases of balanitis were reported.

Conclusion

Sutureless circumcision is a practical alternative to the standard method. This series supports a role for sutureless circumcisions in adults.
Literature
1.
go back to reference Lewinsohn R (1958) Belief in beauty. In: Lewinsohn R (ed) A history of sexual customs, 1st edn, chap 3. Longmans, Green, London, pp 31–32 Lewinsohn R (1958) Belief in beauty. In: Lewinsohn R (ed) A history of sexual customs, 1st edn, chap 3. Longmans, Green, London, pp 31–32
2.
go back to reference Rogers SL (1956) Sex organ mutilation. In: Rogers SL (ed) Primitive Surgery—skills before science, chapt 3. Charles C. Thomas, Springfield, Illinois, pp 56–60 Rogers SL (1956) Sex organ mutilation. In: Rogers SL (ed) Primitive Surgery—skills before science, chapt 3. Charles C. Thomas, Springfield, Illinois, pp 56–60
3.
go back to reference Hammond T (1999) A preliminary poll of men circumcised in infancy or childhood. BJU Int 83(Suppl 1):85–92PubMed Hammond T (1999) A preliminary poll of men circumcised in infancy or childhood. BJU Int 83(Suppl 1):85–92PubMed
4.
go back to reference Hinman F (1998) Atlas of urological surgery, 2nd edn. Saunders, Philadelphia Hinman F (1998) Atlas of urological surgery, 2nd edn. Saunders, Philadelphia
5.
go back to reference Elmasalme Matbouli SA, Zuberi MS (1995) Use of tissue adhesive in the closure of small incisions and lacerations. J Pediatr Surg 30:837–838CrossRef Elmasalme Matbouli SA, Zuberi MS (1995) Use of tissue adhesive in the closure of small incisions and lacerations. J Pediatr Surg 30:837–838CrossRef
6.
go back to reference Hammond TM, Grahn MF, Lunniss PJ (2004) Fibrin glue in the management of anal fistulae. Colorectal Dis 6(5):308–319CrossRefPubMed Hammond TM, Grahn MF, Lunniss PJ (2004) Fibrin glue in the management of anal fistulae. Colorectal Dis 6(5):308–319CrossRefPubMed
7.
go back to reference Baumann A, Caversaccio M (2003) Hemostasis in endoscopic sinus surgery using a specific gelatin-thrombin based agent (FloSeal). Rhinology 41(4):244–249PubMed Baumann A, Caversaccio M (2003) Hemostasis in endoscopic sinus surgery using a specific gelatin-thrombin based agent (FloSeal). Rhinology 41(4):244–249PubMed
8.
go back to reference Araki M, Tao H, Nakajima N, Sugai N et al (2007) Development of new biodegradable hydrogel glue for preventing alveolar air leakage. J Thorac Cardiovasc Surg 134(5):1241–1248CrossRefPubMed Araki M, Tao H, Nakajima N, Sugai N et al (2007) Development of new biodegradable hydrogel glue for preventing alveolar air leakage. J Thorac Cardiovasc Surg 134(5):1241–1248CrossRefPubMed
9.
10.
go back to reference Valbonesi M, Giannini G, Migliori F et al (2002) The role of autologous fibrin-platelet glue in plastic surgery: a preliminary report. Int J Artif Organs 25(4):334–338PubMed Valbonesi M, Giannini G, Migliori F et al (2002) The role of autologous fibrin-platelet glue in plastic surgery: a preliminary report. Int J Artif Organs 25(4):334–338PubMed
11.
go back to reference Subramaniam R, Jacobsen AS (2004) Sutureless circumcision: a prospective randomised controlled study. Pediatr Surg Int 20(10):783–785CrossRefPubMed Subramaniam R, Jacobsen AS (2004) Sutureless circumcision: a prospective randomised controlled study. Pediatr Surg Int 20(10):783–785CrossRefPubMed
12.
go back to reference Elmore JM, Smith EA, Kirsch AJ (2007) Sutureless circumcision using 2-octyl cyanoacrylate (Dermabond): appraisal after 18-month experience. Urology 70(4):803–806CrossRefPubMed Elmore JM, Smith EA, Kirsch AJ (2007) Sutureless circumcision using 2-octyl cyanoacrylate (Dermabond): appraisal after 18-month experience. Urology 70(4):803–806CrossRefPubMed
13.
go back to reference Avanog-lu A, Çelik A, Ulman I et al (1999) Safer circumcision in patients with haemophilia: the use of fibrin glue for local haemostasis. BJU Int 83(1):91–94CrossRef Avanog-lu A, Çelik A, Ulman I et al (1999) Safer circumcision in patients with haemophilia: the use of fibrin glue for local haemostasis. BJU Int 83(1):91–94CrossRef
Metadata
Title
A review of 100 consecutive sutureless child and adult circumcisions
Authors
F. T. D’Arcy
S. Q. Jaffry
Publication date
01-03-2011
Publisher
Springer-Verlag
Published in
Irish Journal of Medical Science (1971 -) / Issue 1/2011
Print ISSN: 0021-1265
Electronic ISSN: 1863-4362
DOI
https://doi.org/10.1007/s11845-010-0545-8

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