Complications of Neonatal Circumcision Requiring Surgical Intervention in a Developing Country

被引:13
作者
Ekenze, Sebastian O. [1 ]
Ezomike, Uchechukwu O. [1 ]
机构
[1] Univ Nigeria, Teaching Hosp, Dept Paediat Surg, Enugu 400001, Nigeria
关键词
neonatal circumcision; surgical complications; challenges; outcome; cost; developing country; PREVENTION; CHILDREN;
D O I
10.1093/tropej/fmt020
中图分类号
R72 [儿科学];
学科分类号
100202 ;
摘要
Methods: A prospective analysis of 64 patients with complications of NC managed by surgery between June 2006 and May 2012 at the University of Nigeria Teaching hospital Enugu was conducted. Results: Circumcision was performed by nurse in 54 (84.4%) patients, traditional practitioner in 5 (7.8%) and doctor in 5 (7.8%), at a median age of 9 days (range: 2-21 days). Complications noticed 1 day to 7 years (mean: 7.8 months) after circumcision were glanular adhesion in 27 (42.2%) children, meatal stenosis in 14 (21.9%), urethrocutaneous fistula in 11 (17.2%), trapped penis in 5 (7.8%), implantation dermoid in 4 (6.2%) and glans amputation in 3 (4.7%). After treatment, outcome was good in 59 (92.2%) patients, whereas 5 (7.8%) had residual defect. Conclusion: NC may be associated with serious complications in our setting. Adequate training of providers on safe procedure may minimize complications.
引用
收藏
页码:292 / 297
页数:6
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