Evaluation about complications of specialists in 2220 circumcision cases

OBJECTIVE: Our aim is to evaluate the complication rates of circumcisions performed by specialists in the hospitals.
METHODS: 2220 patients with the ages ranging between 0 and 19 years old were circumcised by urologists and general surgeons in Kars State Hospital, Kafkas University Faculty of Medicine, Kars Private Bioanaliz and Þifa outpatient clinics between June 2004 and September 2012. Dorsal ventral slit and excision technique was preferred for all patients. The procedures were performed in hospitals with obeying the surgical sterilization rules.
RESULTS: The overall complication rate was 3.3%; bleeding was the most common one with a rate of 1.65%, infection in 1.2%, inadequate excision in 0.25% and complications related with anesthesia in 0.2%. Bleeding complications were not serious and only 11 cases (0.49%) required re-intervention under local anesthesia, of these, hemorhagic diatesis was found in 4. Ýnfection that threatened the life of the patient was not observed.
CONCLUSION: Circumcision is a surgical modality. It had rules to be obeyed like the other surgical modalities and a technique. Serious complications are very rare, if deferred to these rules and performed by specialists in the hospitals’ conditions. We advise to investigate the patients for hemorhagic diatesis prior to circumcision. Key words: circumcision, complications

2220 sünnet olgusunda uzman doktorlarýn komplikasyonlarýnýn incelenmesi

AMAÇ: Hastane þartlarýnda uzman doktorlarýn yaptýðý sünnetlerin komplikasyon oranlarýnýn saptanmasýdýr.
YÖNTEMLER: 2004-2012 yýllarý arasýnda Kars Devlet Hastanesi, Kafkas Üniversitesi Týp Fakültesi Hastanesi, Kars Özel Bioanaliz Polikliniði ve Kars Özel Þifa Polikliniðinde 0-19 yaþlarý arasýndaki 2220 hastaya Üroloji ve Genel Cerrahi Uzmanlarý tarafýndan dorsal-ventral slit ve eksizyon tekniði uygulanarak sünnet yapýldý. Sünnet sonrasý oluþan komplikasyonlar retrospektif olarak deðerlendirilmiþtir.
BULGULAR: Çalýþmamýzda komplikasyon oraný %3.3 olup, kanama %1.65 oraný ile ilk sýrayý alýrken, sýrasýyla enfeksiyon %1.2, yetersiz sünnet % 0.25, anesteziye baðlý komplikasyonlar %0.20 olara saptanmýþtýr. Ayrýca bir hastada inklizyon kisti oluþmuþtur.
SONUÇ: Sünnet cerrahi bir iþlem olup, hastane þartlarýnda ve iþin uzmaný hekimler tarafýndan yapýldýðýnda ciddi komplikasyonlar büyük oranda azalmaktadýr.