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Düşük Maliyetli Ve Komplikasyonsuz Bir Sünnet; Ne Zaman, Nasıl, Nerede, Kim Tarafından Yapılmalı?

Year 2019, Volume: 11 Issue: 3, 440 - 443, 23.10.2019
https://doi.org/10.18521/ktd.532812

Abstract

Amaç: Sünnet, Türkiye gibi müslüman ülkelerde en çok yapılan operasyonlardan birisidir. Bu çalışmanın amacı sünnet verilerinin geriye dönük olarak değerlendirilmesi ve ‘düşük maliyetli ve komplikasyonsuz bir sünnetin; ne zaman, nasıl, nerede, kim tarafından yapılacağı’ ile ilgili olarak tartışmaktır.

Gereç ve Yöntem: Bu çalışmaya Düzce Üniversitesi Tıp Fakültesi Araştırma ve Uygulama Hastanesi Çocuk Cerrahisi kliniğinde 2011-2018 yılları arasında sünnet yapılan 4059 hasta dahil edildi. Hastanın yaşı, operasyonun yapıldığı zaman, eşlik eden cerrahi patoloji varlığı (kasık fıtığı, inmemiş testis, hidrosel vb.) ve anestezi şekli not edildi.

Bulgular: Toplam 4059 hastanın ortalama yaşı 4,1 yıl (±3,29) idi. <2 yaş sünneti yapılan hasta sayısı 1315 (% 32,40), çocuk psikiyatristleri tarafından önerilmeyen 2-6 yaş aralığında yapılan sünnet sayısı 1154 (% 28,43), >6 yaş sünneti yapılan hasta sayısı ise 1590 (% 39,17) idi. Sünnet yapılan hastaların 422 tanesinde (% 10,40) ek cerrahi patoloji vardı. En sık görülen ek cerrahi patolojiler sırasıyla inguinal herni (212 hasta ve % 50,24), inmemiş testis (100 hasta ve % 23,70), hidrosel (32 hasta ve % 7,58) idi.

Sonuç: Özellikle komplike cerrahi operasyon sirkülasyonunun yoğun olduğu 3.basamak kamu üniversite hastanelerinde sünnetin sadece ek operasyon gerektiren hastalara yapılması, eğer ek operasyon gerekmiyorsa komplike cerrahi işlemlerin aksatılmaması için sünnetin özel sağlık kuruluşlarında ya da sertifikalı 1.basamak aile hekimleri tarafından yapılması daha uygun olacaktır. Halen 2-6 yaşlarındaki çocuklarını sünnet yaptırılıyor olması nedeniyle, ailelerin bu konudaki bilgi düzeylerini artıracak önlemlerin alınması önem arz etmektedir.

References

  • 1) Litwiller AR, Browne C, Haas DM. Circumcision bleeding complications: neonatal intensive care infants compared to those in the normal newborn nursery. J Matern. Fetal Neonatal Med. 2018;31(11):1513-1516. doi:10.1080/14767058.2017.1319931.2) Prabhakaran S, Ljuhar D, Coleman R, Nataraja RM. Circumcision in the paediatric patient: A review of indications, technique and complications. J Paediatr. Child Health. 2018;54(12):1299-1307. doi:10.1111/jpc.14206.3) Eisenberg ML, Galusha D, Kennedy WA, Cullen MR. The Relationship between Neonatal Circumcision, Urinary Tract Infection, and Health. World J Mens Health. 2018;36(3):176-182. doi:10.5534/wjmh.180006.4) Ozkan A, Okur M, Kaya M, Kucuk A. I Wish, If There Was A Circumcision Pill. Duzce Medical Journal. 2013;15(3):56-59.5) Ozkan A, Ozorak A, Oruc M. Retrospective Investigation of Complications in Nineteen Hundred Cases of Circumcision. Konuralp Medical Journal. 2012;4(1):8-12.6) Ozkan A, Okur M, Kaya M, Kaya E, Kucuk A, Erbas M, Kutlucan L, Sahan L. Sedoanalgesia in pediatric daily surgery. Int J Clin Exp Med. 2013;6(7):576-82.

A Low Cost and Non-Complicated Circumcision; When, How, Where, Who Should Be Made by?

Year 2019, Volume: 11 Issue: 3, 440 - 443, 23.10.2019
https://doi.org/10.18521/ktd.532812

Abstract

Objective: Circumcision, in Turkey as a Muslim
country is one of the most commonly performed operation. Although it seems to
be a simple procedure, circumcision has many complications. The aim of this
study is to retrospectively evaluated circumcision datas and discuss about 'a
low cost and non-complicated circumcision; when, how, where, who should be made
by'.



Methods: In this study, 4059 patients
who were circumcised between 2011-2018 were included in the study.



Results: The mean age of 4059 patients
was 4.1(± 3.29). The number of patients who had circumcised <2year was 1315
(32.40%), aged 2-6 who no recommended by child psychiatrists was 1154(28.43%)
and >6 year was 1590(39.17%). 422(10.40%)
of patients who underwent circumcision had additional surgical pathology. The
most common additional surgical pathologies were inguinal hernia (n=212, 50.24%),
undescended testes (n=100, 23.70%) and hydrocele (n=32, 7.58%).



Conclusion: Since the circulation of
complicated surgical operations is intense, especially in the 3rd level public
university hospitals it is more appropriate to perform circumcision in patients
who require additional operation to reduce the cost and hospitalization. If additional operation is not required, circumcision
should be performed by private health institutions or certified 1st level
family physicians. In terms of childhood
psychology, it is important to take measures to increase the level of knowledge
of families on this issue, since a significant number of families still circumcised
their children aged 2-6 years.

References

  • 1) Litwiller AR, Browne C, Haas DM. Circumcision bleeding complications: neonatal intensive care infants compared to those in the normal newborn nursery. J Matern. Fetal Neonatal Med. 2018;31(11):1513-1516. doi:10.1080/14767058.2017.1319931.2) Prabhakaran S, Ljuhar D, Coleman R, Nataraja RM. Circumcision in the paediatric patient: A review of indications, technique and complications. J Paediatr. Child Health. 2018;54(12):1299-1307. doi:10.1111/jpc.14206.3) Eisenberg ML, Galusha D, Kennedy WA, Cullen MR. The Relationship between Neonatal Circumcision, Urinary Tract Infection, and Health. World J Mens Health. 2018;36(3):176-182. doi:10.5534/wjmh.180006.4) Ozkan A, Okur M, Kaya M, Kucuk A. I Wish, If There Was A Circumcision Pill. Duzce Medical Journal. 2013;15(3):56-59.5) Ozkan A, Ozorak A, Oruc M. Retrospective Investigation of Complications in Nineteen Hundred Cases of Circumcision. Konuralp Medical Journal. 2012;4(1):8-12.6) Ozkan A, Okur M, Kaya M, Kaya E, Kucuk A, Erbas M, Kutlucan L, Sahan L. Sedoanalgesia in pediatric daily surgery. Int J Clin Exp Med. 2013;6(7):576-82.
There are 1 citations in total.

Details

Primary Language English
Subjects Health Care Administration
Journal Section Articles
Authors

Murat Kaya

Aybars Ozkan

Murat Kabaklioglu

Publication Date October 23, 2019
Acceptance Date September 3, 2019
Published in Issue Year 2019 Volume: 11 Issue: 3

Cite

APA Kaya, M., Ozkan, A., & Kabaklioglu, M. (2019). A Low Cost and Non-Complicated Circumcision; When, How, Where, Who Should Be Made by?. Konuralp Medical Journal, 11(3), 440-443. https://doi.org/10.18521/ktd.532812
AMA Kaya M, Ozkan A, Kabaklioglu M. A Low Cost and Non-Complicated Circumcision; When, How, Where, Who Should Be Made by?. Konuralp Medical Journal. October 2019;11(3):440-443. doi:10.18521/ktd.532812
Chicago Kaya, Murat, Aybars Ozkan, and Murat Kabaklioglu. “A Low Cost and Non-Complicated Circumcision; When, How, Where, Who Should Be Made By?”. Konuralp Medical Journal 11, no. 3 (October 2019): 440-43. https://doi.org/10.18521/ktd.532812.
EndNote Kaya M, Ozkan A, Kabaklioglu M (October 1, 2019) A Low Cost and Non-Complicated Circumcision; When, How, Where, Who Should Be Made by?. Konuralp Medical Journal 11 3 440–443.
IEEE M. Kaya, A. Ozkan, and M. Kabaklioglu, “A Low Cost and Non-Complicated Circumcision; When, How, Where, Who Should Be Made by?”, Konuralp Medical Journal, vol. 11, no. 3, pp. 440–443, 2019, doi: 10.18521/ktd.532812.
ISNAD Kaya, Murat et al. “A Low Cost and Non-Complicated Circumcision; When, How, Where, Who Should Be Made By?”. Konuralp Medical Journal 11/3 (October 2019), 440-443. https://doi.org/10.18521/ktd.532812.
JAMA Kaya M, Ozkan A, Kabaklioglu M. A Low Cost and Non-Complicated Circumcision; When, How, Where, Who Should Be Made by?. Konuralp Medical Journal. 2019;11:440–443.
MLA Kaya, Murat et al. “A Low Cost and Non-Complicated Circumcision; When, How, Where, Who Should Be Made By?”. Konuralp Medical Journal, vol. 11, no. 3, 2019, pp. 440-3, doi:10.18521/ktd.532812.
Vancouver Kaya M, Ozkan A, Kabaklioglu M. A Low Cost and Non-Complicated Circumcision; When, How, Where, Who Should Be Made by?. Konuralp Medical Journal. 2019;11(3):440-3.