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Anesthesia Analysis of Compound Lidocaine Cream Alone in Adult Male Device-Assisted Circumcision

Objective: to evaluate the anesthetic effect among adult male patients with the single use of compound lidocaine cream in device-assisted circumcision, hoping to provide an anesthetic method for the simplification of the surgical process. Methods: Male adult patients undergoing device-assisted circu...

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Autores principales: Zheng, Zhihuan, Ding, Ke, Tang, Zhengyan, Wu, Ziqiang, Li, Zhongyi, Wang, Guilin, Fan, Benyi, Wang, Zhao
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10179153/
https://www.ncbi.nlm.nih.gov/pubmed/37176562
http://dx.doi.org/10.3390/jcm12093121
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author Zheng, Zhihuan
Ding, Ke
Tang, Zhengyan
Wu, Ziqiang
Li, Zhongyi
Wang, Guilin
Fan, Benyi
Wang, Zhao
author_facet Zheng, Zhihuan
Ding, Ke
Tang, Zhengyan
Wu, Ziqiang
Li, Zhongyi
Wang, Guilin
Fan, Benyi
Wang, Zhao
author_sort Zheng, Zhihuan
collection PubMed
description Objective: to evaluate the anesthetic effect among adult male patients with the single use of compound lidocaine cream in device-assisted circumcision, hoping to provide an anesthetic method for the simplification of the surgical process. Methods: Male adult patients undergoing device-assisted circumcision through prepuce local anesthesia using lidocaine cream in Xiangya Hospital of Central South University from December 2020 to August 2021 were selected. According to different age groups and different surgical procedures, the anesthetic effect of compound lidocaine cream was analyzed considering the aspects of anesthetic cost, anesthetic time, anesthetic duration, anesthetic effect, anesthetic side effects and anesthetic satisfaction. Results: In the study, 99.1% of 649 patients needed only 1 application of compound lidocaine cream to complete the operation. The time taken for anesthesia was short; the whole anesthesia process only required approximately 2–5 min. However, for patients with severe phimosis, the time to complete the anesthesia procedure was correspondingly longer. The pain degree caused by anesthesia was low, and the patients with a pain score of ≤3 points accounted for 96.7%. The anesthetic effect lasted for a sufficiently long period, and the time of algesia recovery from local anesthesia was almost 1 h after surgery. The anesthesia effect was sufficient, and patients with an intraoperative pain score of ≤3 accounted for 98.7%, which could meet the surgical requirements. There were few side effects of the anesthesia. The overwhelming majority of patients were pleased with the anesthesia, and 98.9% of patients had an anesthesia satisfaction score of ≥7. Conclusion: The compound lidocaine cream, as a local anesthetic, is safe and effective for most adult male device-assisted circumcisions. More useful information needs to be corroborated by more advanced evidence, especially for severe phimosis.
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spelling pubmed-101791532023-05-13 Anesthesia Analysis of Compound Lidocaine Cream Alone in Adult Male Device-Assisted Circumcision Zheng, Zhihuan Ding, Ke Tang, Zhengyan Wu, Ziqiang Li, Zhongyi Wang, Guilin Fan, Benyi Wang, Zhao J Clin Med Article Objective: to evaluate the anesthetic effect among adult male patients with the single use of compound lidocaine cream in device-assisted circumcision, hoping to provide an anesthetic method for the simplification of the surgical process. Methods: Male adult patients undergoing device-assisted circumcision through prepuce local anesthesia using lidocaine cream in Xiangya Hospital of Central South University from December 2020 to August 2021 were selected. According to different age groups and different surgical procedures, the anesthetic effect of compound lidocaine cream was analyzed considering the aspects of anesthetic cost, anesthetic time, anesthetic duration, anesthetic effect, anesthetic side effects and anesthetic satisfaction. Results: In the study, 99.1% of 649 patients needed only 1 application of compound lidocaine cream to complete the operation. The time taken for anesthesia was short; the whole anesthesia process only required approximately 2–5 min. However, for patients with severe phimosis, the time to complete the anesthesia procedure was correspondingly longer. The pain degree caused by anesthesia was low, and the patients with a pain score of ≤3 points accounted for 96.7%. The anesthetic effect lasted for a sufficiently long period, and the time of algesia recovery from local anesthesia was almost 1 h after surgery. The anesthesia effect was sufficient, and patients with an intraoperative pain score of ≤3 accounted for 98.7%, which could meet the surgical requirements. There were few side effects of the anesthesia. The overwhelming majority of patients were pleased with the anesthesia, and 98.9% of patients had an anesthesia satisfaction score of ≥7. Conclusion: The compound lidocaine cream, as a local anesthetic, is safe and effective for most adult male device-assisted circumcisions. More useful information needs to be corroborated by more advanced evidence, especially for severe phimosis. MDPI 2023-04-25 /pmc/articles/PMC10179153/ /pubmed/37176562 http://dx.doi.org/10.3390/jcm12093121 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Zheng, Zhihuan
Ding, Ke
Tang, Zhengyan
Wu, Ziqiang
Li, Zhongyi
Wang, Guilin
Fan, Benyi
Wang, Zhao
Anesthesia Analysis of Compound Lidocaine Cream Alone in Adult Male Device-Assisted Circumcision
title Anesthesia Analysis of Compound Lidocaine Cream Alone in Adult Male Device-Assisted Circumcision
title_full Anesthesia Analysis of Compound Lidocaine Cream Alone in Adult Male Device-Assisted Circumcision
title_fullStr Anesthesia Analysis of Compound Lidocaine Cream Alone in Adult Male Device-Assisted Circumcision
title_full_unstemmed Anesthesia Analysis of Compound Lidocaine Cream Alone in Adult Male Device-Assisted Circumcision
title_short Anesthesia Analysis of Compound Lidocaine Cream Alone in Adult Male Device-Assisted Circumcision
title_sort anesthesia analysis of compound lidocaine cream alone in adult male device-assisted circumcision
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10179153/
https://www.ncbi.nlm.nih.gov/pubmed/37176562
http://dx.doi.org/10.3390/jcm12093121
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