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AB134. Clinical investigation of a novel surgical device for circumcision

PURPOSE: We investigated the performance of a novel device for adult circumcision, which is the circular cutter with stapled anastomosis for circumcision. MATERIALS AND METHODS: A total of 62 men with a mean ± SD age of 28±8 years were enrolled from June to September 2012 to undergo circumcision usi...

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Detalles Bibliográficos
Autores principales: Yuan, Yiming, Zhang, Zhichao, Cui, Wanshou, Gao, Bing, Peng, Jing, Xin, Zhongcheng, Guo, Yinglu
Formato: Online Artículo Texto
Lenguaje:English
Publicado: AME Publishing Company 2014
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4708402/
http://dx.doi.org/10.3978/j.issn.2223-4683.2014.s134
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author Yuan, Yiming
Zhang, Zhichao
Cui, Wanshou
Gao, Bing
Peng, Jing
Xin, Zhongcheng
Guo, Yinglu
author_facet Yuan, Yiming
Zhang, Zhichao
Cui, Wanshou
Gao, Bing
Peng, Jing
Xin, Zhongcheng
Guo, Yinglu
author_sort Yuan, Yiming
collection PubMed
description PURPOSE: We investigated the performance of a novel device for adult circumcision, which is the circular cutter with stapled anastomosis for circumcision. MATERIALS AND METHODS: A total of 62 men with a mean ± SD age of 28±8 years were enrolled from June to September 2012 to undergo circumcision using the circular cutter with stapled anastomosis. The device used 18 staples for anastomosis, which fall out during the recovery course, as designed. Patients were followed at day 3, and weeks 1, 2, 4 and 12 after the procedure. Outcome measures were evaluated, including patient safety, procedural time, patient satisfaction and complication rate. RESULTS: Average procedural time needed to use the device was 7.7±2.6 minutes. Patients returned to full physical activity on postoperative day 3. The overall complication rate was 4.8%, including one case of intraoperative bleeding due to operator inexperience and two of a delay in staples falling out. No patient experienced wound infection or excessive foreskin excision. No incision site edema was observed beyond postoperative day 7. All enrolled patients were satisfied with the postoperative penile cosmesis. CONCLUSIONS: The circular cutter with stapled anastomosis for circumcision is a 1-step device that can achieve excellent postoperative results with minimal procedural time. Therefore, it has the potential to enable the performance of circumcision as a rapid turnover bedside procedure.
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spelling pubmed-47084022016-01-26 AB134. Clinical investigation of a novel surgical device for circumcision Yuan, Yiming Zhang, Zhichao Cui, Wanshou Gao, Bing Peng, Jing Xin, Zhongcheng Guo, Yinglu Transl Androl Urol Abstract Publication Reproduction PURPOSE: We investigated the performance of a novel device for adult circumcision, which is the circular cutter with stapled anastomosis for circumcision. MATERIALS AND METHODS: A total of 62 men with a mean ± SD age of 28±8 years were enrolled from June to September 2012 to undergo circumcision using the circular cutter with stapled anastomosis. The device used 18 staples for anastomosis, which fall out during the recovery course, as designed. Patients were followed at day 3, and weeks 1, 2, 4 and 12 after the procedure. Outcome measures were evaluated, including patient safety, procedural time, patient satisfaction and complication rate. RESULTS: Average procedural time needed to use the device was 7.7±2.6 minutes. Patients returned to full physical activity on postoperative day 3. The overall complication rate was 4.8%, including one case of intraoperative bleeding due to operator inexperience and two of a delay in staples falling out. No patient experienced wound infection or excessive foreskin excision. No incision site edema was observed beyond postoperative day 7. All enrolled patients were satisfied with the postoperative penile cosmesis. CONCLUSIONS: The circular cutter with stapled anastomosis for circumcision is a 1-step device that can achieve excellent postoperative results with minimal procedural time. Therefore, it has the potential to enable the performance of circumcision as a rapid turnover bedside procedure. AME Publishing Company 2014-09 /pmc/articles/PMC4708402/ http://dx.doi.org/10.3978/j.issn.2223-4683.2014.s134 Text en 2014 Translational Andrology and Urology. All rights reserved.
spellingShingle Abstract Publication Reproduction
Yuan, Yiming
Zhang, Zhichao
Cui, Wanshou
Gao, Bing
Peng, Jing
Xin, Zhongcheng
Guo, Yinglu
AB134. Clinical investigation of a novel surgical device for circumcision
title AB134. Clinical investigation of a novel surgical device for circumcision
title_full AB134. Clinical investigation of a novel surgical device for circumcision
title_fullStr AB134. Clinical investigation of a novel surgical device for circumcision
title_full_unstemmed AB134. Clinical investigation of a novel surgical device for circumcision
title_short AB134. Clinical investigation of a novel surgical device for circumcision
title_sort ab134. clinical investigation of a novel surgical device for circumcision
topic Abstract Publication Reproduction
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4708402/
http://dx.doi.org/10.3978/j.issn.2223-4683.2014.s134
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