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包皮环切术是泌尿外科、普外科常见的门诊小手术,但处理不当或处理不及时会给病人带来很多痛苦和烦恼,甚至造成难以恢复的严重损害.近10年来我们共收集了传统包皮环切改良式手术1000例.根据男性生殖器发育的差异、阴茎大小、包皮长度测定、包皮切除范围,现对改良式手术方法体会报告如下.1.操作方法 常规消毒,铺无菌巾单、阴茎根部两侧用0.5%利多卡因注射液3～5ml内加入肾上腺素注射液5滴作局部浸润麻醉,然后外翻包皮用两把血管钳夹住包皮垂直牵拉,包皮至冠状沟距离并留0.5～0.8cm.自制竹夹板夹住包皮并用手术刀一次性切除.长度以完全暴露冠状沟、系带不紧张为准.包皮切除后彻底止血,分别在12、6、3、9点处将包皮内外板组织用两把小文式血管钳夹住对齐靠拢外翻.0/3细丝线打结、对皮整齐后医用免贴妥涂抹于切口处、免于敷盖.为了避免伤口和龟头与内裤摩擦刺激防止阴茎勃起而导致伤口张裂,可在耻骨联合处遮盖双层消毒纱布保护并
Circumcision is a common out-patient surgery in urology and general surgery, but it can cause a lot of pain and annoyance to the patients if not handled properly or not handled properly, and even cause serious damage that is difficult to recover. In the past 10 years, we collected traditional foreskin Circumferential modified surgery in 1000 cases.According to the differences in male genital development, penile size, determination of the length of the foreskin, circumcision scope, the modified surgical methods are now reported as follows.1.Operation routine disinfection, sterile shop towels, penis Roots on both sides with 0.5% lidocaine injection 3 ~ 5ml added 5 drops of epinephrine injection for local infiltration anesthesia, and then valgus foreskin with two vascular clamp vertical traction foreskin, foreskin to the coronary sulcus distance and stay 0.5 ~ 0.8cm. Homemade bamboo splint clamp the foreskin and scalpel with a one-time resection. The length of the complete exposure of the coronary sulcus, lace is not tension prevail. Complete circumcision after hemostasis, respectively, at 12,6,3,9 The foreskin inside and outside the plate tissue with two small-type vascular forceps to clamp the alignment closer to the eversion .0 / 3 thin wire knotted neatly on the skin medical neatly applied to the incision at the Department, from the cover. In order to avoid wounds and Glans and panties friction stimulation to prevent the erection of the penis caused by wounds in the pubic symphysis at double sterile gauze cover and protection