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包皮环切术一般都用丝线缝合,缝线常被血痂粘附,拆线时既麻烦又增加患者尤其是儿童患者的痛苦。近年来作者在缝合方面作了一些改进,具体作法如下。麻醉后包皮常规环形切除,止血后用5～0羊肠线间断缝合内外板创缘,缝针不穿过皮肤,仅作皮下缝合,一般缝合8～12针。用一块长约20cm,宽8 cm 的无菌纱布,在长的1/3处剪一圆孔,套住阴茎,长的一端在上,于耻骨联合上横贴胶布,使长的一端倒下保护龟头。术后每天用1/5000的高锰酸钾液浸泡龟头2～3次,共4～5天。伤口均在术后6～7天愈合。此法简单.一不需要拆线,二不系油纱布,三不作局部包扎。既减少了拆线的麻烦,也避免了患者的痛苦。
Circumcision is generally used silk suture, sutures are often blood scab adhesion, removal of both cumbersome and increase the suffering of patients, especially children. In recent years, the author made some improvements in suture, the specific practices are as follows. After anesthesia routine circumcision circumcision, hemostasis with 5 ~ 0 catgut interrupted suture internal and external wound edge, the needle does not pass through the skin, only for subcutaneous sutures, the general suture 8 to 12-pin. Use a piece of sterile gauze about 20cm long and 8cm wide to cut a round hole in the middle 1/3 of the length to cover the penis. The long end is on the adhesive tape on the pubic symphysis and the long end is dropped Protect the glans. After every day with 1/5000 of potassium permanganate soaked glans 2 to 3 times, a total of 4 to 5 days. The wounds healed 6 to 7 days after operation. This method is simple.One does not need stitches, two is not oil gauze, three do not make local dressing. Not only reduces the trouble of stitches, but also to avoid the patient’s pain.