1.In order to avoid pain during the injection for local anesthesia, a numbing local anesthesia cream is first applied to the area where the injection will be made. A gelatin band is placed on top of the cream to prevent the cream from being absorbed by the panties or diaper and waited for approximately 1 hour.
2. If the mother can put the child to sleep for 10 minutes after the injection, the circumcision of the child, who does not feel anything, will be performed while he is in his natural sleep. Therefore, we coincide the circumcision with the baby's sleep period and perform the circumcision during natural sleep. As seen in the videos.
3. After the foreskin is cut properly, bleeding is controlled. The incision edges are ensured to come end to end. Circumcision is terminated by covering it with a dressing.
4. After circumcision, the incision areas boil within 12-24 hours. That's why the child can move as much as he wants, take a bath, go to the sea, be laid face down, sit on the baby's lap, or have a bath. The baby is treated the same way as before circumcision.
DISCUSSIONS ABOUT CIRCUMCISION
1.WHEN SHOULD CIRCUMCISION BE DONE?
Circumcision can be performed at any age if medically necessary. If there is no medical difficulty, it is recommended to be done after the age of 0-2 or 5-6 years. Since the male ego develops between the ages of 2-5 (phallic period), circumcision is not recommended unless necessary. European Community' in 2014, the foreskin is an organ. Parents do not have the right to have this skin removed. He made a decision saying, "If the child wants, he can have it done on his own after the age of 19." In Jews, circumcision is performed when the baby is 7 days old. For thousands of years, millions of Jews have been circumcised at the age of 7 days. In the United States, circumcision is recommended as soon as birth, if the mother wishes, they can do it right then. As can be seen, there are very different practices in different communities around the world. There was no difference between these practices in terms of circumcision complications. Once it is done properly, there is no difference in terms of complications no matter what age it is done. The younger the circumcision is performed, the better. Since young children's metabolism is faster, after circumcision The faster the recovery occurs and the less psychological impact there is.
2. LOCAL ANESTHESIA OR GENERAL ANESTHESIA?
Everything is prepared, he just performs his circumcision and leaves. However, there may be some negative effects for the patient. The downsides are as follows;
a.The child who will be circumcised must remain hungry for about 6 hours.
b.Blood must be taken for analysis in terms of anesthesia. This is sometimes quite difficult in young children.
c. Mostly, the circumcised child cries excessively when taken from the mother to be brought to the operating room. When he is brought into an unfamiliar environment, among unfamiliar people, usually in a cold environment, he is negatively affected psychologically. mask is put on. Sleeping gas is given from here, which creates a feeling of suffocation in the child until he loses consciousness. Complications of general anesthesia can occur, although at a very low rate, leading to death. Circumcision is performed at any time the mother can put her to sleep, without the child ever leaving the mother (the mother can breastfeed, rock her on her legs, etc.). If the baby cannot be put to sleep by his mother in any way, or if he wakes up with the slightest touch after being put to sleep and is a restless child that cannot be stopped even for 10 minutes, circumcision can be easily performed by giving a sedative medicine orally.
3.HOW SHOULD A CIRCUMCISM BE DONE
Classically, since ancient times, circumcision has been performed with a knife, razor, scalpel or scissors. Nowadays, laparoscopic surgeries and robotic surgeries are performed. By entering through a 0.5 cm hole with modern and appropriate instruments, vital organs such as the brain, heart and large vessels are cut, their bleeding is stopped and stitches are applied. These instruments, which cut the brain, heart and blood vessels and stop their bleeding, are widely used in circumcision in the world and are safe. is used in some way. Below you will find the original articles about this. They compared the circumcisions performed with monopolar and bipolar electrocautery in 1810 children with an average age of 1.5 between 2005 and 2010 at Boston Children's Hospital in the United States. 'Electrocautery' from Canada An article titled 'circumcision method using circumcision method' has been published. (Can Med Assoc j.1941 Feb A Method of Circumcission; using the Electro-Cautery) Circumcision is performed with thermocautery, electrocautery and bipolar scissors in many universities and Research Hospitals in our country, and notifications have been published. . As a result, in circumcision, as in any other part of our body, incisions can be made, bleeding can be stopped and stitches can be done with electrical devices and local heat devices, provided that there are appropriate instruments. These tools and these techniques have been used millions of times all over the world for many years. They are still used. We perform circumcision in the presence of the parents, by talking to them and getting their approval, depending on the condition of the child's penis. We decide what kind of circumcision we will perform and which technique we will use, depending on many factors such as whether there is a buried penis, whether the penis is curvature, whether the urinary hole is in its normal place, whether there are diseases such as hernia, undescended testicle, whether the child is a deep sleeper. The type of surgical intervention to be performed is explained to the parents in advance. After their information and approval is obtained, surgical intervention is performed.
4. DRESSING AFTER CIRCUMCISE
No dressing is required after circumcision. Only in patients where the foreskin is attached to the underlying tissue (exhausted), a slimy white layer occurs at the tip of the penis after circumcision. This slimy layer is It is a protective layer. When the underlying tissue heals, it separates itself. If this layer sticks to the diaper before complete healing, it may cause pain and bleeding due to premature separation. Therefore, an antibiotic cream can be used as a dressing to prevent the diaper from sticking to this slimy tissue.
5.WHEN SHOULD A BATH BE TAKEN AFTER CIRCUMCISION?
After circumcision, bathing can be done at any time, including on the same day. It can go into the sea.
6.IS MOVEMENT RESTRICTION REQUIRED AFTER CIRCUMCISE?
No movement restriction is required after circumcision. The child can lie down and move as he wishes. The baby is held and laid down in the same way as before.
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