Perioperative management of circumcision in children: Is there a difference between African and European hospitals?
Context: The circumcision is the most frequent procedure in paediatric surgery worldwide, performed for medical and ritual purposes. In developing countries, because of the difficult accessibility to healthcare, even a common procedure could be unsafe. Aims: The aim of the article is to compare the...
| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2020-01-01
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| Series: | African Journal of Paediatric Surgery |
| Subjects: | |
| Online Access: | http://www.afrjpaedsurg.org/article.asp?issn=0189-6725;year=2020;volume=17;issue=3;spage=90;epage=94;aulast=Ghidini |
| _version_ | 1818388743431651328 |
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| author | Filippo Ghidini Calogero Virgone Bernadette Metangmo Madounkeng Andrea Franchella Milo Vason Dionisio Cumba Costanza Tognon Piergiorgio Gamba |
| author_facet | Filippo Ghidini Calogero Virgone Bernadette Metangmo Madounkeng Andrea Franchella Milo Vason Dionisio Cumba Costanza Tognon Piergiorgio Gamba |
| author_sort | Filippo Ghidini |
| collection | DOAJ |
| description | Context: The circumcision is the most frequent procedure in paediatric surgery worldwide, performed for medical and ritual purposes. In developing countries, because of the difficult accessibility to healthcare, even a common procedure could be unsafe. Aims: The aim of the article is to compare the perioperative and anaesthesiological management of circumcision in children between two Italian and two sub-Saharan African hospitals. Materials and Methods: Medical records of paediatric circumcision from January 2014 to December 2016 have been reviewed. The involved hospitals were: Padua (Italy), Ferrara (Italy), Sao José em Bor (Guinea Bissau) and Yaoundé (Cameroun). Results: In Padua, 77 circumcisions were performed, 19 of these (24.6%) were ritual. In 75 children (97.4%), locoregional anaesthesia (LRA) together with sedation was used; only one complication (1.3%) occurred. In Ferrara, 200 interventions were done, 140 (70%) ritual; general anaesthesia was administered to 183 (93.5%) patients. There were five complications (2.5%). In Bissau, 53 procedures were performed, 21 (39.6%) ritual; in 34 children (64.1%), LRA with sedation was preferred. Two complications (3.8%) were reported. In Yaoundé, 60 children were circumcised, 15 (25%) for ritual purposes; in 51 (85%), only LRA was performed; there was only one (1.7%) complication. In the African hospital, no post-operative analgesia was administered. Conclusion: Despite the different anaesthesiological techniques, the study shows no difference in rate of complications for the in-hospital setting. Training of the local medical team in pain management and post-operative care should be emphasised. |
| first_indexed | 2024-12-14T04:30:41Z |
| format | Article |
| id | doaj.art-ffee894c3dff480ba75ac945c04cbcf1 |
| institution | Directory Open Access Journal |
| issn | 0189-6725 |
| language | English |
| last_indexed | 2024-12-14T04:30:41Z |
| publishDate | 2020-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | African Journal of Paediatric Surgery |
| spelling | doaj.art-ffee894c3dff480ba75ac945c04cbcf12022-12-21T23:17:05ZengWolters Kluwer Medknow PublicationsAfrican Journal of Paediatric Surgery0189-67252020-01-01173909410.4103/ajps.AJPS_24_20Perioperative management of circumcision in children: Is there a difference between African and European hospitals?Filippo GhidiniCalogero VirgoneBernadette Metangmo MadounkengAndrea FranchellaMilo VasonDionisio CumbaCostanza TognonPiergiorgio GambaContext: The circumcision is the most frequent procedure in paediatric surgery worldwide, performed for medical and ritual purposes. In developing countries, because of the difficult accessibility to healthcare, even a common procedure could be unsafe. Aims: The aim of the article is to compare the perioperative and anaesthesiological management of circumcision in children between two Italian and two sub-Saharan African hospitals. Materials and Methods: Medical records of paediatric circumcision from January 2014 to December 2016 have been reviewed. The involved hospitals were: Padua (Italy), Ferrara (Italy), Sao José em Bor (Guinea Bissau) and Yaoundé (Cameroun). Results: In Padua, 77 circumcisions were performed, 19 of these (24.6%) were ritual. In 75 children (97.4%), locoregional anaesthesia (LRA) together with sedation was used; only one complication (1.3%) occurred. In Ferrara, 200 interventions were done, 140 (70%) ritual; general anaesthesia was administered to 183 (93.5%) patients. There were five complications (2.5%). In Bissau, 53 procedures were performed, 21 (39.6%) ritual; in 34 children (64.1%), LRA with sedation was preferred. Two complications (3.8%) were reported. In Yaoundé, 60 children were circumcised, 15 (25%) for ritual purposes; in 51 (85%), only LRA was performed; there was only one (1.7%) complication. In the African hospital, no post-operative analgesia was administered. Conclusion: Despite the different anaesthesiological techniques, the study shows no difference in rate of complications for the in-hospital setting. Training of the local medical team in pain management and post-operative care should be emphasised.http://www.afrjpaedsurg.org/article.asp?issn=0189-6725;year=2020;volume=17;issue=3;spage=90;epage=94;aulast=Ghidinichildrencircumcisiondeveloping countriesloco-regional anaesthesia |
| spellingShingle | Filippo Ghidini Calogero Virgone Bernadette Metangmo Madounkeng Andrea Franchella Milo Vason Dionisio Cumba Costanza Tognon Piergiorgio Gamba Perioperative management of circumcision in children: Is there a difference between African and European hospitals? African Journal of Paediatric Surgery children circumcision developing countries loco-regional anaesthesia |
| title | Perioperative management of circumcision in children: Is there a difference between African and European hospitals? |
| title_full | Perioperative management of circumcision in children: Is there a difference between African and European hospitals? |
| title_fullStr | Perioperative management of circumcision in children: Is there a difference between African and European hospitals? |
| title_full_unstemmed | Perioperative management of circumcision in children: Is there a difference between African and European hospitals? |
| title_short | Perioperative management of circumcision in children: Is there a difference between African and European hospitals? |
| title_sort | perioperative management of circumcision in children is there a difference between african and european hospitals |
| topic | children circumcision developing countries loco-regional anaesthesia |
| url | http://www.afrjpaedsurg.org/article.asp?issn=0189-6725;year=2020;volume=17;issue=3;spage=90;epage=94;aulast=Ghidini |
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