PREOPERATIVE DIAGNOSIS:
Elective circumcision.
POSTOPERATIVE DIAGNOSIS:
Elective circumcision.
OPERATION:
Circumcision.
ANESTHESIA:
General, with caudal supplementation.
CLINICAL INDICATIONS:
presents for circumcision.
The patient is a nearly 2-year-old male who
PROCEDURE:
The patient had uneventful circumcision, sleeve
style, as an outpatient. After appropriate counseling, the patient was brought to the
operating room and prepped and draped for surgery. After anesthesia, intravenous
antibiotics, caudal nerve block and after prepping and draping maneuvers, we placed a
5-0 Prolene in the glans, took some adhesions down and went ahead and reprepped the
patient.
An incision was made 5 mm below the coronal margin. The skin was taken down to the
midshaft of the penis and then pulled over the head of the penis. A sleeve circumcision
was performed by making another circumferential incision, then using the cautery to take
down the vascular supply to the foreskin. Bleeding was taken care of with 0.5 and the
cautery, then the circumcision was sewn up circumferentially with interrupted 6-0 PDS
suture. There was some excess frenular tissue which was excised and also primarily
sewn up. The procedure was then completed, and Xeroform gauze and Tegaderm were
used for a dressing.
ASSISTANT SURGEON(S):
Dana Weiss, M.D.
If the assistant surgeon is other than a qualified resident, I certify that the services were
medically necessary and there was no qualified resident available to perform the
services.