What is the ideal age of circumcision for wound healing time?
Year 2016,
Volume: 2 Issue: 3, 206 - 210, 04.11.2016
Aykut Aykac
,
Onur Yapici
Ozer Baran
,
Ural Oguz
Murat Cakan
Abstract
Objective. Circumcision is practiced worldwide. Currently, the effect of age at the time of circumcision on wound healing is not fully known. This study aimed to determine the effect of age at the time of circumcision on wound healing. Methods. The study included 382 male patients aged ≤16 years that were circumcised between January 2014 and December 2014. Data for 345 patients that were followed-up regularly were evaluated retrospectively. Circumcision was performed using a bipolar diathermic knife. Circumcision wounds were considered healed when the 2 suture lines were observed to be completely apposed. Wound healing time was analyzed according to age at the time of circumcision. Results. Mean age of the patients was 7.2 years (range; 6 days-16 years). Mean duration of surgery was 327.5 sec and mean healing time was 4.3 days. The patients were classified according to age as group 1 (0-2 years; n=114; 32.9%), group 2 (3-6 years; n=60; 17.3%), and group 3 (7-16 years; n=171; 49.8%). Mean duration of surgery in groups 1-3 were 280.9 sec, 320.2 sec and 356.5 sec; respectively, and healing times were 4.1, 4.2 and 4.5 days; respectively. Healing time was significantly longer in group 3 than in groups 1 and 2 (p<0.05). There was no significant difference in healing time between groups 1 and 2 (p>0.05). Conclusion. Wound healing time was shorter in the patients aged 0-6 years than in those aged 7-16 years.
References
- World Health Organization. Traditional male circumcision among young people: a public health perspective in the context of HIV prevention. Geneva. 2009. pp:10-5.
- Sahin F, Beyazova U, Akturk A. Attitudes and practices regarding circumcision in Turkey. Child Care Health Dev 2003;29:275-80.
- Sivasli E, Bozkurt AI, Ceylan H, Coskun Y. [Knowledge, attitude and behavior of parents regarding circumcision in Gaziantep]. Cocuk Sagligi ve Hastaliklari Dergisi 2003;46:114-8. [Article in Turkish]
- Ferguson MW, O'Kane S. Scar-free healing: from embryonic mechanisms to adult therapeutic intervention. Philos Trans R Soc Lond B Biol Sci 2004;359:839-50.
- Song HF, Chai JK, Lin ZH, Chen ML, Zhao YZ, Chen BJ, et al. A comparative study of PDGF and EGF expression in skin wound healing between human fetal and adult. Zhonghua Zheng Xing Wai Ke Za Zhi 2003;19:199-202.
- Bermudez DM, Canning DA, Liechty KW. Age and pro-inflammatory cytokine production: wound-healing complications for scar-formation and the timing of genital surgery in boys. J Pediatr Urol 2011;7:324-31.
- Al-Attar A, Mess S, Thomassen JM, Kauffman CL, Davison SP. Keloid pathogenesis and treatment. Plast Reconstr Surg 2006;117:286-300.
- Zouboulis CC, Degitz K. Androgenaction on human skin from basic research to clinical significance. Exp Dermatol 2004;13(Suppl 4):5-10.
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- Kelly BD, Lundon DJ, Timlin ME, Sheikh M, Nusrat NB, D'Archy FT, et al. Pediatric sutureless circumcision - an alternative to the standard technique. Pediatr Surg Int 2012;28:305-8.
Year 2016,
Volume: 2 Issue: 3, 206 - 210, 04.11.2016
Aykut Aykac
,
Onur Yapici
Ozer Baran
,
Ural Oguz
Murat Cakan
References
- World Health Organization. Traditional male circumcision among young people: a public health perspective in the context of HIV prevention. Geneva. 2009. pp:10-5.
- Sahin F, Beyazova U, Akturk A. Attitudes and practices regarding circumcision in Turkey. Child Care Health Dev 2003;29:275-80.
- Sivasli E, Bozkurt AI, Ceylan H, Coskun Y. [Knowledge, attitude and behavior of parents regarding circumcision in Gaziantep]. Cocuk Sagligi ve Hastaliklari Dergisi 2003;46:114-8. [Article in Turkish]
- Ferguson MW, O'Kane S. Scar-free healing: from embryonic mechanisms to adult therapeutic intervention. Philos Trans R Soc Lond B Biol Sci 2004;359:839-50.
- Song HF, Chai JK, Lin ZH, Chen ML, Zhao YZ, Chen BJ, et al. A comparative study of PDGF and EGF expression in skin wound healing between human fetal and adult. Zhonghua Zheng Xing Wai Ke Za Zhi 2003;19:199-202.
- Bermudez DM, Canning DA, Liechty KW. Age and pro-inflammatory cytokine production: wound-healing complications for scar-formation and the timing of genital surgery in boys. J Pediatr Urol 2011;7:324-31.
- Al-Attar A, Mess S, Thomassen JM, Kauffman CL, Davison SP. Keloid pathogenesis and treatment. Plast Reconstr Surg 2006;117:286-300.
- Zouboulis CC, Degitz K. Androgenaction on human skin from basic research to clinical significance. Exp Dermatol 2004;13(Suppl 4):5-10.
- Ashcroft GS, Mills SJ. Androgen receptor-mediated inhibition of cutaneous wound healing. J Clin Invest 2002;110:615-24.
- Kelly BD, Lundon DJ, Timlin ME, Sheikh M, Nusrat NB, D'Archy FT, et al. Pediatric sutureless circumcision - an alternative to the standard technique. Pediatr Surg Int 2012;28:305-8.