Comparison of Dorsal Penile Nerve Block and Laryngeal Mask Applications for the Management of Circumcision Surgery

Year 2022, Volume: 32 Issue: 3, 345 - 349, 01.08.2022

Öznur Uludag , Mehmet Duran , Ebru Dumlupınar , Öğünç Apaydın , Musa Abeş

https://doi.org/10.54005/geneltip.1115842

Cited By: 1

Abstract

Objective: Circumcision is the excision and removal of skin part that covers glans penis which is called as prepicium, Dorsal penile nevre block (DPNB) is used alone or in combination with general anesthesia for circumcision. Application of a laryngeal mask (LMA) is preferred especially in pediatric age group because it requiresless anesthetic substance, it doesn’t trigger laryngeal reflexes. Our aim was to compare DPNB application under sedation and LMA application for management of anesthesia in circumcision surgery.
Material and Methods: The thousand and ten patients who had DPNB under sedation and LMA were compared with regards to duration of surgery, duration of anesthesia, duration of recovery, need for postoperative analgesia, complications, and season of surgery.
Results: Duration of surgery, anesthesia, and recovery were significantly shorter in DPNB application under sedation compared with LMA application (p<0,05). For postoperative analgesia caudal block was applied to 72, and IV analgesics were applied to 433 patients who had LMA application. DPNB provided sufficient analgesia.
Conclusion: Application of DPNB under sedation provides both adequate anesthesia and postoperative pain control by allowing less surgery, anesthesia, and recovery durations than LMA application.

Keywords

Circumcision Surgery, Dorsal penile nevre block, Laryngeal mask

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