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Circumcision With Plastic Clamb in Newborn Infants Baltrak, Yusuf Atakan
Tropical Health and Medical Research Vol 1 No 2 (2019): Tropical Health and Medical Research
Publisher : Baiman Bauntung Batuah Center

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35916/thmr.v1i2.9

Abstract

Various devices were used to carry circumcision operation out. It noted that these devices, especially the Plastic Clamp method, significantly decrease complications as long as basic surgical rules, are followed. This study aims to examine the application of Plastic Clamp circumcision in infants. Children whose physical examinations revealed circumcision contradictions excluded from the study. During the study period, a total of 485 children was circumcised using the plastic clamp method under sedated anesthesia and by a single pediatric surgeon. Measurements take before operations and plastic clamps with diameters ranging from 1.2 to 1.6 cm used. The duration of the surgical procedure, early and late period post-operative complications, the separation duration of the plastic clamp, and problems evaluated. Study Results, the average length of the surgical operation was determined to be 5.5 minutes. The average hospital stay duration of the patients was 2 hours. During the follow-ups, edemas were observed in mucosal areas of 24 (4.9%) patients, 48 hours after the clamp placed and edema and swelling recovered seven days after the circumcision at the latest. On average, it observed that plastic clamp separated on its own in 7.1 days. It noted that in 4 (0.8%) patients, the plastic clamp separated prematurely during 6 hours following the operation due to pulling. Conclusion study plastic Clamp (Alisklamp) is starting to gain popularity because it falls off on its own and that it can be applied quickly under local anesthesia
Z PLASTY SINGLE CENTER RESULTS IN THE TREATMENT OF PILONIDAL SINUS DISEASE IN CHILDREN Baltrak, Yusuf Atakan; Sogut, Seniha Esin; Varlikli, Onursal
Tropical Health and Medical Research Vol 2 No 1 (2020): Tropical Health And Medical Research
Publisher : Baiman Bauntung Batuah Center

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35916/thmr.v0i0.11

Abstract

Pilonidal sinus is a common chronic disease of the sacrococcygeal region. Treatment varies according to the clinical presentation of the disease. Although many surgical methods have proposed, the ideal approach is still lacking due to high recurrence rates. This study aimed to evaluate the role of Z-plasty in achieving primary recovery in pilonidal disease and morbidity and recurrence. Twenty-four patients (15 males and nine females) who underwent sinus excision and Z-plasty closure for the sacrococcygeal pilonidal sinus included in this study. Follow-up ranged from 6 to 12 months. There were 15 males and nine females with a median age of 16 years. The mean hospital stay was two days. There was no recurrence, and all patients were satisfied with the cosmetics. Two patients (5%) had numbness on the flap. No flap necrosis observed in any patient. Only three patients had a wound infection (7.5%). Wound seroma developed in five patients (12.5%). Although some technical expertise is required, excision of sinus and Z-plasty provides superior results in terms of recurrence and hospitalization of pilonidal sinus patients during hospitalization.