Clinical efficacy of different anesthesia modalities for circumcision
Objective We proposed and practiced a new anesthesia method for circumcision,four-point subcutaneous infiltration anesthesia,to explore the difference between its clinical efficacy and that of two other traditional anesthesia methods,with the aim of providing a basis for the selection of the best anesthesia method in clinical work.Methods In this retrospective study,a total of 150 patients who were circumcised for phimosis or prepuce in Qilu Hospital of Shandong University from April 2022 to July 2023 were included in this study.All of them were circumcised with disposable circumcisers.The patients were divided into three groups according to the different anesthesia methods,with 50 cases in each group.Group A used four-point subcutaneous infiltration anesthesia at the distal penis;Group B used local infiltration anesthesia with subcutaneous circular injection at the root of the penis;Group C used surface anesthesia with compound lidocaine cream.The anesthesia operation time,anesthesia onset time,anesthesia dosage,operation time,anesthesia pain score,operation pain score,postoperative ecchymosis at the injection site,postoperative oedema at the injection site,and the adverse reactions to anesthesia were compared among the three groups,respectively.Results There were statistical differences between Groups A,B and C in terms of anesthesia operation time,anesthesia onset time,anesthetic dosage,operation time,anesthetic pain score and operation pain score(P<0.001);Groups A and B were statistically different in terms of anesthesia operation time,anesthesia onset time,anesthetic dosage,operation time,anesthetic pain score,operation pain score,postoperative ecchymosis at the injection site and postoperative oedema at the injection site(P<0.05);There was no statistical difference between Group A and Group C in terms of anesthesia operation time and surgical pain scores(P>0.05),and there were statistical differences between Group A and Group C in terms of anesthesia onset time,anesthetic dosage,surgical time,anesthetic pain scores and surgical pain scores(P<0.001);There were statistical differences between Group B and Group C in terms of anesthesia operation time,anesthesia onset time,anesthetic dosage,surgical time,anesthetic pain scores and surgical pain scores(P<0.001);There were no statistical differences between Groups A,B and C in terms of age,height,weight,BMI,whether or not they were phimotic,the type of circumciser and adverse reactions to anesthesia(P>0.05).Conclusion Four-point subcutaneous infiltration anesthesia of the distal penis has the advantages of less anesthetic dosage,shorter operative time,and lower pain scores,which is worthy of promotion in circumcision.
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