Kubilay SARIKAYA, Çağrı ŞENOCAK, Muhammed Arif İBİŞ, Mehmet ÇİFTÇİ, Fahri Erkan SADİOĞLU, Ömer Faruk BOZKURT

Sünnet Kanamasının Kontrolünde Hafif-Orta Baskılı Coban Bandaj Sargısının Etkinliği

Amaç: Sünnet sonrası erken dönemde gelişebilen penil kanamaların kontrolünde, non-invaziv yöntem olan hafif-orta baskılı coban bandajsargısının etkinliğini araştırmak. Hastalar ve Yöntem: Sünnet sonrası, akut dönemde gelişen penil kanama nedeniyle, Mayıs 2012 ileOcak 2020 tarihleri arasında kliniğimize başvuran 112 çocuğun verileri retrospektif olarak incelenmiştir. Çocuklara, birinci basamakmüdahale yöntemi olarak, hafif-orta baskılı coban bandajı uygulanmış ve 2 saatlik takipte kanamanın devam ettiği olgularda cerrahimüdahale yapılmıştır. Müdahale edilen çocuklar, olası cilt enfeksiyonu,cilt nekrozu,akut üriner retansiyon gelişimi ve penil skar gelişimiaçısından incelenerek verileri kaydedilmiştir. Bulgular: Hastaların median yaşı 6(1-15) yıl ve median takip süreleri 5(1-12) aydır. Penilkanama nedeniyle, hafif-orta baskılı coban bandajı uygulanan çocuklardan 101(%90.2)’inde kanama tam olarak kontrol edilmişken, 11(%9.8)’inde kanamanın devam etmesi nedeniyle cerrahi revizyon gerekli olmuştur. Çocukların 8(%7.1)’inde topikal antibiyotik tedavisiyledüzelen yüzeyel cilt enfeksiyonu gelişirken, sadece 6(%5.4)’sında uzun dönemde kozmetik açıdan rahatsız edici cilt skarı geliştiği tesbitedilmiştir. Sonuç: Sünnet sonrası, akut dönemde gelişen penil kanamaların kontrolünde, hafif-orta baskılı coban bandajı cerrahi müdahalegerekliliğini ciddi oranda azaltabilen, etkili, non-invaziv ve poliklinik şartlarında kolay uygulanabilir bir yöntemdir

Effectiveness of Mild-Moderate Pressed Coban Bandage Wrap in The Control of Circumcision Bleeding

Objective: To investigate the effectiveness of mild-modarate pressure coban bandage dressing, which is a non-invasive method, in the control of penile bleeding that may develop in the early period after circumcision. Materials and Methods: The data of 112 children who presented to our clinic between May 2012 and January 2020 due to penile bleeding in the acute period after circumcision were retrospectively analyzed. A mild-moderate pressure coban bandage was applied to the children as a first-line intervention method, and surgical intervention was performed in cases where bleeding continued after 2 hours of follow-up. Children were examined for possible skin infection, skin necrosis, development of acute urinary retention and penile scar development, and their data were recorded. Results: The median age of the patients was 6 (1-15) years and the median follow-up period was 5 (1-12) months. While bleeding was fully controlled in 101 (90.2%) of the 112 children who were treated with mild-modarate pressure coban bandage due to penile bleeding, surgical intervention was required in 11 (9.8%) of them because of the continuing bleeding. While superficial skin infection developed in 8 (7.1 %) of the children, which improved with topical antibiotic treatment, it was found that only 6 (5.4%) developed cosmetically disturbing skin scar in the long term. Conclusion: In the control of penile bleeding in the acute period after circumcision, a mild-moderate pressure coban bandage is an effective, non-invasive method that can be applied in polyclinic conditions, which can significantly reduce the need for surgical intervention.

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