Immediate Complications of Elective Newborn Circumcision

Author:

Heras Andrea1,Vallejo Victoria2,Pineda Marcela I.3,Jacobs Allan J.4,Cohen Lourdes2

Affiliation:

1. Department of Pediatrics,

2. Flushing Hospital Medical Center, Flushing, New York;

3. Jamaica Hospital Medical Center, Queens, New York; and

4. Coney Island Hospital, Brooklyn, New York

Abstract

OBJECTIVES: To determine the incidence of immediate complications of elective newborn circumcision in 2 community teaching hospitals. METHODS: We performed a retrospective chart review of all term neonates who had circumcision performed between August 2011 and December 2014 at 2 community hospitals in New York. Neonatal hospital records and subsequent inpatient and outpatient records were reviewed. We classified complications as minor, intermediate, and major. RESULTS: Out of a total of 1115 circumcisions, 1064 met inclusion criteria. There were 41 complications (3.9%), all involving hemorrhage. Sutures were used to control hemorrhage in 3 patients (0.3%). Local pressure or application of hemostatic chemical agents controlled bleeding in the remainder of patients. Bleeding was more common with the use of the Gomco clamp than with the Mogen clamp. Circumcisions performed with Gomco clamp represented 73.2% of the total complications compared with 26.8% with the Mogen clamp. There were no injuries to structures outside the prepuce or problems requiring medical treatment after discharge from the neonatal hospitalization. CONCLUSIONS: The most common immediate complication encountered during an elective neonatal circumcision was bleeding that required only pressure or topical thrombin to achieve hemostasis. Bleeding was more common with the use of the Gomco versus the Mogen clamp. To conclude, our data support the theory that elective infant circumcision can be performed safely in a hospital setting.

Publisher

American Academy of Pediatrics (AAP)

Subject

Pediatrics,General Medicine,Pediatrics, Perinatology and Child Health

Reference29 articles.

1. Complications of neonatal circumcision requiring surgical intervention in a developing country;Ekenze;J Trop Pediatr,2013

2. Complications of circumcision;Krill,2011

3. Male circumcision for HIV prevention in young men in Kisumu, Kenya: a randomised controlled trial;Bailey;Lancet,2007

4. Circumcision rates in the United States: rising or falling? What effect might the new affirmative pediatric policy statement have?;Morris;Mayo Clin Proc,2014

5. Male circumcision;American Academy of Pediatrics Task Force on Circumcision;Pediatrics,2012

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