Primary Coverage. The Benefits of Circumcision Operation Principle Academic Article Circumstapler Advantages Operating Procedure Post Operation Caring

Transcription

1 Circumstapler

2 Primary Coverage The Benefits of Circumcision Operation Principle Academic Article Circumstapler Advantages Operating Procedure Post Operation Caring

3 The Benefits of Circumcision? There is some evidence that circumcision has health benefits, including: A decreased risk of urinary tract infections. A reduced risk of some sexually transmitted diseases in men. Protection against penile cancer and a reduced risk of cervical cancer in female sex partners. Prevention of balanitis (inflammation of the glans) and balanoposthitis (inflammation of the glans and foreskin). Prevention of phimosis (the inability to retract the foreskin) and paraphimosis (the inability to return the foreskin to its original location).

4 Operation Principle Disposable Circumcision Suture Device is a novel circumcision device designed based on bowel anastomotic stapler principles It mainly consists of a glans bell, a trigger, a circular scalpel, and suture stapler. It is operated by simply squeezing its handles to trigger the circular scalpel blade and stapler, thereby removing the foreskin and creating the anastomosis at the same time.

5 Academic Article Published in international academic journals: Clinical Investigation of a Novel Surgical Device for Circumcision, The Journal of Urology Disposable Circumcision Suture Device: Clinical Effect and Patient Satisfaction, Asian Journal of Andrology Independent Intellectual Property Rights Global Patent Products

6 Article in Press

7 Academic Monograph

8 Circumstapler Advantages: Surgical standardization, Safety, Convenient operation. Shorter Operation Time: (5-7 minutes) Automatic suture Lesser pain, edema, bleeding and complications. Cosmetically, high satisfaction

9 Advantage -- Shorter Operation Time

10 Advantage -- Lesser Bleeding

11 Advantage -- Lesser Pain

12 Advantage -- Shorter Healing Time

13 Advantage -- Lesser Complications

14 Advantage -- High Satisfaction

15 Operating Procedure

16 Procedure 1: Choose Appropriate Size By age: 3-6 years 12mm 6-10 years 15mm years 18mm years 26mm years 30mm / 36mm Classified by glans diameter: measure glans size by measuring scale Mark the pre-cutting area

17 Procedure 2: Skin Prep, Sterilize, Drape, Anaesthesia Skin prep, Sterilize, Drape Local anaesthesia, for special case other suitable anaesthesia method are available.

18 Procedure 3: Circumstapler Preparation Prepared surgical instrument, dismount Circumstapler, take out staple protection cap and glans bell.

19 Procedure 4: Insert Glans Bell Clamp the foreskin with 4 mosquito forceps from the 3, 6, 9, 12 o clock point. Pull open the foreskin to expose the glans. Mark the frenum position with a toothed forceps. Insert the glans bell into the foreskin and put the glans covered by the bell Tie the foreskin to the column with strapping tape.

20 Procedure 5: Suit Circumstapler Recheck the pre-cutting area and keep the axis of glands bell be degree with the axis of the penis to keep the glans bell parallel to the coronary sulcus. Make sure the foreskin fixed on the column. Remove the lengthy foreskin in case it s too much. Suit the main body on, hold the position of the frenum with finger. clockwise screw the adjective knob to be vertical to the direction of the handle to avoid conflict while holding the handles. Take off the safety clasp before circumcision.

21 Procedure 6: Cut and Suture Hold the front 2/3 of the handle with left hand, and right hand for the end 1/3. Squeeze and hold the handles to the end for 5-8 seconds. Keep the foreskin be in relaxed state during the circumcision. Anticlockwise loose the knob to 5mm up, press down gently to take off the handler. Observe whether all foreskin be cut completely, if not, scissor it. Separate the glans bell from the penis.

22 Procedure 7: Binding Up Press the cutting area with fingers for 2-3 minutes. After loosen, little errhysis can be ignored and start binding up. For rare case of punctate blood ejection, do sewing hemostasis. Cover the operative wound with Vaseline gauze as inner dressing. Iodophor gauze can be replacement if no Vaseline gauze. Dressing with dry gauze from distal to proximal. Use Elastic bandage as final outer dressing. Double elastic bandage is recommended, inner one loose while outer one tight. If no elastic bandage, suggest sew the outer dressing.

23 Post Operation Caring In case the dressing be too tight to urinate, loose the outer elastic bandage 3 hours after operation. Sterilize with Iodophor by oneself if no obvious bleeding or hematoma 2-3 days after, change fresh dressing as well. Take off the dressing 3 days later and sterilize with Iodophor by oneself 4 times or more per day. Shower is allowed 3 days after operation. Condom can be use to protect the operation area during shower. Sterilize with Iodophor after shower. No heavy activities or sexual life in 50 days. Suture Staple can be dropped automatically from 1 week, and usually complete dropping in 1 month. For rare case of staple dropping in 2 months is also acceptable.

24 Operation Effect Comparison Traditional Circumcision Surgery Circumstapler Pre-operation Post-operation healed Pre-operation Post-operation healed

25 Elastic Bandage 2.5cm

26 Thank You!