Comparison of Dorsal Penile Nerve Block and Laryngeal Mask Applications for the Management of Circumcision Surgery Sünnet Cerrahisinde Dorsal Penil Sinir Bloğu ve Laringeal Maske Uygulamalarının Karşılaştırılması

Uludağ Ö., Duran M., Dumlupınar E., Apaydın H. Ö., Abeş M.

Genel Tip Dergisi, cilt.32, sa.3, ss.345-349, 2022 (Scopus) identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 32 Sayı: 3
  • Basım Tarihi: 2022
  • Doi Numarası: 10.54005/geneltip.1115842
  • Dergi Adı: Genel Tip Dergisi
  • Derginin Tarandığı İndeksler: Scopus, TR DİZİN (ULAKBİM)
  • Sayfa Sayıları: ss.345-349
  • Anahtar Kelimeler: Circumcision Surgery, Dorsal penile nevre block, Laryngeal mask
  • Ankara Üniversitesi Adresli: Evet

Özet

Objective: Circumcision is the excision and removal of skin part that covers glans penis which is called as prepicium, Dorsal penile nevre block (DPNB) is used alone or in combination with general anesthesia for circumcision. Application of a laryngeal mask (LMA) is preferred especially in pediatric age group because it requires less anesthetic substance, it does not trigger laryngeal reflexes. Our aim was to compare DPNB application under sedation and LMA application for management of anesthesia in circumcision surgery. Material and Methods: One thousand and ten patients who had DPNB under sedation and LMA were compared with regards to duration of surgery, duration of anesthesia, duration of recovery, need for postoperative analgesia, complications, and season of surgery. Results: Duration of surgery, anesthesia, and recovery were significantly shorter in DPNB application under sedation compared with LMA application (p<0,05). For postoperative analgesia caudal block was applied to 72, and IV analgesics were applied to 433 patients who had LMA application. DPNB provided sufficient analgesia. Conclusion: Application of DPNB under sedation provides both adequate anesthesia and postoperative pain control by allowing less surgery, anesthesia, and recovery durations than LMA application.