The experience of performing concurrent elective circumcision during paediatric laparoscopic inguinal hernia repair

Aim: Circumcision is a common procedure with indications ranging from medical to non-medical reasons. Elective circumcision (EC) in this context refers to a circumcision done on a non-diseased penis as part of cultural or religious purposes, as recommended by the Islamic religion. The number of EC p...

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Main Authors: Ab. Rahman, Norhafiza, Abdul Aziz, Dayang Anita, Lim, Felicia, Teo, Rufina, Osman, Marjmin
Format: Proceeding Paper
Language:English
Published: 2019
Subjects:
Online Access:http://irep.iium.edu.my/75270/
http://irep.iium.edu.my/75270/21/75270%20The%20Experience%20of%20Performing%20Concurrent.pdf
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author Ab. Rahman, Norhafiza
Abdul Aziz, Dayang Anita
Lim, Felicia
Teo, Rufina
Osman, Marjmin
author_facet Ab. Rahman, Norhafiza
Abdul Aziz, Dayang Anita
Lim, Felicia
Teo, Rufina
Osman, Marjmin
author_sort Ab. Rahman, Norhafiza
building IIUM Repository
collection Online Access
description Aim: Circumcision is a common procedure with indications ranging from medical to non-medical reasons. Elective circumcision (EC) in this context refers to a circumcision done on a non-diseased penis as part of cultural or religious purposes, as recommended by the Islamic religion. The number of EC performed is high in the Muslim predominant countries like Malaysia. In Universiti Kebangsaan Malaysia Medical Centre (UKMMC), EC is frequently added as an additional procedure to laparoscopic inguinal hernia (LIH) repair. The purpose of this study is to obtain objective data on this practice. Methods: This is an observational, ambispective cohort study of about five years duration comparing two groups of patients, those who had both LIH repair and EC and those who only had LIH repair. Outcomes of interest were post-operative morbidity and rate of recovery. Results: 237 patients aged between one month and 12 years underwent LIH repair for patent processus vaginalis (PPV). Post-operative complications were higher in the combination surgery group (4%) compared to LIH repair group (3.3%). However, both peri-operative morbidity and recovery outcomes did not show overall significance in this study (p = 0.770). The addition of EC was not associated with increase in the rate of complication over the abdominal wound, prolonged duration of post-operative hospitalization, worsen post-operative pain score and delay in return to routine activity. Conclusion: Performance of EC during LIH repair is safe and did not cause any significant added morbidity and prolonged recovery
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spelling iium-752702019-11-13T02:16:37Z http://irep.iium.edu.my/75270/ The experience of performing concurrent elective circumcision during paediatric laparoscopic inguinal hernia repair Ab. Rahman, Norhafiza Abdul Aziz, Dayang Anita Lim, Felicia Teo, Rufina Osman, Marjmin RD Surgery RJ Pediatrics Aim: Circumcision is a common procedure with indications ranging from medical to non-medical reasons. Elective circumcision (EC) in this context refers to a circumcision done on a non-diseased penis as part of cultural or religious purposes, as recommended by the Islamic religion. The number of EC performed is high in the Muslim predominant countries like Malaysia. In Universiti Kebangsaan Malaysia Medical Centre (UKMMC), EC is frequently added as an additional procedure to laparoscopic inguinal hernia (LIH) repair. The purpose of this study is to obtain objective data on this practice. Methods: This is an observational, ambispective cohort study of about five years duration comparing two groups of patients, those who had both LIH repair and EC and those who only had LIH repair. Outcomes of interest were post-operative morbidity and rate of recovery. Results: 237 patients aged between one month and 12 years underwent LIH repair for patent processus vaginalis (PPV). Post-operative complications were higher in the combination surgery group (4%) compared to LIH repair group (3.3%). However, both peri-operative morbidity and recovery outcomes did not show overall significance in this study (p = 0.770). The addition of EC was not associated with increase in the rate of complication over the abdominal wound, prolonged duration of post-operative hospitalization, worsen post-operative pain score and delay in return to routine activity. Conclusion: Performance of EC during LIH repair is safe and did not cause any significant added morbidity and prolonged recovery 2019 Proceeding Paper NonPeerReviewed application/pdf en http://irep.iium.edu.my/75270/21/75270%20The%20Experience%20of%20Performing%20Concurrent.pdf Ab. Rahman, Norhafiza and Abdul Aziz, Dayang Anita and Lim, Felicia and Teo, Rufina and Osman, Marjmin (2019) The experience of performing concurrent elective circumcision during paediatric laparoscopic inguinal hernia repair. In: The 14th Congress of ASEAN Society of Paediatric Surgeons, 25th-27 September 2019, Hanoi, Vietnam. (Unpublished) http://asps2019.com/upload/document/ASPS%202019%20-%20Congress%20Book%204.1.pdf
spellingShingle RD Surgery
RJ Pediatrics
Ab. Rahman, Norhafiza
Abdul Aziz, Dayang Anita
Lim, Felicia
Teo, Rufina
Osman, Marjmin
The experience of performing concurrent elective circumcision during paediatric laparoscopic inguinal hernia repair
title The experience of performing concurrent elective circumcision during paediatric laparoscopic inguinal hernia repair
title_full The experience of performing concurrent elective circumcision during paediatric laparoscopic inguinal hernia repair
title_fullStr The experience of performing concurrent elective circumcision during paediatric laparoscopic inguinal hernia repair
title_full_unstemmed The experience of performing concurrent elective circumcision during paediatric laparoscopic inguinal hernia repair
title_short The experience of performing concurrent elective circumcision during paediatric laparoscopic inguinal hernia repair
title_sort experience of performing concurrent elective circumcision during paediatric laparoscopic inguinal hernia repair
topic RD Surgery
RJ Pediatrics
url http://irep.iium.edu.my/75270/
http://irep.iium.edu.my/75270/
http://irep.iium.edu.my/75270/21/75270%20The%20Experience%20of%20Performing%20Concurrent.pdf