Necrosis: Difference between revisions

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Necrosis is a rare complication of [[circumcision]].
The [[Plastibell]], [[Prepex]], and [[TARA KLamp]] circumcision devices intentionally cause necrosis of the foreskin by ischaemia, which causes the [[foreskin]] to die and fall off.
 
Necrosis is a complication of [[circumcision]]. [[Rosemary Romberg]] (2021) reported necrosis of the glans due to overly tight bandage or a Plastibell ring that was too small.<ref>{{REFbook
|last=Romberg
|first=Rosemary
|init=
|author-link=Rosemary Romberg
|year=2021
|title=Circumcision — The Painful Dilemma
|url=https://circumcisionthepainfuldilemma.wordpress.com/
|work=
|editor=[[Ulf Dunkel]]
|edition=Second Edition, Revised
|volume=
|chapter=Glans Necrosis
|scope=
|page=278
|pages=
|location=
|publisher=Kindle
|ISBN=23: 979-8683021252
|quote=
|accessdate=2023-08-31
|note=
}}</ref>
 
==Therapy==
Tasci et al. (2020) surveyed the medico-legal aspects of post-circumcision necrosis. Information on 24 cases was collected. The patients were treated for necrosis by surgical intervention in 15 (62.5%) patients, hyperbaric oxygen treatment (HBOT) in 6 (25%), the conservative approach in 2 (8.3%), and HBOT plus surgical intervention in 1 (4.1%) patient.<ref name="tasci2020">{{REFjournal
|last=Tasci
|first=
|init=AI
|author-link=
|last2=Danacioglu
|first2=
|init2=YO
|author2-link=
|last3=Arikan
|first3=
|init3=Y
|author3-link=
|etal=yes
|title=Management of post-circumcision necrosis of the penis: the medicolegal aspect
|trans-title=
|language=
|journal= Pediatr Surg Int
|location=
|date=2020-04
|volume=36
|issue=4
|article=
|page=
|pages=523-8
|url=https://link.springer.com/article/10.1007/s00383-020-04630-2
|archived=
|quote=
|pubmedID=32088740
|pubmedCID=
|DOI=10.1007/s00383-020-04630-2
|accessdate=2022-01-20
}}</ref>
 
==Case reports==
Sterenberg et al. (1981) reported a case of necrosis of the [[glans penis]] after [[Brit Milah| ritual circumcision]] of a ten-day-old boy by a [[mohel]]. The boy had a blackened glans penis. He was hospitalized but the necrotic glans penis fell off.<ref name="sternberg1981">{{REFjournal
|last=Sterberg
|first=
|init=N
|author-link=
|last2=Golan
|first2=
|init2=J
|author2-link=
|last3=Ben-Hur
|first3=
|init3=N
|author3-link=
|etal=no
|title=Necrosis of the Glans Penis Following Neonatal Circumcision
|trans-title=
|language=
|journal= Plast Reconstr Surg
|location=
|date=1981-08
|volume=68
|issue=2
|article=
|page=
|pages=237-9
|url=https://journals.lww.com/plasreconsurg/citation/1981/08000/necrosis_of_the_glans_penis_following_neonatal.22.aspx
|archived=
|quote=
|pubmedID=7255584
|pubmedCID=
|DOI=10.1097/00006534-198108000-00022
|accessdate=2022-01-10
}}</ref>
 
Barnes et al. (2006) reported the case of a two-week-old male infant who developed glans necrosis after a non-therapeutic circumcision. The boy is reported to have suffered only cosmetic damage with no functional impairment expected.<ref name="barnes2006">{{REFjournal
|last=Barnes
|first=Sophie
|init=
|author-link=
|last2=Ben Chaim
|first2=Jacob
|init2=
|author2-link=
|last3=Kessler
|first3=Ada
|init3=
|author3-link=
|etal=no
|title=Postcircumcision necrosis of the glans penis: Gray-scale and color doppler sonographic findings
|trans-title=
|language=
|journal=J Clin Ultrasound
|location=
|date=2007-02
|volume=35
|issue=2
|article=
|page=
|pages=105-7
|url=https://onlinelibrary.wiley.com/doi/abs/10.1002/jcu.20271
|archived=
|quote=
|pubmedID=17195193
|pubmedCID=
|DOI=10.1002/jcu.20271.
|accessdate=2022-01-20
}}</ref>


Aminsharifi et al. (2013) reported two cases of glans necrosis after circumcision.<ref name="aminsharifi2013">{{REFjournal
Aminsharifi et al. (2013) reported two cases of glans necrosis after circumcision.<ref name="aminsharifi2013">{{REFjournal
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  |accessdate=2022-01-19
  |accessdate=2022-01-19
}}</ref>
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[[Category:Term]]
[[Category:Medical term]]
[[Category:Circumcision complication]]
[[Category:Circumcision complication]]
[[de:Nekrose]]