Authors : A.A. Yernazarov, K.S. Kemelbekov, N.N. Alihanova, A.A. Yernazarova and A.E. Yernazarov
Abstract: Ritual circumcision is one of the most common surgical procedures performed in developing and some developed countries. Circumcision of HIV-infected children requires great caution. To do this, we used the thermal coagulators that are heated to high temperatures and meet all our requirements. The study was performed in all HIV-infected children who were at the mother and child’s center in the city of Shymkent, Kazakhstan over a 5 year period. Data analysed were the ages, operation time, postoperative bleeding rates and infection rates. A total of 34 patients were enrolled in the study. Age at operation was an average of 4.7 years and a median 1.5 years. Return for bleeding complication for all surgeons was 0/34 (0.0%). Operative time in the thermo coagulator was significantly decreased than with bipolar (1.5±0.1 min; p<0.01). Early and late postoperative morbidity were significantly decreased in circumcised patients with thermo coagulator as compared with those who underwent the conventional approach regardless of the postoperative edema. Using thermal coagulator for circumcision HIV-infected children is a safe and fast method. Ritual circumcision is one of the most common surgical procedures performed in Muslim countries. Potential benefits of decreased incidwence of urinary tract infection and carcinoma of penis has been acknowledged by the American Academy of Pediatrics. For the procedure, it should be easy to perform to be successful, avoid excessive hemorrhage and achieve a good cosmetic and functional result with minimal postoperative care. One of shortcomings of electrosurgery is the infection rating that is the active electrode can remain cold during all operation and the probability of transfer of bacteria and viruses on an operational field remains high. Use of thermal coagulator with removable tips completely excludes the above shortcomings. Application of a thermal coagulator at excision of an extreme flesh in one step by our technique reduces operation time by 6-8 times. And temperature increase of a tip to high temperatures reduces risk of a bacterium and viruses transfer. Using thermal coagulator for circumcision of HIV-infected children is a safe and fast method.
A.A. Yernazarov, K.S. Kemelbekov, N.N. Alihanova, A.A. Yernazarova and A.E. Yernazarov, 2015. Thermal Coagulator Technology in the Treatment of HIV among Children. Research Journal of Medical Sciences, 9: 77-79.