Painless circumcision procedure

Jun 20, 2023 Source: Cainiu Health
Dr. Li Feng
Introduction
In general, painless circumcision refers to a surgical procedure performed after administering anesthesia to ensure the patient feels no pain throughout the operation. The doctor first performs preoperative disinfection. The patient is placed in the lithotomy position and receives sacral canal anesthesia. Once the anesthesia takes effect, the genital area is disinfected and draped. The surgeon uses the index finger of the right hand to dilate the anus until it can accommodate four fingers, then inserts a speculum.

Generally, painless circumferential surgery refers to a procedure performed after administering anesthesia to ensure the patient feels no pain throughout the operation, commonly used for hemorrhoidectomy. The specific steps are as follows:

1. The doctor performs preoperative disinfection, positions the patient in the lithotomy position, and administers sacral canal anesthesia.

2. After the anesthesia takes effect, disinfect the patient's anal area, buttocks (approximately the lower two-thirds), posterior thighs, and perineal region.

3. Place sterile surgical drapes beneath the patient’s buttocks, then use the right index finger to dilate the anus until it can accommodate four fingers, followed by insertion of a retractor.

4. Remove the inner plug of the retractor, secure the retractor in place, insert a suturing device, and suture the prolapsed tissue.

5. Remove the suturing device, fully open the stapler, advance the staple head to the upper end of the suture line, and then complete the knotting and suturing.

6. Pull the suture thread to draw the prolapsed tissue into the cavity of the stapler, then excise the tissue.

7. Perform hemostatic suturing; once hemostasis is complete, remove the surgical instruments.

Painless circumferential surgery should be performed at a正规 medical institution by qualified and experienced physicians.