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Comparing the effects of current circumcision techniques on dorsal root ganglia: an experimental study
- Source :
- Annals of Pediatric Surgery, Vol 17, Iss 1, Pp 1-9 (2021)
- Publication Year :
- 2021
- Publisher :
- Springer Science and Business Media LLC, 2021.
-
Abstract
- BackgroundCircumcision is a surgical removal process of the preputium. Surgical excision and electric current cause neurodegeneration in the excised tissue-related neural network. This study investigates if circumcision and current surgical methods would cause histopathological changes in the penile tissue innervating pudendal nerve dorsal root ganglia.ResultsVascular congestion occluded the microvessels, and degenerative changes were detected in postexcised penile tissue. Neuronal angulation, cytoplasmic condensation, nuclear shrinkage, and condensed nuclei were observed in the pudendal nerve ganglia. Moreover, the degenerated neuron (DN) densities of the pudendal nerve ganglia were 5 ± 2, 98 ± 22, 1093 ± 185, 236 ± 43 and 151 ± 19 in the control, the surgical circumcision, the monopolar cautery, the bipolar cautery and the thermocautery groups, respectively.ConclusionsAlthough only the pudendal nerve endings are affected secondary to prepusium excision another pudendal axons can be damaged during bleeding control with cautery, the destruction of the neuron that sends this axon initiates a general inflammation in that ganglion. As a result, there may be a somatosensitive innervation defect in extrapenile tissues innervated by this ganglion. High-voltage electric devices should not be used unless obligatory.
- Subjects :
- Electrocautery, Pudendal nerve
Dorsum
Pudendal nerve
lcsh:Surgery
030232 urology & nephrology
03 medical and health sciences
0302 clinical medicine
Circumcision
Thermocautery
medicine
Neurodegeneration
Axon
Dorsal root ganglia
Process (anatomy)
business.industry
lcsh:RJ1-570
lcsh:Pediatrics
lcsh:RD1-811
Anatomy
medicine.disease
Ganglion
medicine.anatomical_structure
Pediatrics, Perinatology and Child Health
Surgery
Neuron
business
030217 neurology & neurosurgery
Subjects
Details
- ISSN :
- 20905394
- Volume :
- 17
- Database :
- OpenAIRE
- Journal :
- Annals of Pediatric Surgery
- Accession number :
- edsair.doi.dedup.....8f21b8824dc3bd71a51bb122e9a8f59a