bandage-green

Pediatric Penile Surgery (Circumcision / Hypospadias Repair)

Anesthesia Implications

Clinically reviewed by anesthesia providers · Updated

Position : Supine, arms tucked
Time : 2-4 hours (long)
Blood Loss : Low (10-50 ml)
Post-op Pain : Moderate (4-6)
Maintenance Paralytic : No
Blocks : Caudal, Pudendal
Considerations : Tourniquet, PONV

Anesthetic Approaches

1GLMA, Mask Induction, Nerve Block
2GETT, Mask Induction, Nerve Block
3GLMA, Mask Induction, Local Anesthetic
The Surgery

Freehand circumcision - two circumferential incisions remove a sleeve of penile skin to fully expose the glans, hemostasis is obtained, and the skin edges are reapproximated. Newborn-nursery clamp...

Continue reading

Read the full surgery post with a free account

Free. It opens every drug, surgery and condition in the library.

Already have an account?