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Saturday, August 24, 2013

Kind of way circumcision.

Kind of way circumcision. - Circumcision or in Indonesian better known as "SUNAT" or "KHITAN", an Islamic Sharia guidance very noble and is prescribed for both men and women. Jews and Christians-are now also many who live it because it proved beneficial to many health problems.Various studies show that circumcision has many health benefits ranging from preventing deadly diseases such as AIDS and cancer. Further research would be more open eyes wide health practitioners that circumcision is also very beneficial for women."Two recent studies even quit early, as it shows the high effectiveness of circumcision than the control group who reject circumcision," said researchers from the University of Illinois, USA, Richard Bailey, the International AIDS Society Conference in Sydney, Australia.It is not possible and impossible if God Almighty and His Prophet have menuntunkan a Shari'a "Circumcision" will be harmful to his people. Indeed, there is wisdom and avail huge well that will unfold in the future sooner or later.Along with the development of technology and science, especially in the field of healthcare, circumcision methods are increasingly growing. Currently it has created a lot of equipment and drugs to help carry out circumcision, circumcision became so process safer and less painful. In addition, there are many methods that were developed in the implementation process of circumcision circumcision so that it becomes easier and faster. Everything has advantages and disadvantages of each.Way a physician in performing circumcision are very dependent on the tools, capabilities and skills of its doctors. In 2006 physician competency standards have stated that circumcision is a level 4 competence in which a physician should be able to perform independently and take care of circumcision circumcision wound to heal. 
Here is a description of various methods Khitan: 
First: CLASSICAL METHODS & DORSUMSISIClassical methods but still has a lot left we can meet in the countryside. The tools used are bamboo splinter sharp / knife / razor. The bong aka chopsticks orderly immediate circumcision cut foreskin with sharp bamboo without anesthesia. Stitches and scars are not directly wrapped with gauze / bandages so that this method is faster than most other methods. This method carries the risk of hemorrhage and infection, if not done properly and sterile.Classical methods and then refined by the method Dorsumsisi, Khitan this method is to use standard medical equipment and is a classic circumcision is still widely used today. In hairpiece known as Sunda lodong, generally not sutured scars although some experts have modified circumcision with local anesthesia and perform minimal stitching to reduce the risk of bleeding.circumcision classicThe surplus equipment used is cheaper and simpler, shorter process time consuming enough, already widely known to the public the cost is relatively cheaper and can be used for babies / children under 3 years old which is still small blood vessels. The downside risk of the head (glans) cut / cut very high, especially if the incision below the clamp koher, mucosal sometimes longer and thus require re-cutting, necrosis can occur if the tongs koher too long, high bleeding risk if done without suturing. operation. 
Second: circumcision STANDARD CONVENTIONAL METHODSIs the method most widely used to date, this method is a refinement of the method dorsumsisi and is the standard method used by many doctors and spells (nurse). The tools used are all in accordance with medical standards and requires special skills to do this method. (Read: How Khitan Standard Methods).circumcisionThe surplus equipment has appropriate medical standards, using local anesthesia and yarn so meat, a small risk of infection and bleeding risk is not there. This method is suitable for all age groups, the cost is quite affordable as well as the main option for patients with abnormalities of phimosis. The drawback of requiring specialized skills and processes pengkhitan time between 15-20 minutes. 
Third: METHOD BELLSIn this method was not done cutting the foreskin. Tip of the penis are tied so closely resemble a bell shape, consequently resulting in clogged blood circulation skin tip is not getting the blood supply and become necrotic, and later released his own death. This method requires a long time, about two weeks. Appliance manufactured in several European countries, America, and Asia with namaCircumcision Cord Device.bell circumcision 
Fourth: METHOD KlampKlamp method., This tool and choose a lot of variety though perinsipnya same name, the foreskin (prepuce) is clamped by a device (usually disposable) then cut with a scalpel without having to do the sewing. Among them are: Gomco, Ismail Clamp, Q-Tan, Sunathrone Clamp, Ali's Clamp, Clamp and Smart Clamp Tara. In Indonesia, the most widely grown is the ring method (Tara Clamp) and Smart Clamp.The ring method (Tara Clamp)Dr.. T. Gurcharan Singh is the inventor of the Tara Klamp in 1990 in the form of a tool made of plastic and for disposable. In Indonesia, triggered by the ring method by dr. Sofin, a graduate of the Faculty of Medicine, University of Gadjah Mada, Yogyakarta and has been patented since 2001.dr.sofin ring circumcisioncircumcision ringIn this method, the tip of the foreskin widened, and then retained in order to keep some sort of stretch by placing a ring of rubber. Typically, the tip of the foreskin will go black and fall off naturally. The process is quite short about 3-5 minutes. The advantages of this method are: - Easy and safe to use, does not require sutures and bandages, do not interfere with daily activities of patients, minimal bleeding could not even bleed, no pain after circumcision, circumcision without treatment and immediate post knickers and trousers .Smart Clamp method
Smart Klamp circumcision methods and techniques are introduced since 2001 in Germany, and the inventor is dr. Harrie van Baars. Klamp smart tool consists of several sizes, ranging from the number 10, 13, 16, and 21. For infants, the equipment used number 10, while the number 21 adults. It is made of two types of key materials Klamp, the nylon and polycarbonate are packaged sterile and disposable. Of course it is safe and free of disease transmission and infection. Smart Klamp providing wound protection with a closed system. Locked the cut, do not allow the entry of germs or microorganisms bullies.Smart KlampIn this method, the patient will be measured glandpenis her, size 0-meter. After being given a local anesthetic, carefully cleaned and freed from the prepuce adhesions with penis gland. Limit foreskin to be removed is marked with a marker. Smart Klamp tube inserted into the prepuce to limit corona penis gland. Then, Klamp lock in the direction of the tube is inserted and rotated 90 degrees, Smart Klamp ready to locked position.Once the position of skin will be removed ascertained according to plan, as well as for the position of the tube is not obstructed ureter. Next, Klamp is locked until you hear a "click". Distal side of the prepuce removed using a knife bisturi. Then the wound cleaned with anti-infective drugs and wrapped sterile gauze. Until that process, smart style Klamp circumcision selesai.Setelah five days, Klamp removable smart doctor or nurse with a very simple technique.GomcoGomco: Klamp was first made in 1934 by Hiram S. Yellen, M.D. and Aaron Goldstein. This device consists of a metal bell and a flat plate with holes in them to put them in a suitable position. There is a screw-shaped loop that serves to provide pressure.ismail clampIsmail Clamp: Ismail Klamp discovered by Dr Ismail Md Salleh. This tool is actually almost resembles other Klamp tool, it's just that this tool has a locking mechanism with screw system, so installation of dam release this tool very easily without damaging the tool. Currently only available 2 sizes for childrenQ-Tan: This tool resembles Ismail Clamp screws are locked system just die (irreversible locking system) so that the tool may not be recycled back since the opening of this tool should be cut. This tool has not been mass produced and is still a prototype. Currently still held deep research so that the tool is feasible for widespread use.sunathroneSunathrone Clamp: Sunathrone is the latest method of circumcision with Siwak found by Dr Mohammad Tasron Letters, Malaysian-born doctor. This is a privilege Sunathrone kerana practical and faster healing process. Disposable circumcision tool will be dated themselves, and do not require special treatment. Immediately after circumcision can wear trousers and activities without pain.Ali's Clamp: This tool is similar to the Smart Klamp, it's just the tube clamps are designed with consideration for the sloping contour of the glans penis 

Fifth method: METHOD "LASER" ELEKTROKAUTERYThis method is booming and emerging in the community and better known as "Laser Circumcision". This naming sesunnguhnya less precise because of the tools used at all do not use laser but use the "elements" that dipanaskan.sunat cauteryTool shaped like a pistol with two wires on the end plates which are interconnected. If the electricity, heat and metal tip would blush. Flushed element is used to cut the foreskin.electrocauteryCircumcision with this excess heat solder is fast, easy to stop bleeding lightweight and suitable for children under the age of 3 years in which the small blood vessels. The drawback is causing strong odors such as "satay" and can cause burns, this method requires electricity (PLN) as a resource where if there is leakage (damage) tool, can be at risk of electrical shock to the patient and operator.To the healing process, as compared with the conventional method is relative because it depends on the sterilization of equipment used, the process pengerjaanya and individual hygiene circumcised. 
Sixth: METHOD FLASHCUTTERThis method is the development of methods elektrokautery. The difference lies in the metal blade straight (tight) and sharp. FLASHCUTTER can directly live (without PLN) because of the energy contained in it have made Matshusita Japanese rechargeable battery.
FLASHCUTTER Indonesaia first launched in 2006 by Uniceff Corporation. Circumcision cuts the same way as using a scalpel (swiped, sliced). Within seconds prepuce cut perfectly, (no bleeding, and burns very minimal). 

Seventh: CO2 LASER METHODMore appropriate term for "Laser Circumcision" is true with this method. CO2 Laser facilities already available in Indonesia. One of them, in Jakarta. Laser used was a CO2 laser Suretouch of Sharplan. The following stages of circumcision with the laser:CO2 circumcisionOnce injected immune (local anaestesi), retractable prepuce, and clamped with clamps. CO2 laser is used to cut the skin that berlebih.Setelah clamps removed, the skin has been cut off and plugged in, without a drop of darahpun out. Nevertheless, the skin must remain sewn so perfect healing. Within 10-15 minutes, circumcision is complete.The circumcision as a way suitable for pre-pubertal children, excess fast operation, no bleeding / very little, quick healing, minimal pain after therapy, safe and aesthetically better results .. and is suitable for a circumcision procedure performed on adults age somewhat because of the pain, which is caused by circumcision surgery way people are old enough to be more severe than if done at a young age and his wound was rather long recovery. Disadvantages of laser is the issue price is relatively expensive and only exist in a large hospital.Whichever method you choose certainly has its advantages and disadvantages of each. However, there are few tips from me to you to choose the method of circumcision:

    
Circumcision is the intention that the guidance law is very noble religion, pray only to Allaah alone to be given easily.
    
Avoid choosing a particular good day for circumcision based on "Terawangan" clerics / paranormal, so you avoid the forbidden shirk. All day basically good and no bad days but you are allowed to choose the right time according to your job or school holidays, however you need to accompanied children and the support of his parents when he was in circumcision, and let off a break from school / activities in order to accelerate healing.
    
You should come to the doctor. What techniques will you choose depends on your own. If the conventional techniques, all doctors can usually work.
    
Ask friends and relatives where circumcision is good, so you get the right information and be able to share the experience.
    
Customize with your financial situation, the conventional method is generally very affordable. Electrocautery method, Klamp and FLASHCUTTER rather expensive whereas the CO2 laser may be the most expensive and only exist in a large hospital.
    
If you want to follow the mass circumcision make sure that there is a doctor in charge, so if there is a problem allows you to coordinate.
May be useful,

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