Surgery object

　　1st, the foreskin baby narrow hinders the urination because of the package of leather bag mouth or repeatedly the infected person.

　　2nd, the adult contracts the foreskin or the trouble wrapper is excessively long repeatedly the infected person.

　　Childhood wrapper length is normal, the baby has the foreskin or the child has the wrapper to be excessively long, if does not have the complication, should not execute the wrapper link to cut the technique. Because of 3 years old below young child's foreskin many along with age growth, but vanishes voluntarily; So long as another part of children flinch upwardly repeatedly the wrapper, the expanded wrapper pouch mouth, will reveal the glans penis, also does not need the surgery to excise.

　　Before the technique, prepares

　　1st, the surgery eve and surgery the same day, enjoin the patient to clean partial.

　　2nd, the concurrent wrapper, the balanitis, must select the medicine and the partial immersion treatment, after the inflammation abates, again the surgery.

　　Anaesthesia

　　Local anesthesia or penis sponge body anaesthesia; Young child coca basal anesthesia.

　　Surgery step

　　1st, body posture even decubitus.

　　2nd, clean disinfection with soapy water and salt water clean partial, disinfects with 1:1000 new clean Mieye; The foreskin will meet the phlebotomy needle by the injector to be new clean Mieye to pour into a package of leather bag to disinfect.

　　3rd, the separation adhesion has package Pikou to be narrow and the wrapper and the glans penis adhesion, uses the artery forceps to expand the wrapper mouth first, center then uses two artery forceps to clamp the back to skip the spot (two pliers to be distanced 0.2cm). Separates the adhesion with the slotted probe, is completely separated until the glans penis and the wrapper. Uses the disinfection physiological saline clean package leather bag and the glans penis again.

　　4th, the design margin grips the frenulum praeputu place with artery forceps, mentions the wrapper. Is apart from coronal edge of ditch far-end 0.5cm place as soon as by the knife point in the wrapper outside plank to delimit seamss, prepares as the link to cut the margin, must prevent to excise excessively many.

　　5th, the back lateral section opens with the scissors cuts in the wrapper, the outside plank along the probe trough, in the wrapper the board should also cut to is apart from the coronal edge of ditch approximately 0.5cm place.

　　6th, the excision wrapper the wrapper, the outside plank alines, pulls open outward clamps in the wrapper back side and the department belt's place artery forceps, reexamines the wrapper outside plank to seams again as the link cuts the margin to be whether suitable. If suitable, with cuts curved along is apart from the coronal ditch approximately 0. 5cm seamss place cuts right flank the skin petal, left side then cuts again. The frenulum praeputu place in outside plank may not cut, or retains some.

　　8th, sutures with the thin silk thread in the ring-like margin back, the abdomen, left and right place sutures a needle respectively first, ties up do not be too tight, in order to avoid time tissue edema forces the bad skin. The sewing thread does not clip, remains makes the fixed surgical dressing to use. Uses between every two needle sewing thread to suture 1~2 needles again, the stitching should approach cuts the reason to put on.

　　9th, the wrap (fragments folds a petroleum jelly gauze in inside) surrounds the wrapper margin place, with the sewing thread which lets grow long is fixed, then wraps up with several gauzes.

　　In technique matters needing attention

　　1st, the wrapper link cuts in the technique, the outside plank blood vessel breaks the end often to flinch to near side, must discover, ties up, otherwise may form the big haematoma.

　　2nd, the wrapper cannot cut excessively many, in order to avoid causes the painful penis erection. Generally in the wrapper the board should cut to is apart from the coronal ditch approximately 0.5cm place. Is the belt department may not remain too few.

　　Technique post-processing

　　1st, the technique latter in 3~4th Yu Shuiqian the clothing sedative, by against penis erection, causes the ache and the hemorrhage.

　　2nd, informs when the patient urination do not get wet the gauze