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[Circumcision of new immigrants]
S Walfisch1, Y Z Ben-Zion, G Gurman
1Dept. of Surgery C, Soroka Medical Center of Kupat Holim.
Harefuah
|February 1, 1994
Summary
Ritual circumcision for adult males, particularly immigrants, is a safe outpatient procedure. This study found a low complication rate of 1.75% in over 2800 procedures.
Area of Science:
- Medical procedures
- Surgical outcomes
- Public health
Context:
- Recent immigration from Eastern Europe to Israel (1990-1992) introduced uncircumcised males to the Negev region.
- The practice of routine circumcision for healthy children remains a subject of debate.
- Adult circumcision is typically performed for ritualistic purposes.
Purpose:
- To evaluate the safety and efficacy of ritual circumcision in a large cohort of adult males.
- To assess complication rates associated with adult circumcision performed in an ambulatory setting.
Summary:
- A total of 2857 males aged 1-64, primarily of Russian origin, underwent ritual circumcision as outpatients.
- The majority (86%) received general anesthesia, with foreskin excision and closure via absorbable sutures.
- Complications occurred in 1.75% of cases, mainly postoperative bleeding and wound infections.
Impact:
- Demonstrates that ritual circumcision is a safe procedure for adult males in an ambulatory care setting.
- Provides evidence supporting the safety of circumcision for immigrant populations.
- Contributes to the understanding of surgical outcomes in elective adult procedures.