Who can tell me the whole operation process of phimosis cutting?

1. Posture supine.

2. Cleaning and disinfection: wash the local area with soapy water and salt water, and disinfect it with 1: 1000 bromogeramine; For phimosis, connect the syringe with the intravenous puncture needle, and inject the new geminium solution into the capsule for disinfection.

3. If there is a narrow prepuce opening and the prepuce adheres to the penis head, first enlarge the prepuce opening with hemostatic forceps, then use two hemostatic forceps to pick up the middle part of the back side edge (the distance between the two pliers is 0.2cm), and use a slotted probe to separate the adhesion until the penis head and the prepuce are completely separated. Then clean the skin and penis head with sterile normal saline.

4. Design the incision, clamp the foreskin strap with hemostatic forceps, and lift the foreskin. Use the tip of the knife to make all marks at the position 0.5cm away from the distal edge of the coronal groove of the foreskin, and prepare a circular incision to prevent excessive resection.

5. Cut the inner and outer prepuce plates along the probe groove with scissors, and cut the back side. The inner prepuce plate should also be cut to about 0.5cm away from the edge of the crown groove.

6. Incite the foreskin, align the inner and outer plates of the foreskin, pull out the hemostatic forceps and the tie behind the foreskin, and then review whether the incision of the outer plate of the foreskin is suitable as the incision of circumcision. If appropriate, cut off the right skin flap along the incision about 0.5cm away from the coronary sulcus with bending scissors, and then cut off the left side. The inner plate and the outer plate at the prepuce frenum can be left uncut, or more can be kept.

7. Stop bleeding. Retract the penis skin upwards and stop bleeding after revealing the bleeding point. Special attention should be paid to ligating the superficial dorsal vein of penis in the middle of penis back.

8. Use a thin thread to sew a needle on the back, abdomen and left and right sides of the circular incision. Ligation should not be too tight, so as not to damage the skin when tissue edema occurs. The suture is not cut short, and it is reserved for fixed dressing. Then sew 1 ~ 2 stitches every two stitches, and the stitches should come out near the knife edge.

9. Bandage: wrap a layer of vaseline gauze around the incision of the foreskin (the raw edge is folded inward), fix it with long suture, and then wrap several layers of gauze.