Circumcision is obligatory for a Muslim after puberty. Circumcision is done by cutting some skin in the pubic end . Sometimes circumcision performed on children, or even a new born baby, for certain medical reasons, such as the presence of phimosis or adhesions in a hole out in pubic. Phimosis causing obstructed flow of urine into the urethra causing inflammation. It is necessary to process anesthesia, either with local or general anesthesia, So that the patient does not feel pain during the action.
In the pediatric patients, patients with special needs such as the existence of hemophilia, mental weakness patients, or patients with excessive fear, then circumcision, a general anesthetic is a better choice than a local anesthetic. Circumcision with special needs or complications are usually handled by a surgeon. After the action was decided by the surgeon and the patient's family agreed, then the surgeon will consult to the anesthesiologist for anesthesia methods. Subsequently, the patient or his family will be explained about the method of general anesthesia to be performed on the patient.
General anesthesia is an anesthetic or anesthetic technique that makes the patient is unconscious or asleep deep enough so that surgery can be performed safely and comfortably. On the use of this technique, patients who had planned the operation time will be required for laboratory mainly routine blood check and asked to stop eating and drinking since at least 6 hours before surgery. This treatment is referred to as preoperative preparation. Blood tests intended that if there are certain diseases such as bleeding disorders, anemia or infection, may soon be known. Fasting before surgery intended to make the stomach empty. Empty stomach is necessary so that the risk of vomiting or regurgitation in patients anesthesia process can be minimized. Vomiting or regurgitation that occurs can lead to aspiration, namely the inclusion of acidic gastric contents into the airways or lungs. Preoperative preparation is basically aimed at making conditions optimal for patient anesthesia and surgery.
If the patient is cooperative or be invited to cooperate with the surgeon, for example, can calmly undergo circumcision, it can be done local anesthesia. Local anesthetic procedure is simpler than general anesthesia. At the local anesthetic technique, patients do not need to fast beforehand. Sufficient local anesthesia by injecting anesthetic into the pudendal nerve or nerves around the area that will be done surgically. In contrast to general anesthesia requires patient monitoring after surgery, until the patient is fully conscious, the patient with local anesthesia can go home if the surgery has been completed.
Based on the above description, it is the patient that there is no contraindication to general anesthesia, can choose circumcision under general anesthesia. This is of course with consideration of surgeons and anesthesiologists.
