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The text-books on surgery seem to imply that a circumcision is the simplest of procedures. The operation, however, is often troublesome. Postoperative complications do occur. The penis may become edematous to the point of making urination difficult. In certain cases the swelling and induration subside only after the removal of the stitches. More or less oozing of blood may persist for days or a hematoma of no small size delay the union of the parts. Inflammation in the tissues may be marked; this may abate rapidly or pass away only after the skin has broken and discharged its pocket of pus.
There is in nearly every circumcision some swelling of the organ. When the purse-string suture was advocated this condition was marked. If many interrupted stitches are placed close together so as to secure too perfect a coaptation of the edges the edema appears very
NEWMAN SE. A CIRCUMCISION OPERATION FOR THE YOUNG. JAMA. 1909;LIII(21):1737–1738. doi:10.1001/jama.1909.92550210033002b
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