{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T16:42:20Z","timestamp":1787071340505,"version":"build-2736575974"},"reference-count":24,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"9","license":[{"start":{"date-parts":[[2025,9,1]],"date-time":"2025-09-01T00:00:00Z","timestamp":1756684800000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-sa\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2025,9]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Pediatric circumcision is a common procedure, and effective pain control is essential for recovery and comfort. The optimal anesthesia technique remains debated.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aim:<\/jats:title>\n                    <jats:p>To compare the efficacy and safety of sedation-only anesthesia versus sedation combined with local lidocaine infiltration anesthesia in children undergoing circumcision.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>In this prospective study, 140 boys aged 1-6 years were randomly assigned to receive either intravenous sedation alone (Group I) or sedation plus local anesthesia (Group II). Both groups received a standardized sedative regimen: midazolam, propofol, fentanyl, and ketamine. Postoperative pain was assessed at 1 and 3 hours using the FLACC scale. Complications were recorded.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      Median FLACC scores at both 1 hour (Group I: 2.0 [0-6], Group II: 2.0 [0-6]) and 3 hours (Group I: 1.0 [0-4], Group II: 1.0 [0-3]) showed no significant difference (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &gt; 0.05). However, local complications such as ecchymosis and edema were more frequent in the group receiving local anesthesia (Group II: 7.1%) compared to the sedation-only group (Group I: 15.7%).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Sedation-only anesthesia using midazolam, propofol, fentanyl, and ketamine provides effective postoperative pain control for pediatric circumcision, with fewer local complications than when combined with local infiltration anesthesia.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/njcp.njcp_437_25","type":"journal-article","created":{"date-parts":[[2025,9,27]],"date-time":"2025-09-27T17:00:21Z","timestamp":1758992421000},"page":"1004-1009","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":1,"title":["Sedation-Only Anesthesia for Pediatric Circumcision: A Safer Alternative"],"prefix":"10.4103","volume":"28","author":[{"given":"AA","family":"\u00d6zde\u015f","sequence":"first","affiliation":[{"name":"Department of Urology, Karako\u00e7an State Hospital, Elaz\u0131\u011f, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Z","family":"Korhan","sequence":"additional","affiliation":[{"name":"Department of Urology, Karako\u00e7an State Hospital, Elaz\u0131\u011f, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M","family":"Beler","sequence":"additional","affiliation":[{"name":"Department of Family Medicine, Fethi Sekin City Hospital, Elaz\u0131\u011f, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"R","family":"Cant\u00fcrk","sequence":"additional","affiliation":[{"name":"Department of Urology, Firat University Hospital, Elaz\u0131\u011f, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"T","family":"Ozan","sequence":"additional","affiliation":[{"name":"Department of Urology, Firat University Hospital, Elaz\u0131\u011f, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2025,9,27]]},"reference":[{"key":"R1-20260420","first-page":"92","article-title":"Tek \u00fcrolog taraf\u0131ndan k\u0131smen modifiye giyotin tekni\u011fi ile yap\u0131lan s\u00fcnnet sonu\u00e7lar\u0131","volume":"25","author":"Asdemir","year":"2023","journal-title":"Androloji B\u00fclteni"},{"key":"R3-20260420","doi-asserted-by":"crossref","first-page":"176","DOI":"10.5534\/wjmh.180006","article-title":"The relationship between neonatal circumcision, urinary tract infection, and health","volume":"36","author":"Eisenberg","year":"2018","journal-title":"World J Mens 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