Incidence of Complications in Plastibell Circumcision in Male Infants: Comparison between with and without Coagulation Hemostasis methods

Rasool, Naima

doi:10.17352/2455-2968.000042

Cited by 2 publications

(1 citation statement)

References 10 publications

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“…The complication rate of bone-cutter circumcision reported in some studies vary between 4.7% and 8.4% [37,38], whereas the rate of complication using plastibell device vary from 1.1% to 20.6% [29,32,39].…”

Section: Discussionmentioning

confidence: 99%

Bone cutter versus plastibell device in neonatal circumcision: A randomized trial

et al. 2020

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Background: Several techniques and devices have been described for circumcision each with its own pros and cons. The objective of this study was to compare the outcome of neonatal circumcision between bone-cutter and plastibell devices at our institution. Methods: This is a randomized trial (unregistered) conducted at the Pediatric Surgical Unit of a tertiary teaching hospital situated in a semi-urban setting, between January 2019 and December 2019. The uncircumcised neonates underwent circumcision by either bone-cutter or plastibell device. Demographic characteristics, operative time, estimated blood loss, and postoperative complications were compared. A p-value of <0.05 was considered significant. Results: The age ranged between 7 days and 30 days with a mean of 15.9±5.5 days. The mean age and weight of both groups were well matched (p >0.05). The operative time in the bone cutter technique was 4.2±0.9 minutes compared to 5.8±1.2 minutes in the plastibell device method (p <0.001). Blood loss was lesser with bone cutter (0.27 ±0.32mls versus 0.51 ±0.44mls in the plastibell device, p <0.001). The complication rates were comparable in both study groups (p =1.000). The overall complication rate was 5.8%. The penile perception score and the Hollander wound evaluation score for bone-cutter were 15.7±0.8 and 5.7±0.84 while in the plastibell device were 15.4±1.1 and 5.4±1.1, respectively (p >0.05). Conclusion: Operative time and blood loss were less with bone cutter compared to plastibell device. However, the complication rate, penile perception score, and Hollander wound evaluation scores were similar.

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Section: Discussionmentioning

confidence: 99%

Bone cutter versus plastibell device in neonatal circumcision: A randomized trial

et al. 2020

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Avoidance of general anesthesia for circumcision in infants under 6 months of age using a modified Plastibell technique

et al. 2019

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Purpose There is currently no gold standard for the type of analgesia or preferred circumcision technique in infants requiring circumcision after 1 month of age. Our study presents a modified Plastibell circumcision technique, which offers excellent surgical outcomes, and can be performed under local anesthesia until 6 months of age, thereby avoiding the risks of general anesthesia in delayed circumcision. Methods This is a retrospective case series of 508 consecutive male infants between 1 and 6 months of age, from one institution, who all underwent circumcision under local anesthesia, performed by the same pediatric surgeon, from 2013 to 2018. The study parameters included postoperative complications such as re-operation for control of hemorrhage, wound infection, circumcision revision, and urethral meatotomy. Results There were no re-operations for control of hemorrhage, no wound infections, and no circumcision revisions. One patient developed urethral meatal stenosis requiring urethral meatotomy. Conclusion Our modified Plastibell circumcision technique under local anesthesia is a safe and reproducible alternative for infants between 1 and 6 months of age, whose parents desire circumcision and wish to avoid general anesthesia.

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Incidence of Complications in Plastibell Circumcision in Male Infants: Comparison between with and without Coagulation Hemostasis methods

Cited by 2 publications

References 10 publications

Bone cutter versus plastibell device in neonatal circumcision: A randomized trial

Bone cutter versus plastibell device in neonatal circumcision: A randomized trial

Avoidance of general anesthesia for circumcision in infants under 6 months of age using a modified Plastibell technique

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