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Circumcision; Open vs Plastibell techniques: which is better?

Author(s)
Muhammad Iqbal Department of Surgery, Benazir Bhutto Hospital, Rawalpindi, Pakistan
Sadaf Ijaz Department of Paediatrics, Benazir Bhutto Hospital, Rawalpindi, Pakistan
Muhammad Hassan Zafar Department of Surgery, Benazir Bhutto Hospital, Rawalpindi, Pakistan
Naveed Akhtar Malik Department of Surgery, Benazir Bhutto Hospital, Rawalpindi, Pakistan
Abstract
Objective: To compare the results of circumcision by open technique and the Plastibell technique in male babies. Materials and Methods: In this randomized controlled interventional study, 1440 babies whose circumcision was done as religious rite were divided into two groups. Group A underwent circumcision by open technique whereas group B underwent circumcision by Plastibell method. Results: Majority 720 (50%) were in age group 6-8 weeks. Compared with open method, significantly less number of patients in plastibel method experienced moderate pain (47.91% versus 35% p value .00001 and severe pain 31.94% versus 9.02% p value .00001.Rate of wound infection was significantly less in plastibell method 2.77% versus 4.86% p value .020. However more patients in plastibell technique needed re-do circumcision 4.02% versus 1.94% p value .0202. Overall greater parent's satisfaction was attained with plastibel method. Conclusion: Plastibell technique has many advantages over open method in terms of less post op pain, wound infection, and greater cosmetic satisfaction however more patients will need re-do circumcision in this technique compared with conventional method. Open method is better in term of securing hemostasis.
Publication Details
Page(s) 622-627
DOI 10.37939/jrmc.v26i4.1960
Published Journal: Journal of Rawalpindi Medical College, Volume: 26, Issue: 4, Year: 2022

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Keywords
open technique, Plastibell, Circumcision, post-op complications
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