Comparison between the bone cutter with thermal cautery, Gomco, and Plastibell for circumcision in neonates and infants: a prospective randomized trial

Background Circumcision is the most common surgical procedure performed for a male newborn. This trial aimed to compare between three commonly used techniques for male circumcision in our institute. Patients and methods From January 2014 to January 2015, 150 babies were randomized into three groups...

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Published in:The Egyptian journal of surgery : official organ of the Egyptian Society of Surgeons = Majallat al-jirāhah al-Misrīyah 2017-01, Vol.36 (1), p.27-32
Main Authors: El-Asmar, Khaled, Abdel-Kader, Hesham, El-Shafei, Ehab, Ashraf, Ibrahim
Format: Article
Language:English
Subjects:
Analysis
Cautery
Circumcision
Health aspects
Newborn infants
Treatment outcome
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container_title The Egyptian journal of surgery : official organ of the Egyptian Society of Surgeons = Majallat al-jirāhah al-Misrīyah
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creator El-Asmar, Khaled
Abdel-Kader, Hesham
El-Shafei, Ehab
Ashraf, Ibrahim
description Background Circumcision is the most common surgical procedure performed for a male newborn. This trial aimed to compare between three commonly used techniques for male circumcision in our institute. Patients and methods From January 2014 to January 2015, 150 babies were randomized into three groups according to the circumcision technique: babies circumcised using the bone-cutter forceps with thermal cautery (group I), Gomco clamp (group II), and the Plastibell device (group III). Intraoperative details, postoperative pain and complications, cosmetic outcome, and parent satisfaction were recorded. Results Operative time was significantly shorter for group I (P
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This trial aimed to compare between three commonly used techniques for male circumcision in our institute. Patients and methods From January 2014 to January 2015, 150 babies were randomized into three groups according to the circumcision technique: babies circumcised using the bone-cutter forceps with thermal cautery (group I), Gomco clamp (group II), and the Plastibell device (group III). Intraoperative details, postoperative pain and complications, cosmetic outcome, and parent satisfaction were recorded. Results Operative time was significantly shorter for group I (P&lt;0.001). Postoperative dressing was needed in 50% of infants in group II compared with 12% in group I. Analgesic consumption was significantly lower in group I (P&lt;0.001). No significant differences were found between the three groups as regards the peer assessment score for the final cosmetic outcome. Parent satisfaction was significantly higher in groups I and II (P=0.023). Infection was reported only in the Plastibell device group, and 10% had device-related complications. Conclusion The thermal cautery with bone-cutter technique proved superiority in hemostasis, operative time, and parent satisfaction, with less pain in the postoperative period. All three techniques had comparable final cosmetic outcome.</description><identifier>ISSN: 1110-1121</identifier><identifier>EISSN: 1687-7624</identifier><identifier>DOI: 10.4103/1110-1121.199886</identifier><language>eng</language><publisher>Wolters Kluwer India Pvt. Ltd</publisher><subject>Analysis ; Cautery ; Circumcision ; Health aspects ; Newborn infants ; Treatment outcome</subject><ispartof>The Egyptian journal of surgery : official organ of the Egyptian Society of Surgeons = Majallat al-jirāhah al-Misrīyah, 2017-01, Vol.36 (1), p.27-32</ispartof><rights>COPYRIGHT 2017 Medknow Publications and Media Pvt. 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This trial aimed to compare between three commonly used techniques for male circumcision in our institute. Patients and methods From January 2014 to January 2015, 150 babies were randomized into three groups according to the circumcision technique: babies circumcised using the bone-cutter forceps with thermal cautery (group I), Gomco clamp (group II), and the Plastibell device (group III). Intraoperative details, postoperative pain and complications, cosmetic outcome, and parent satisfaction were recorded. Results Operative time was significantly shorter for group I (P&lt;0.001). Postoperative dressing was needed in 50% of infants in group II compared with 12% in group I. Analgesic consumption was significantly lower in group I (P&lt;0.001). No significant differences were found between the three groups as regards the peer assessment score for the final cosmetic outcome. Parent satisfaction was significantly higher in groups I and II (P=0.023). Infection was reported only in the Plastibell device group, and 10% had device-related complications. Conclusion The thermal cautery with bone-cutter technique proved superiority in hemostasis, operative time, and parent satisfaction, with less pain in the postoperative period. All three techniques had comparable final cosmetic outcome.</description><subject>Analysis</subject><subject>Cautery</subject><subject>Circumcision</subject><subject>Health aspects</subject><subject>Newborn infants</subject><subject>Treatment outcome</subject><issn>1110-1121</issn><issn>1687-7624</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><recordid>eNptkctqHDEQRZvgQIztfZYCg1fusdQPqTu7YXAcgyFZeC_UUimjWI9BUqexfyS_G00mBg8YLSSq7ilK91bVZ4JXHcHtDSEE14Q0ZEXGcRjoh-qU0IHVjDbdSXm_tj9VFyn9whiTZqCUtqfVn01wOxFNCh5NkBcAj_IW0BQ8IDnnDBEtJm_3xeiERVLMpfZ8je6Ck-EaCa_QDytSNhNYi3SISJooZydNMmWo8chD8CJD-qc1Xguf0xck0C6GtAOZzW9AsfSCMy-gUI5G2PPqoxY2wcX_-6x6_Hr7uPlWP3y_u9-sH2rZNmOqhaITZUwNwMgwSNVPmja4A83IhPuuK_8fWdPTkZJO4ElNGhgdJdOqkR0W7Vl1eRj7U1jgZbeQo5DOJMnX3VAcYz3pi2r1jqocBc7I4pQ2pX4EXL0BtiBs3qZg51wcScdCfBDK4kWKoPkuGifiMyeY76Pl--z4Pjt-iLYg6wOyBFuSSE92XiByB-rJh-WIq99wvGH8Nev2L7L-q_4</recordid><startdate>20170101</startdate><enddate>20170101</enddate><creator>El-Asmar, Khaled</creator><creator>Abdel-Kader, Hesham</creator><creator>El-Shafei, Ehab</creator><creator>Ashraf, Ibrahim</creator><general>Wolters Kluwer India Pvt. 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This trial aimed to compare between three commonly used techniques for male circumcision in our institute. Patients and methods From January 2014 to January 2015, 150 babies were randomized into three groups according to the circumcision technique: babies circumcised using the bone-cutter forceps with thermal cautery (group I), Gomco clamp (group II), and the Plastibell device (group III). Intraoperative details, postoperative pain and complications, cosmetic outcome, and parent satisfaction were recorded. Results Operative time was significantly shorter for group I (P&lt;0.001). Postoperative dressing was needed in 50% of infants in group II compared with 12% in group I. Analgesic consumption was significantly lower in group I (P&lt;0.001). No significant differences were found between the three groups as regards the peer assessment score for the final cosmetic outcome. Parent satisfaction was significantly higher in groups I and II (P=0.023). Infection was reported only in the Plastibell device group, and 10% had device-related complications. Conclusion The thermal cautery with bone-cutter technique proved superiority in hemostasis, operative time, and parent satisfaction, with less pain in the postoperative period. All three techniques had comparable final cosmetic outcome.</abstract><pub>Wolters Kluwer India Pvt. Ltd</pub><doi>10.4103/1110-1121.199886</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record>
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subjects Analysis
Cautery
Circumcision
Health aspects
Newborn infants
Treatment outcome
title Comparison between the bone cutter with thermal cautery, Gomco, and Plastibell for circumcision in neonates and infants: a prospective randomized trial
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