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

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 loca...

Full description

Saved in:
Bibliographic Details
Published in:Pediatric surgery international 2019-05, Vol.35 (5), p.619-623
Main Authors: Nguyen, Thanh Tam, Kraft, Elizabeth, Nasrawi, Ziyad, Joshi, Minal, Merianos, Demetri
Format: Article
Language:English
Subjects:
Age
Anesthesia
Babies
Circumcision
Drugs
Hemorrhage
Local anesthesia
Medicine
Medicine & Public Health
Newborn babies
Obstetrics
Original
Original Article
Pain management
Pediatric Surgery
Pediatrics
Product safety
Surgeons
Surgery
Surgical outcomes
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary: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.
ISSN:0179-0358
1437-9813
DOI:10.1007/s00383-019-04452-x