Özet:

Objective: To compare outcome of circumcision done by Plastibell versus conventional open method in terms of post op complications, operating time and cosmetic acceptance. Study Design: Comparative prospective study. Duration and Place of Study: Department of General Surgery, Combined Military Hospital, Peshawar Pakistan, from Sep 2019 to Mar 2020 over period of six months. Methodology: All patients (n=100) fulfilling inclusion criteria were randomly divided into two groups. Group-A (n=50) underwent Open Conventional technique while Group-B (n=50) underwent Plastibell technique. To measure outcome of surgery, bleeding rate, cosmetic appearance and post-operative infection were used as parameters. The mean operating time was also compared among both techniques. Results: In Group-A, the average operating time was 24.24±4.36 minutes whereas in Group-B it was 13.38±2.66 minutes (highly significant, p-value=0.0001). The bleeding rate was 14% in Group-A and 2% in Group-B (Not insignificant pvalue=0.027). Infection rate was 4% in each group (highly insignificant). In Group-A, 47 out of 50 circumcisions had acceptable cosmesis as opposed to 48 circumcisions in Group-B, (p-value=0.646, insignificant). Conclusion: We conclude that circumcision by Plastibell technique is relatively easy technically and quick to learn. It can be performed quickly and hence parents anxiety associated with prolonged operative time is less. It also has fewer complications as compared to open technique most important being bleeding which can be devastating in children considering their less hemodynamic reserves as compared to adults. Downloads Download data is not yet available.

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