Comparison of Post Circumcision Complications of Conventional Open Technique Versus Plastibell Method

Shahzad Inam; Rizwan Ullah Taj; Mannan Masud; Wajahat Ali Nadeem; Rehana Islam; Muhammad Adil

doi:10.51253/pafmj.v73iSUPPL-1.4151

Authors

Shahzad Inam Department of Surgery, Combined Military Hospital, Peshawar/National University of Medical Sciences (NUMS) Pakistan
Rizwan Ullah Taj Department of Surgery, Pakistan Naval Ship, Hafeez Hospital, Islamabad Pakistan
Mannan Masud Department of Surgery, Combined Military Hospital, Lahore/National University of Medical Sciences (NUMS) Pakistan
Wajahat Ali Nadeem Department of Quetta, Combined Military Hospital, Peshawar/National University of Medical Sciences (NUMS) Pakistan
Rehana Islam Department of Radiology, Armed Forces Institute of Radiology & Imaging/National University of Medical Sciences (NUMS), Rawalpindi Pakistan
Muhammad Adil GDMO, Combined Military Hospital, Sargodha/National University of Medical Sciences (NUMS) Pakistan

DOI:

https://doi.org/10.51253/pafmj.v73iSUPPL-1.4151

Keywords:

Circumcision, Complications, Open method, Plastibell method, Techniques

Abstract

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.