Circumcision in Neonates and Infants Using Different Techniques: A Comparative Study

Abstract

Background: The most frequent operation done throughout history is circumcision. Surgeons were worried about improved circumcision equipment that can reduce problems and are simple to use while also considering how costeffective they are. Objective: The aim of the current work was to compare the postoperative outcomes between four groups of patients treated with conventional, bone cutter with thermal cautery, plastibell and gomco techniques of circumcision. Patients and methods: This randomized clinical trial study included a total of 220 infants who have undergone circumcision at the Department of Pediatric Surgery, Zagazig University Hospitals. According to the method of circumcision used; infants were divided into 4 groups, (55 infants each) Group A: Bone cutter with thermal cautery technique; Group B: Conventional technique; Group C: Plastibell device technique and Group D: Gomco clamp technique. The outcomes were assessed intra-operatively and post-operatively. Results: There were significant differences between the studied groups as regards the need for stitches and the number of stitches. There were significant differences between studied groups regard length of targe mucosal cut off. There was a significant higher percent of infants suffering from bleeding at recovery in Gomco clamp technique group compared to other groups. There were significant differences between studied groups regard Parents' satisfaction (p<0.001). There were significant differences between studied groups regard cosmetic score. There were significant differences between studied groups regard beer assessment score (p<0.001). Conclusion:It could be concluded that circumcision using thermal assisted device is found to be significantly superior to the other methods in terms of operative time and post-circumcision hemostasis. Generally, complications are minor among all groups.