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Pain during Mogen or PlastiBell circumcision.
H William Taeusch1, Alma M Martinez, J Colin Partridge
1San Francisco General Hospital and Department of Pediatrics, University of California, San Francisco, CA 94114, USA.
Summary
Neonatal circumcision pain was compared between Mogen clamp and PlastiBell techniques. The Mogen clamp resulted in less pain and discomfort, was faster, and preferred by trainees.
Area of Science:
- Neonatal surgical procedures
- Pediatric pain management
- Surgical technique comparison
Background:
- Neonatal circumcision is a common procedure, often associated with pain and discomfort.
- While analgesia methods are studied, few compare pain levels across different surgical techniques used by trainees.
Purpose of the Study:
- To compare pain and discomfort associated with two common circumcision techniques: Mogen clamp and PlastiBell.
- To evaluate the preference of pediatric trainees for each technique.
Main Methods:
- A randomized, prospective study involving 59 healthy, term newborns.
- Infants underwent circumcision using either the Mogen clamp or PlastiBell technique, with all receiving dorsal nerve blocks.
- Pain was assessed via procedure duration and a behavioral score; trainee preference was also recorded.
Main Results:
- The Mogen clamp procedure averaged 12 minutes, while the PlastiBell averaged 20 minutes.
- No significant difference in pain per time period was found between the two methods.
- Excessive pain or discomfort was observed in 60% of infants; trainees preferred the Mogen clamp due to its simplicity.
Conclusions:
- The Mogen clamp technique is associated with less pain and discomfort during neonatal circumcision compared to the PlastiBell.
- The Mogen clamp is a faster procedure and is preferred by pediatric trainees.
- Further research may explore optimizing pain management for neonatal circumcision.