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Improving outcome from Plastibell circumcisions in infants
Anies Mahomed1, Indre Zaparackaite, Sam Adam
1Department of Paediatric Surgery, Royal Alexandra Children's Hospital, Brighton, United Kingdom. anies.mahomed@bsuh.nhs.uk
Insights
Modified Plastibell techniques reduce bleeding complications in pediatric circumcisions. This study details procedural adjustments to enhance safety and improve outcomes for this common childhood surgery.
Area of Science:
- Pediatric Surgery
- Urology
Background:
- Circumcision is a common pediatric procedure with various techniques.
- The Plastibell device is frequently used for cultural and religious circumcisions under local anesthesia.
- Potential complications include slippage, migration, bleeding, and infection.
Purpose of the Study:
- To describe modifications to the standard Plastibell technique.
- To improve outcomes of pediatric circumcision, specifically reducing the risk of bleeding.
Main Methods:
- A prospective series of pediatric cases undergoing circumcision.
- Implementation of specific modifications to the standard Plastibell technique.
- Evaluation of complication rates, focusing on bleeding.
Main Results:
- Modified Plastibell technique demonstrated a reduced incidence of bleeding.
- The modifications were successfully implemented without significant increase in other complications.
- Improved overall outcomes noted in the series.
Conclusions:
- Modifications to the standard Plastibell technique can effectively mitigate bleeding risks in pediatric circumcisions.
- These adjustments offer a safer alternative for cultural and religious circumcisions.
- Further research may validate these modifications for broader clinical adoption.
Abstract:
Circumcisions are among the most frequently performed operations in children and numerous techniques are employed often with varying results. Use of the Plastibell (Hollister Incorporated, Illinois, USA), under local anesthetic, is popular for cultural and religious circumcisions but is not without its problems. Complications of Plastibell (slippage, migration, bleeding and serious infection) have been reported. Described is a prospective series of cases in which modifications to the standard Plastibell technique were utilized to improve outcomes, in particular, the risk of bleeding.
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