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Ten years experience with a novel modification of plastibell circumcision
Ashraf Hammed1, Ahmed Abd Elgffar Helal, Refaat Badway
1Department of Surgery, Pediatric Surgery Unit, Al-Azhar University Hospitals, Cairo, Egypt.
Insights
A modified Plastibell device significantly reduces bleeding complications following infant circumcision. This innovative approach offers a faster, safer, and more cosmetically pleasing alternative to the standard method.
Area of Science:
- Pediatric Surgery
- Urology
- Medical Device Innovation
Background:
- The Plastibell device is a common method for infant circumcision.
- Bleeding, particularly from the frenulum site, is the most frequent post-operative complication.
- A novel modification to the Plastibell device was developed to address bleeding risks.
Purpose of the Study:
- To evaluate the efficacy of a modified Plastibell device in preventing circumcision-related bleeding.
- To compare the outcomes of circumcision using the modified Plastibell device versus the conventional device.
Main Methods:
- A prospective comparative study involving 5500 infants up to 12 months of age.
- Group 1: 1000 infants underwent circumcision with the conventional Plastibell device.
- Group 2: 4500 infants underwent circumcision with the modified Plastibell device.
Main Results:
- The modified Plastibell device significantly reduced post-operative bleeding complications.
- Mean operating time was reduced from 8.5 minutes (conventional) to 5.9 minutes (modified).
- The modified device demonstrated excellent cosmetic outcomes.
Conclusions:
- The modified Plastibell device effectively prevents the serious complication of bleeding during infant circumcision.
- This technique is faster, easier to perform, and yields superior cosmetic results compared to the standard Plastibell device.
- The modified device represents a more practical and efficient method for pediatric surgeons.
Background:
Plastibell device is a satisfactory method of circumcision in infants. However the most common post-operative complication was bleeding (especially from the frenulum site). As a result, we introduce a novel modification of the device to prevent this complication.
Patients And Methods:
A prospective comparative study of Plastibell circumcision in infants up to the age of 12 months was conducted, using conventional Plastibell device and modified Plastibell device circumcision. In The first group (1000 infants), circumcision was performed with conventional Plastibell device while in the second group (4500 infants), circumcision was done with modified Plastibell device.
Results:
The mean age was 8 weeks. The mean operating time were 8.5 min and 5.9 min for conventional Plastibell ring and modified Plastibell device circumcision respectively. The most common postoperative complication in first groups was bleeding.
Conclusion:
This modified Plastibell device, prevents the most series complication of bleeding. It is fast and ensures excellent cosmoses compared with the standard Plastibell template circumcision. Also it is easy to perform and allows the paediatric surgeon to achieve consistently excellent cosmetic results. Moreover, the shorter operating time makes circumcision by the modified Plastibell device a more practical method. The technique will be described in detail.