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

Article Information

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

Authors: Shahzad Inam, Rizwan Ullah Taj, Mannan Masud, Wajahat Ali Nadeem, Rehana Islam, Muhammad Adil

Journal: Pakistan Armed Forces Medical Journal (PAFMJ)

HEC Recognition History

Category	From	To
Y	2024-10-01	2025-12-31
Y	2023-07-01	2024-09-30
Y	2021-07-01	2022-06-30
Y	2020-07-01	2021-06-30
Y	1900-01-01	2005-06-30

Publisher: Army Medical College, Rawalpindi.

Country: Pakistan

Year: 2023

Volume: 73

Issue: Supplementary 1

Language: English

DOI: 10.51253/pafmj.v73iSUPPL-1.4151

Keywords: techniquesComplicationsCircumcisionOpen methodPlastibell method

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.

Disclaimer: The following sections are produced through an intensive multi-stage analytical pipeline developed by DefinePK, utilizing advanced natural-language processing, domain-specific knowledge models, and automated cross-referencing systems. Despite the rigor and computational effort involved, the generated summary may still contain inaccuracies or incomplete interpretations. Users are strongly advised to verify all critical information against the original paper and its authoritative sources.

Research Objective

To compare the outcomes of circumcision performed by the Plastibell technique versus the conventional open method in terms of post-operative complications, operating time, and cosmetic acceptance.

Methodology

A comparative prospective study conducted at the Department of General Surgery, Combined Military Hospital, Peshawar, Pakistan, from September 2019 to March 2020. One hundred male patients (n=100) aged 3 weeks to 1 year were randomly divided into two groups: Group-A (n=50) underwent the Open Conventional technique, and Group-B (n=50) underwent the Plastibell technique. Outcomes were measured by bleeding rate, cosmetic appearance, and post-operative infection. Mean operating time was also compared. Data was analyzed using SPSS version 15, with descriptive statistics, chi-square test, and independent sample t-test.

Methodology Flowchart

                        graph TD;
    A["Patient Recruitment n=100, 3 weeks-1 year"] --> B["Random Assignment"];
    B --> C["Group-A: Open Conventional Technique n=50"];
    B --> D["Group-B: Plastibell Technique n=50"];
    C --> E["Perform Circumcision"];
    D --> E;
    E --> F["Post-operative Monitoring"];
    F --> G["Data Collection: Complications, Operating Time, Cosmesis"];
    G --> H["Data Analysis SPSS, Chi-square, t-test"];
    H --> I["Conclusion"];

Discussion

The Plastibell technique is technically easier, quicker to learn, and faster to perform, reducing parental anxiety. It also resulted in fewer complications, particularly bleeding, which is a significant concern in children due to their lower hemodynamic reserves. While both methods yielded acceptable cosmetic results, the Plastibell method demonstrated a statistically significant reduction in bleeding complications.

Key Findings

The mean operating time for the Open Conventional technique was 24.24±4.36 minutes, significantly longer than the Plastibell technique's 13.38±2.66 minutes (p=0.0001). Bleeding occurred in 14% of Group-A patients and 2% of Group-B patients (p=0.027). Infection rates were 4% in both groups (p=1.00). Cosmetic acceptance was high in both groups, with 96% in Group-A and 94% in Group-B (p=0.646).

Conclusion

Circumcision by the Plastibell technique is a relatively easy, quick to learn, and faster procedure with fewer complications, most notably bleeding, compared to the conventional open technique.

Fact Check

1. Operating Time: The study found the mean operating time for the Open Conventional technique was 24.24±4.36 minutes, while for the Plastibell method it was 13.38±2.66 minutes. This difference was statistically significant (p=0.0001).
2. Bleeding Rate: The bleeding rate was 14% in the Open Conventional group and 2% in the Plastibell group, a statistically significant difference (p=0.027).
3. Infection Rate: Both groups had an infection rate of 4%, which was statistically insignificant (p=1.00).

Mind Map

Loading PDF...

Loading Statistics...

DefinePK

Select Collection