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Comparative Study of Patient Satisfaction Between Traditional and Modified Plastibell Method for Circumcision in a Tertiary Care Centre


Affiliations
1 Former PG Resident, Department of General Surgery, Dr. Vasantrao Pawar Medical College Hospital and Research Centre, Nashik - 422003, Maharashtra, India
2 Associate Professor, Department of General Surgery, Dr. Vasantrao Pawar Medical College, Hospital and Research Centre, Nashik - 422003, Maharashtra, India
 

Introduction: Phimosis is Inability to retract prepuce. At birth the foreskin is normally adherent to the glans penis. Incidence of pathological phimosis is 0.6%. Circumcision is a very old procedure. Any technique for surgery can be applied but rate of morbidity should be low. Materials and Methods: Study conducted in Department of surgery of a tertiary care hospital. Data collection of selected patients with relevant history, clinical examination, appropriate investigation and surgical intervention were included. Results: Study was conducted with 116 subjects with mean age of 3.1 years with surgery done by the dorsal slit method and mean age of 3.7 years by plastibell method. The average duration for dorsal slit procedure to complete is 15.7 minutes and for plastibell is 12.2 minutes. Mean blood loss occurred in dorsal slit method is 9.0 while that in plastibell is 6.0. Frequency of surgical site infection in dorsal slit method is 5.2% while that in plastibell method is 6.9%. Post-operative heamorrhage seen in dorsal slit method is 5.2% while that in plastibell is 1.7%. 89.7% of parents satisfied with dorsal slit method while 96.6% parents were satisfied with modified plastibell method. Conclusion: Study showed that plastibell has advantage of shorter time for surgery and relatively lower risk of post-operative bleeding when compared with dorsal slit method of circumcision. The cosmetic outcome as judged by parental satisfaction was also better with plastibell technique.

Keywords

Dorsal Slit Method, Cosmetic Outcome, Modified Plastibell Method, Phimosis
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  • Comparative Study of Patient Satisfaction Between Traditional and Modified Plastibell Method for Circumcision in a Tertiary Care Centre

Abstract Views: 310  |  PDF Views: 82

Authors

Ashish Namdeo Gavade
Former PG Resident, Department of General Surgery, Dr. Vasantrao Pawar Medical College Hospital and Research Centre, Nashik - 422003, Maharashtra, India
Mandar Vaidya
Associate Professor, Department of General Surgery, Dr. Vasantrao Pawar Medical College, Hospital and Research Centre, Nashik - 422003, Maharashtra, India

Abstract


Introduction: Phimosis is Inability to retract prepuce. At birth the foreskin is normally adherent to the glans penis. Incidence of pathological phimosis is 0.6%. Circumcision is a very old procedure. Any technique for surgery can be applied but rate of morbidity should be low. Materials and Methods: Study conducted in Department of surgery of a tertiary care hospital. Data collection of selected patients with relevant history, clinical examination, appropriate investigation and surgical intervention were included. Results: Study was conducted with 116 subjects with mean age of 3.1 years with surgery done by the dorsal slit method and mean age of 3.7 years by plastibell method. The average duration for dorsal slit procedure to complete is 15.7 minutes and for plastibell is 12.2 minutes. Mean blood loss occurred in dorsal slit method is 9.0 while that in plastibell is 6.0. Frequency of surgical site infection in dorsal slit method is 5.2% while that in plastibell method is 6.9%. Post-operative heamorrhage seen in dorsal slit method is 5.2% while that in plastibell is 1.7%. 89.7% of parents satisfied with dorsal slit method while 96.6% parents were satisfied with modified plastibell method. Conclusion: Study showed that plastibell has advantage of shorter time for surgery and relatively lower risk of post-operative bleeding when compared with dorsal slit method of circumcision. The cosmetic outcome as judged by parental satisfaction was also better with plastibell technique.

Keywords


Dorsal Slit Method, Cosmetic Outcome, Modified Plastibell Method, Phimosis

References





DOI: https://doi.org/10.18311/mvpjms%2F2020%2Fv7i2%2F24658