Circumcision
Conditions
Keywords
Circumcision, Electrosurgery, Thermocautery
Brief summary
Background: Circumcision is the most commonly performed surgical procedure done among the pediatric age group worldwide and is considered to be one of the oldest operations done. Circumcision should be performed properly with safe surgical techniques, with the least possibility of complications. Objective: To compare bipolar electrosurgery versus thermocautery in the circumcision of infants under combined general and local anesthesia. Patients and Methods: This prospective randomized comparative study was carried out on 110 infants who were candidates for elective circumcision under combined general and local anesthesia. Infants were randomly allocated into two equal groups (55 infants each); in group A, circumcised by bone-cutting forceps with cutting foreskin using a scalpel and achievement of hemostasis using bipolar electrosurgery, and in group B, circumcised by bone-cutting forceps with cutting foreskin and achievement of hemostasis using thermocautery.
Interventions
DEVICEBipolar Electrosurgery
Achievement of hemostasis using bipolar electrosurgery
DEVICEThermocautery
achievement of hemostasis using thermocautery
Sponsors
Damanhour Teaching Hospital
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
OTHER
Masking
DOUBLE (Subject, Outcomes Assessor)
Eligibility
Sex/Gender
MALE
Age
1 Months to 12 Months
Healthy volunteers
No
Inclusion criteria
* Infants of families who applied for circumcision * Age from 1 to 12 months, of the male sex * Infants should have normal preoperative laboratory investigations
Exclusion criteria
* Infants with congenital malformations especially hypospadias and epispadias, congenital inguinal hernia, and undescended testis * Infants with acute penile infection, or excess suprapubic fat * Infants with cardiovascular, neurological, respiratory, liver, renal, endocrine, blood, or immune diseases * Allergy to any drug will be used in this study
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Mean and Standard deviation of postoperative analgesic doses (mean±SD) | 72 hours after the end of the operation | Number of analgesic doses given after the end of the operation |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Mean and Standard deviation of Operative duration (minutes) (mean±SD) | 2 minutes after the end of the operation | Time from holding the penis till dresssing of the penis |
| Number of participants and Rate of Intraoperative complications | 2 minutes after the end of the operation | Number of participants and Rate of: Tachycardia, Bradycardia, Laryngeal spasm, Hypoxia, Bleeding, Glans injury, and Vomiting. |
| Number of participants and Rate of Postoperative complications | 4 weeks after the end of the operation | Number of participants and Rate of: Bleeding requiring surgical intervention, Penile edema, Wound infection, Meatal stenosis, and Trapped penis. |
Countries
Egypt
Outcome results
None listed