Plastibell-A Quick Technique to Decrease the Distress of Neonatal circumcision.

Abstract

Circumcision remains the most common operation performed on males in many parts of the world. The pain management for this procedure proves to be helpful but not perfect. It was noticed that by reducing the time of completion of the procedure the suffering of the neonate was reduced during circumcision. I described my experience and technique of plastibell circumcision. Which was done safely, in a shorter period of time in spite of being performed by a single handed operator. The study was conducted at Lady Wellingdon Hospital Lahore, including the technique and the results of the neonatal circumcisions that were performed by using the plastibell in all of them. In Eight months, loo plastibell circumcisions were performed. The total distress time was 3 to 4 minutes. The overall complications was 2% and consisted of mainly bleeding and infection which were managed without major consequences. The use of the plastibell seems to be superior technique for neonatal circumcision. It provides excellent cosmetic results with few and mild complications.