Bipolar circumcision: A new technique for an old procedure with quantified cosmetic outcome.
Bipolar
circumcision
quantified outcome
Journal
African journal of paediatric surgery : AJPS
ISSN: 0974-5998
Titre abrégé: Afr J Paediatr Surg
Pays: India
ID NLM: 101255062
Informations de publication
Date de publication:
Historique:
entrez:
3
8
2021
pubmed:
4
8
2021
medline:
20
8
2021
Statut:
ppublish
Résumé
Circumcision using bipolar diathermy is well established and used widely. It seems to be superior in terms of post operative complications. The cosmetic outcome of the procedure has never been quantitatively described though. To describe a modification to performing circumcision with bipolar that involves applying four clamps to the foreskin as it is being amputated with the bipolar so that a consistent length of the mucosal cuff can be obtained with a single almost bloodless cut. Prospective case series of all patients circumcised using the 4 clamps traction and bipolar cut technique. The cosmetic outcome was assessed in terms of the length of the mucosal cuff in absolute numbers and in proportion to the penile and glanular length. Seventy four patients were recruited with a median age of 3.5 months. No complications were encountered. The average length of the penis was 40 ± 13 mm and the glans 12 ± 3.6 mm. The average length of the mucosal cuff was 8.4 ± 2.9 mm, and the proportion to total penile length was 21.1% ± 4.7% and to glans length 72% ± 24.1%. The four clamp traction method with bipolar circumcision is safe and has a satisfactory cosmetic outcome.
Sections du résumé
BACKGROUND
BACKGROUND
Circumcision using bipolar diathermy is well established and used widely. It seems to be superior in terms of post operative complications. The cosmetic outcome of the procedure has never been quantitatively described though.
AIMS
OBJECTIVE
To describe a modification to performing circumcision with bipolar that involves applying four clamps to the foreskin as it is being amputated with the bipolar so that a consistent length of the mucosal cuff can be obtained with a single almost bloodless cut.
METHODS
METHODS
Prospective case series of all patients circumcised using the 4 clamps traction and bipolar cut technique. The cosmetic outcome was assessed in terms of the length of the mucosal cuff in absolute numbers and in proportion to the penile and glanular length.
RESULTS
RESULTS
Seventy four patients were recruited with a median age of 3.5 months. No complications were encountered. The average length of the penis was 40 ± 13 mm and the glans 12 ± 3.6 mm. The average length of the mucosal cuff was 8.4 ± 2.9 mm, and the proportion to total penile length was 21.1% ± 4.7% and to glans length 72% ± 24.1%.
CONCLUSION
CONCLUSIONS
The four clamp traction method with bipolar circumcision is safe and has a satisfactory cosmetic outcome.
Identifiants
pubmed: 34341300
pii: AfrJPaediatrSurg_2021_18_4_187_322770
doi: 10.4103/ajps.AJPS_108_20
pmc: PMC8423166
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
187-189Déclaration de conflit d'intérêts
None
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