COMPARISON BETWEEN TWO METHODS OF CIRCUMCISION- CONVENTIONAL (DORSAL SLIT AND EXCISION) VS. GUILLOTINE
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2018, Vol 7, Issue 31
Abstract
BACKGROUND Circumcision is the surgical removal of the prepuce (foreskin), either in whole or in part. Religion, cultural, medical and recently public health reasons are known to be the major indications of the procedure.(1,2) Circumcision is one of the commonest procedures done now-a-day by surgeons. Various methods of circumcision are dorsal slit technique, plastibell technique, hollister bell technique, Guillotine method, sleeve technique etc. Each method has its own advantage as well as disadvantage. So, we have done a comparative study between two methods of circumcision namely Conventional (Dorsal Slit Method) and Guillotine for various aspects. MATERIALS AND METHODS Study was non-randomised controlled trial including 131 patients. Group A underwent circumcision by Conventional method (i.e. Dorsal slit) and Group B underwent by Guillotine method. The study and the sample size were taken for convenience during the study. RESULTS Post-operative pain would be moderate in majority of patients with Guillotine circumcision as compared to mild pain in Conventional circumcision on post-operative day 3. On long follow-up, pain was less with Conventional method (3.04%) compared to Guillotine method (26.15%). Post-operative oedema was less with Conventional method (1.52%) compared to Guillotine method (26.15%). Cosmetic appearance was better with Conventional method (72.21%) compared to Guillotine method (44.61%) on long follow-up. CONCLUSION Conventional method has a statistically and clinically less pain, less post-operative complication and better cosmetic outcome compared to Guillotine method on one-month follow-up. So, Conventional (i.e. Dorsal slit) method should be preferred over Guillotine method for circumcision.
Authors and Affiliations
Ashwinkumar Shankerdan Gadhvi, Kamlesh Jamanadas Galani, Bhargav Ashwinbhai Trivedi
Keywords
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- EP ID EP539079
- DOI 10.14260/jemds/2018/777
- Views 82
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