Bipolar Electrosurgery Versus Thermocautery in Circumcision With Safe Anesthetic Techniques

Damanhour Teaching Hospital120 enrolled

Overview

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.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

OTHER

Masking

DOUBLE

Enrollment

120

Conditions

Circumcision

Interventions

Eligibility

Sex: MALEMin age: 1 MonthMax age: 12 Months

Medical Language ↔ Plain English

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

Outcomes

Primary Outcomes

Mean and Standard deviation of postoperative analgesic doses (mean±SD)

Number of analgesic doses given after the end of the operation

Time frame: 72 hours after the end of the operation

Secondary Outcomes

Mean and Standard deviation of Operative duration (minutes) (mean±SD)

Time from holding the penis till dresssing of the penis

Time frame: 2 minutes after the end of the operation

Number of participants and Rate of Intraoperative complications

Number of participants and Rate of: Tachycardia, Bradycardia, Laryngeal spasm, Hypoxia, Bleeding, Glans injury, and Vomiting.

Time frame: 2 minutes after the end of the operation

Number of participants and Rate of Postoperative complications

Number of participants and Rate of: Bleeding requiring surgical intervention, Penile edema, Wound infection, Meatal stenosis, and Trapped penis.

Time frame: 4 weeks after the end of the operation