Safety profi le of open versus bone cutt er circumcision

Abstract

Objectives: To compare open and bone clamp circumcision in terms of complication such as bleeding and infection to fi nd out a bett er method of circumcision. Study design: Randomized control trial (true experimental study) Sett ing and duration of the study: Surgical unit of Sheikh Khalifa bin Zayed/Combined Military Hospital (SKBZ/CMH), Muzaff arabad, Azad Kashmir. From June 2016 to July J 2018 Material & Methods: It was a true experimental of study (randomized control trial), conducted at the surgical unit of SKBZ/CMH, Muzaff arabad, Azad Kashmir. From June 2015 to July 2017. Total 150 patients were selected from the out patient department of the surgical unit on the basis of purposive (non-probability) type of sampling. Patients were divided into two groups according to random number table. Post-operatively tincture gause dressing was applied and oral cephradine (antibiotic) along with oral analgesia was prescribed to each patient. Parents were instructed to provide twice daily sitz bath and to follow up aft er one week, earlier if needed, to assess the complication of infection. Results: Total 150 patients were registered between the age of 1 month to 18 months. Total 7% of all the patients got signifi cant bleeding out of which 4% were in group-A, and 3% were in group-B, and total 5% of all the patients got infection, of which 3% in group-A and 2% in group-B. Group-A had circumcision by open method and group-B had circumcision by bone cutt er method. Conclusions: Th e study concludes that there is no signifi cant diff erence between the two methods in terms of complications like bleeding and infection. So both of these procedures can be performed for circumcision but by trained people and under hygienic conditions with sterilized instruments.