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comparing the outcomes of using bipolar scissors for male circumcision to the classic scalpel method
A prospective, randomized study, comparing two different techniques for pediatric male circumcision: the bipolar diathermy scissors technique with that of a classic scalpel technique. Study included male infants from 40 days old up to 18 month old. They were reviewed regarding Operative time, bleeding, complications, postoperative pain and morbidity. Differences in the outcome were compared.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Bipolar scissors group | Active Comparator | Group of male infants undergoing circumcision using bipolar scissors to separate the foreskin |
|
| Classic scalpel group | Active Comparator | Group of male infants undergoing circumcision using classic scalpel to separate the foreskin, and sutures to control bleeding |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Bipolar scissors | Procedure |
| ||
| classic scalpel |
| Measure | Description | Time Frame |
|---|---|---|
| Post-operative bleeding | occurrence of active bleeding after circumcision | A week |
| Measure | Description | Time Frame |
|---|---|---|
| Post-operative pain | pain after operation as assessed and described by parents (through a questionnaire) by the Neonatal/Infant Pain Scale (NIPS): It is composed of six (6) indicators.
|
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Inclusion Criteria:
Exclusion Criteria:
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| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 19853772 | Background | Mendez-Gallart R, Estevez E, Bautista A, Rodriguez P, Taboada P, Armas AL, Pradillos JM, Varela R. Bipolar scissors circumcision is a safe, fast, and bloodless procedure in children. J Pediatr Surg. 2009 Oct;44(10):2048-53. doi: 10.1016/j.jpedsurg.2009.06.008. |
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Comparing Outcomes of two different surgical techniques between two groups
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|
| A week |
| wound complications | occurrence of infection, necrosis or skin loss around wound | Two weeks |
| Cosmetic outcome | Presence or absence of scar | Two month |
| Operative time | Duration of procedure of both techniques | Operative time |
| Over or under correction | Excessive or insufficient removal of foreskin (presence of redundant skin or compression of penile length) | 2 month |