Technical Considerations in Plastibell Circumcision in Neonates and Infants

Aim: To find out efficacy of plastibell circumcision and to establish certain technical considerations minimize complications. Study design: Cross-sectional Descriptive study Place duration study: Department Surgery, Aero Hospital Hassan Abdal from 1st September 2016 31st August 2020. Method: Total 400 infants neonates were included in present study. Children was taken upto six months age 1% lignocaine used as a source local anesthesia. Plastibell for under strict aseptic conditions. Parents allowed take child home after half hour retention the hospital follow up done one week circumcision. given telephonic access surgeon during this week. During baby examined, results recorded complications treated if any. Results: Ring block using provided adequate pain relief infants. There 345 boys brought first month their life while 55 between age. Six patients had post-operative bleeding immediate post op period two presented 12 hours with which needed removal maintenance hemostasis. The mean time detachment 06 days (range 03-12 days). ctuck few needs be removed early. Paracetamol also post-operatively an oral analgesia relief. Two infection detachment. foreskin every boy except one. Handling babies easy mothers. Conclusion: proved effective method points like size plastibell, use bipolarcautery, hemostasis frenular area, threading around are properly care off. Keywords: Circumcision, Plastibell, Neonate, Infant, Lignocaine, Frenular, Foreskin