EFFICACY OF DORSAL SLIT AND BIPOLAR METHOD IN CIRCUMCISION AND ITS OUTCOME – A PROSPECTIVE STUDY
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Abstract
Introduction: Circumcision, a surgical procedure with historical, cultural, and medical significance, has evolved over time, incorporating various techniques. The conventional dorsal slit and bipolar diathermy methods represent two distinct approaches to this practice, each with its unique attributes and potential implications. In contemporary medical discourse, the choice between these methods necessitates careful consideration of their respective advantages and complications.This prospective study aimed to investigate and compare the efficacy and outcomes of the conventional dorsal slit and bipolar diathermy methods in circumcision.
Methods: A total of 100 patients, ranging from 6 months to 60 years, underwent circumcision over a one-year period. Randomization into Group A (conventional dorsal slit) and Group B (bipolar diathermy) was achieved using a coin toss method. Adhering to ethical guidelines, surgical procedures were conducted under local anesthesia. Outcome measures included bleeding (categorized as mild, moderate, or severe), infection presence or absence, and operative time. Statistical analysis employed SPSS 24, with a p-value less than 0.05 considered statistically significant.
Results: The bipolar method exhibited a significantly lower incidence of bleeding (3.1%) compared to the conventional dorsal slit technique (19.7%) with a p-value of 0.002. However, no statistically significant difference in infection rates was observed between the two methods (p-value = 0.34), with both groups showing low infection rates (2.7% in conventional and 1.3% in bipolar). Operative time for the bipolar technique was significantly reduced (mean 8.2 minutes) compared to the conventional method (mean 15.2 minutes).
Conclusion: This study contributes to the ongoing discourse on circumcision methods by supporting the superiority of the bipolar diathermy technique over the conventional dorsal slit in terms of reduced postoperative bleeding and shorter operative time. While infection rates were comparable, the findings advocate for the integration of the bipolar diathermy probe into routine circumcision practices, emphasizing its potential to enhance efficiency and decrease complication rates
References
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Vimal Raj.C
Surgery resident, Department of General Surgery, SVMCH&RC, Pondicherry
Indrajit Anandakannan
Assistant professor, Department of General Surgery, Sri venkateshwaraa medical college hospital and research centre (SVMCH& RC), Pondicherry. Phone (or Mobile) No.: +91-9486752808
Selvakumar K
Professor and Head of the Department, Department of General Surgery, SVMCH &RC, Pondicherry
Gowthaman.M.D
Assistant professor, Department of General Surgery, SVMCH&RC, Pondicherry c-
Lochan Thanigachalam
Surgery resident, Department of General Surgery, SVMCH&RC, Pondicherry