Comparison between Thermocautery Assisted and Classic Scalpel Gomco Clamp Circumcision in Neonates and Infants | ||
| Ain Shams Journal of Surgery | ||
| Volume 18, Issue 4, October 2025, Pages 309-317 PDF (561.28 K) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/asjs.2025.401004.1217 | ||
| Authors | ||
| Peter Adel Zaki Gerges1; Mahmoud Tarek Mohamed2; Sherif Nabhan Kaddah1; Mahmoud Marei Marei* 2 | ||
| 1Paediatric Surgery Department, Armed Forces College of Medicine, Cairo, Egypt | ||
| 2Paediatric Surgery Section/Units, Departments of General Surgery, Cairo University, Faculty of Medicine, Cairo University Specialized Pediatric Hospital (CUSPH) and Cairo University Children’s Hospital (Abu El-Reesh El-Mounira), Cairo, Egypt | ||
| Abstract | ||
| Introduction: Circumcision in male children is a frequently performed surgical procedure that may be associated with certain complications. Aim of work: To compare thermocautery-assisted circumcision (TCC) with classic scalpel circumcision (CSC) in neonates and infants. Patients and methods: In this comparative interventional study, 215 infants ≤3 months were categorized into TCC (n=138) and CSC (n=77) groups. Pain scores and complications were assessed postoperatively. Results: Group A had an average age of 42.2 ± 26.9 days, while Group B had an average age of 37.7 ± 26.6 days. Bleeding was significantly lower in TCC (2.2%) than CSC (14.3%, P<0.001). Moderate and severe edema were higher in TCC (P<0.05). Among neonates ≤30 days, mean pain scores were greater in TCC (6.5±0.7) vs. CSC (6.0±0.8; P=0.006), but no significant pain differences were found in older infants. Conclusion: Thermocautery circumcision reduced bleeding risk but increased moderate-to-severe edema and neonatal pain scores compared to the scalpel technique. | ||
| Keywords | ||
| Thermocautery; post-circumcision pain; FLACC behavioral pain scale; neonatal facial coding system; post-circumcision bleeding | ||
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