Thermo-Cautery versus Suturing Technique in Circumcision | ||
| The Medical Journal of Cairo University | ||
| Volume 93, Issue 09, September 2025, Pages 1487-1494 PDF (588.62 K) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/mjcu.2025.464476 | ||
| Author | ||
| MO’MEN I. ALMINYAWI, M.D.; MAHER F. BADR, M.D. MOHAMED A. DORBOK, M.D. | ||
| The Department of General Surgery, Damanhour Medical National Institute, Damanhour, El Beheira | ||
| Abstract | ||
| Background: Circumcision is among the oldest and most common surgical procedures, usually performed for religious and traditional reasons. While many methods of circumcision are defined in the literature, there is no consensus on one ideal method. Aim of Study: To compare thermo-cautery versus sutur-ing techniques for infant circumcision under local anesthesia regarding operative time, intraoperative bleeding and compli-cations. Patients and Methods: The study was carried out in Gen-eral Surgery Department at Damanhour Teaching Hospital in the period between February 2024 and June 2025. It included 120 infants aged under 6 months. Infants were randomly di-vided into two equal groups (60 infants each); Group A under-went circumcision by thermo-cautery and Group B underwent circumcision by the conventional method (scalpel cutting and suturing for hemostasis). Results: The mean duration of surgery was significantly shorter in Group A. Intraoperative blood loss was nil in Group A compared to a measurable 2.24mL average loss in Group B. The analgesic requirements during the first two postoperative days were significantly higher in Group A. The overall compli-cation rates were comparable between both groups. Conclusion: Using thermo-cautery for cutting foreskin in infant circumcision is feasible, reliable and effective. It is su-perior to the conventional method of foreskin cutting by scal-pel. It is associated with an accepted slightly higher incidence of penile edema and requires more doses of postoperative an-algesia. | ||
| Keywords | ||
| Circumcision; Thermo-cautery; Suturing technique | ||
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