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Clinical Investigation Poster.pptx
1.
RESEARCH POSTER PRESENTATION
DESIGN © 2012 www.PosterPresentations.com RESEARCH POSTER PRESENTATION DESIGN © 2019 www.PosterPresentations.com The common complications of Plastibell are slippage, migration, bleeding and serious infection. We investigated the performance of Magic Ring (a modified Plastibell device) for circumcision in children to reduce its risk of complication. Introduction This was a retrospective study of 52 children circumcised in Muslimat Public Hospital, Ponorogo. They had a modified Plastibell circumcision designed to reduce risk of complications of standard Plastibell devices (slippage, migration, bleeding, secondary infection, and pain from trapped frenulum). Some modifications were made such as deeper canal to ensure faster drop-off interval, ligation by surgical thread around the canal to reduce bleeding risk and secondary infection, and upsizing the device 2-4mm above the glan’s diameter to prevent slippage and migration. Patients were followed up everyday up to 8 weeks after the procedure. Outcome measures were evaluated such as slippage & migration rate, bleeding rate, infection rate, and pain scale Materials and Method Circumcision using the Modified Plastibell Device reduced the overall complication rate to 1,9 % including a case of postoperative bleeding caused by excessive physical activity, compared to our previous data. There were no cases of migration and slippage reported. No patient experienced infection and moderate to severe pain. All enrolled patients were satisfied with the postoperative outcome. Resulit Conclusion It might come as a solution to reduce risks associated with standard Plastibell usage in circumcision patients as it shows lower bleeding, slippage, and migration rate and better pain scale. References • World Health Organization (2010). Manual for early infant male circumcision under local anaesthesia. WHO Library Cataloguing-in-Publication Data. • World Health Organization (2012). Framework for clinical evaluation of devices for male circumcision. WHO Press. • Indonesian Medical Council (2012). Standar Kompetensi Dokter Indonesia. Indonesian Medical Council. • Hammed A, Helal AA, Badway R, Goda SH, Yehya A, Razik MA, et al. Ten years experience with a novel modification of plastibell circumcision. Afr J Paediatr Surg 2014;11:179-83. • Mavhu W, Larke N, Hatzold K, Ncube G, Weiss HA, Mangenah C, et al. Safety, acceptability, and feasibility of early infant male circumcision conducted by nurse- midwives using the AccuCirc device: results of a field study in Zimbabwe. Glob Health Sci Pract. 2016; 4 Suppl 1:S42-S54. http://dx.doi.org/10.9745/GHSP-D-15-00199 • Jiang M. et al.: Clinical trial of a circumcision device. Med Sci Monit, 2014; 20: 454-462 • Ravisankar G. Pillai & Ziad Al Naieb (2015) Plastibell circumcision supported by a calcium-alginate fibre dressing to reduce bleeding, Arab Journal of Urology, 13:3, 179- 181, DOI: 10.1016/j.aju.2015.04.001 • Brian J. Morris and Chris Eley (2011). Male Circumcision: An Appraisal of Current Instrumentation, Biomedical Engineering - From Theory to Applications, Prof. Reza Fazel (Ed.), ISBN: 978-953-307-637-9, InTech, • Lazarus J, Alexander A, Rode H: Circumcision complications associated with the Plastibell device. S Afr Med J. 2007; 97: 192-3. • Sörensen SM, Sörensen MR: Circumcision with the Plastibell device. A long-term follow- up. Int Urol Nephrol. 1988; 20: 159-66. • Mousavi SA, Salehifar E: Circumcision Complications Associated with the Plastibell Device and Conventional Dissection Surgery: A Trial of 586 Infants of Ages up to 12 Months. Adv Urol. 2008: 606123. • Nguyen TT, et. Al : Avoidance of general anesthesia for circumcision in infants under 6 months of age using a modified Plastibell technique. Pediatric Surgery International (2019) 35:619–623 • S. A. Mousavi, E. Salehifar2. (2008). Circumcision Complications Associated with the Plastibell Device and Conventional Dissection Surgery: A Trial of 586 Infants of Ages up to 12Months. Hindawi Publishing Corporation Advances in Urology Volume 2008. • V. Palit, D. K. Menebh, I. Taylor, et al. (2007) A unique service in UK delivering Plastibell circumcision: review of 9-year results. Pediatr Surg Int 3:45–48 DOI 10.1007/s00383- 006-1805-6 • B. M. Jimoh, I. S. Odunayo, I. Chinwe, et. al. (2016) Plastibell circumcision of 2,276 male infants: a multi-centre study. Pan African Medical Journal, Acknowledgement / Contact • Lutfi Aulia Rahman, MD (+6285645892496) • Riza Mazidu, MD (+6285655402544) Lutfi A Rahman (1), Riza Mazidu (2) (!) Muslimat Public Hospital, Ponorogo Clinical Investigation of Magic Ring (Modified Plastibell Device) for Circumcision Discussion The Magic Ring had some modifications made from the original Plastibell such as deeper canal to ensure faster drop-off interval, ligation by surgical thread around the canal to reduce bleeding risk and secondary infection, and upsizing the device 2-4mm above the glan’s diameter to prevent slippage and migration.
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