African Journal of Paediatric Surgery About APSON | PAPSA  
Home About us Editorial Board Current issue Search Archives Ahead Of Print Subscribe Instructions Submission Contact Login 
Users Online: 339Print this page  Email this page Bookmark this page Small font size Default font size Increase font size 
Year : 2017  |  Volume : 14  |  Issue : 1  |  Page : 5-7

Is the plastibell of any haemostatic value after 24 h?

1 Department of Surgery, Paediatric Surgery Unit, Randle General Hospital, Lagos State Hospital Management Board, Surulere, Lagos, Nigeria
2 Department of Surgery, Paediatric Surgery Unit, College of Medicine, University of Lagos, Idi Araba, Lagos, Nigeria
3 Department of Surgery, Burns and Plastic Surgery Unit, College of Medicine, University of Lagos, Idi Araba, Lagos, Nigeria

Correspondence Address:
Dr. Adesoji O Ademuyiwa
Department of Surgery, Paediatric Surgery Unit, College of Medicine, University of Lagos, PMB 12003, Idi Araba, Lagos
Login to access the Email id

Source of Support: None, Conflict of Interest: None

DOI: 10.4103/ajps.AJPS_19_16

Rights and Permissions

Background: The Plastibell is the most popular circumcision method among mothers in our city. Haemorrhage is its major problem. At our centre, we have recorded many circumcision problems resulting from prolonged retention of the Plastibell ring and this study, therefore, sought to explore the ways of reducing complications resulting from prolonged retention of the ring. Patients and Methods: This was a prospective study, in which a total of sixty consecutive male neonates were recruited with all undergoing circumcision using the Plastibell device. Thirty patients were assigned to the subject group, in whom the Plastibell ring was removed by the investigator at 24 h while the other thirty constituted the control group whose Plastibell rings were allowed to fall off on their own. The patients selected were aged between 7 and 28 days. Results: Overall, 4 (6.6%) of the sixty neonatal circumcisions in this study were complicated by haemorrhage. There was minor bleeding in 3 (10%) of the thirty subjects and 1 (3.3%) of the thirty controls. There was no statistically significant difference between the groups (P = 0.3006). One patient each from the subject and control groups bled following slipped ligature a few hours after Plastibell circumcision. The other two patients in the subject group bled following the removal of the Plastibell ring at 24 h. All the bleeding episodes were effectively controlled within 5 min by firm digital pressure only administered through a piece of dry, sterile gauze. Conclusion: Post-circumcision haemorrhage was not significantly different between circumcised babies whose Plastibell rings were removed at 24 h and those in whom it was left to fall off on its own.

Print this article     Email this article
 Next article
 Previous article
 Table of Contents

 Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
 Citation Manager
 Access Statistics
 Reader Comments
 Email Alert *
 Add to My List *
 * Requires registration (Free)

 Article Access Statistics
    PDF Downloaded37    
    Comments [Add]    

Recommend this journal