Circumcision; A Comparative Study Between ZACH Self-Locking Clamp & Bone Cutter

Abstract

Background: The circumcision has been performed for religious, ethnic and medical response. In Pakistan 85%-90% of circumcisions are performed by traditional circumcisers. The surgical technique for circumcision involves traditional bone cutter. Objective: To compare the results of one of the most commonly performed surgical procedure, circumcision, by bone cutter and ZACH self-locking circumcision clamp method in terms of complications such as trauma to glans, bleeding and infection along with cosmetic outcome. Study Design: Randomized control trial. Settings: Department of Surgery in Allied Hospital, Faisalabad Pakistan. Duration: September 2018 to November 2019. Methodology: Total 160 patients were selected from OPD on the basis of non-probability consecutive sampling. After careful history taking and physical examination, patients fulfilling the criteria were identified into two equal groups, one underwent circumcision with Bone Cutter and the other with Zach self-locking circumcision clamp. Parents were instructed to follow up in the surgical OPD after seven days for assessment and earlier in case of any complication. Results: There was significant difference in terms of bleeding, superficial infection, cosmetic appearance and trauma to glans (P-value > 0.05). Conclusion: Zach self-locking clamp proved to be safe and effective technique with reproducible results as compared to bone cutter.