whereas in plastic clamp group it was 2,475 (33%)(
0.01, Fig.3).The most common complication encountered afterminimally invasive circumcision technique was buriedpenis, which was accepted as healing of wound edgesabove the glans penis and causing a constrictive ring at thislevel resulting in phimosis. This complication occured atsimilar rate in both circumcision groups. The childrenbelow 2 years age, and over 95 percentile weight werefound to be under the risk of buried penis. Among thechildren circumcised with plastic clamp technique, theincidence of buried penis was 1.04% (
78, 60 of themunder age of 2). Three out of 78 children underwent sur-gical revision in the plastic clamp group (3.8%). Two of thechildren requiring surgical revision were under 2 years of age and one older than 2 years. Buried penis was observedin 68 children who underwent conventional circumcision(1.2%), which was similar to the percentage observed afterplastic clamp technique (
0.05). On the other hand, thenumber of children requiring surgical revision was 50(74%) in the conventional circumcision group which wassigniﬁcantly higher than that of the plastic clamp group(
0.001).The second complication observed after plastic clampcircumcision was infection. Pain around the wound 3 daysafter the circumcision, as well as hyperaemia and oedema
Circumcision with Ali’s clamp
Initially the penile skinwhich will be excised is marked with a sterile marking pen.
Ventralpart of the penis was marked so as to leave longer skin at this region.
After completion of the marking, the foreskin is dilated with ahemostate and retracted completely to expose the glans.
Accordingto size of the glans, an appropriate size of inner plastic tube is placed.
Following the placement of the inner tube, retracted foreskin ispulled over this tube to let the foreskin lie on the outer side andleaving the glans inside of the tube.
A second white outer plasticring was then placed over the foreskin and placed exactly at theborder which was initially marked.
The outer plastic ring waslocked after being sure that it was exactly covering the previouslymarked border.
The foreskin being squeezed between the inner tubeand the outer ring was consequently excised with a number 15surgical blade
The percentage of children using diapers in the plastic clampgroup (33%,
2,475) was signiﬁcantly higher than the children inconventional circumcision group (14%,
0.01)Pediatr Surg Int