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Abstract：
Background The Plastibell technique is one of the most commonly performed procedures used for male circumcision (MC) and is in practice throughout the world. It is a procedure done under local anaesthesia, mostly on infants. The results of the technique have been evaluated in many studies throughout the world. We have done a series of cases and present the results of our retrospective descriptive study. The objective of this study was to describe the outcomes of circumcision performed via the Plastibell technique. Materials and methods This retrospective descriptive study was conducted at the Surgical A Unit, Khyber Teaching Hospital, Peshawar from July 2013 to June 2021. Clinical records of the infants who underwent circumcision were collected. Infants under the age of six months brought by their parents were included in the study. Infants whose parents requested methods other than Plastibell and infants with bleeding disorders or a family history of such disorders were excluded from the study. The indication for circumcision was for religious reasons in all cases. Post-operative complications were noted in all cases. Results A total of 364 male babies under the age of six months (mean age 43.5±15 days) underwent circumcision with the Plastibell technique. The mean operative time was 11.3±3.7 minutes. The time it took for the ring to fall off was 7.8±3.04 days. In one case, primary haemorrhage required exploration and diathermy of the bleeder. Oedema occurred in 76(20.8%) of the babies. Adhesions of the foreskin with the glans were formed in 3(0.82%) cases. Conclusion Male circumcision is one of the oldest surgical procedures performed. Several methods are in practise in this regard. The results of our study showed that circumcision with the Plastibell method is safe and has fewer side effects.
摘要：
背景技术Plastibell技术是用于男性包皮环切术(MC)的最常用的程序之一,并且在全世界实践。这是在局部麻醉下进行的手术，主要是婴儿。该技术的结果已在世界各地的许多研究中进行了评估。我们做了一系列的案例，并提出了我们的回顾性描述性研究的结果。这项研究的目的是描述通过Plastibell技术进行包皮环切术的结果。材料和方法这项回顾性描述性研究是在外科A室进行的，开伯尔教学医院,白沙瓦从2013年7月到2021年6月。收集接受包皮环切术的婴儿的临床记录。该研究包括由父母带来的六个月以下的婴儿。父母要求除Plastibell以外的方法的婴儿和患有出血性疾病或此类疾病家族史的婴儿被排除在研究之外。在所有情况下，割礼的迹象都是出于宗教原因。所有病例均出现术后并发症。结果364例6个月以下(平均年龄43.5±15天)的男婴采用Plastibell技术行包皮环切术。平均手术时间为11.3±3.7分钟。戒指脱落的时间为7.8±3.04天。在一个案例中,原发性出血需要对出血进行探查和透热治疗。76例（20.8%）婴儿出现水肿。3例（0.82%）包皮与龟头粘连。结论男性包皮环切术是最古老的手术方法之一。在这方面有几种方法在实践中。我们的研究结果表明，使用Plastibell方法进行包皮环切术是安全的，副作用较少。
