ESPU Congress 2018 - Abstract Book

102 29 th CONGRESS OF THE ESPU 16:42–16:45 S12-3 (PP) RE-AUDIT OF EARLY COMPLICATION ESPECIALLY IMPACTION OF DISPOSABLE DEVICE: IMPROVING OUTCOMES OF CIRCUMCISIONS WITH PLASTIBELL AND CIRCUMPLAST RINGS IN CHILDREN IN A COMMUNITY CLINIC Abdul Rauf KHAN, Mohammed AMIN, Darrel GREGORY, Samantha HARRISON and Murtaza KHANBHAI Thornhill Circumcision Centre, GP surgery, Luton, UNITED KINGDOM PURPOSE To evaluate the early postoperative complications particularly impaction of disposable devices in children’s circumcision procedures under local anaesthesia between different age groups, size and types of rings, and different doctors in a community clinic. MATERIAL AND METHODS In our re-audit, the outcome of circumcisions (n=1449) was studied over a 1 year period (May 2016 to April 2017) performed under local anaesthesia, by trained doctors in a community clinic doing Circumplast Circumcisions (CC)(n=470) and Plastibell circumcisions (PC)(n=979). Data was collected prospectively and early postoperative complications especially ring impaction were compared between age of the child, size and types of device, and doctors who have performed the circumcision. Follow-up was arranged if required. RESULTS The mean age was 6.5±0.4 months (median 1.6). Overall complication rate was 6.7 % (97/1449). There is no significant difference in overall complications rate in CC (7 %n=33/470) versus PC (6.5 %n=64/979) (p>0.5). Although ring impaction is significantly lower in CC (0.4 %n=2/470) versus PC (3.4 %n=33/979) (p<0.05) but it has significantly improved from the previous audit (CC 3.2 % n=7/208 versus PC 8.7 % n=102/1179 – ESPU 2016). There is significantly lower incidence in ring impaction with Plastibell size 1.4 as compared to 1.3, 1.5 and 1.7. There is no impaction in 1.1 and 1.2 sizes. Ring impaction was significantly lower in infants versus over 1 year child (1.5 % vs 10 % n= 19/1280 vs 17/169, p<0.5) respectively. There is no significant difference in complica- tions (8.5 %, 7.1 %, 6.5 %, 5.8 % and 5 %) among the five doctors’ cases (p>0.5). Mean follow-up for 354 (24 %) children were 14 days (median 6). CONCLUSIONS This concludes that no significant difference noted in overall early complications of circumcisions between age of the child, size and types of device used, and among different doctors. However, ring impaction was significantly lower in infants, Plastibell size 1.4 and Circumplast. 16:45–16:54 Discussion