Clinical effect of two-person of and one-person operations of disposable circumcision stitching instrument

Abstract

Objective To compare the clinical effect of two-person operations of disposable circumcision stitching instrument and one-man operations of disposable circumcision stitching instrument. Methods Clinical data of 340 patients with redundant prepuce or phimosis from March 2015 to August 2017 were randomly divided into control group which patients with two-person operation of disposable circumcision stitching instrument and study group which patients with one-man operation of disposable circumcision stitching instrument were reviewed prospectively.There were 188 patients in the study group, including 22 patients with phimosis and 166 patients with redundant prepuce; Among the 152 patients in the control group, there were 17 cases with phimosis and 135 cases with redundant prepuce.Two groups with operation time, intraoperative blood loss, postoperative skin staple missing, 2 hours postoperative pain, postoperative edema, the swelling subsided time, postoperative complications, postoperative patient satisfaction, and so on. Measurement data were represented as ±s, and comparison between groups was analyzed using t test; count data were represented as percentage and comparison between groups was analyzed chi-square. Results All operations were finished successfully for the patients by two-person or one-man of operations of disposable circumcision stitching instrument.In terms of operation, the operation time of the observation group and the control group was (7.76±0.45) minutes and (7.86±0.91) minutes respectively, and the difference was not statistically significant(P>0.05). Intraoperative hemorrhage of observation group and control group were (1.77 ± 0.22) ml and (1.72± 0.26) ml, and the difference was not statistically significant(P>0.05). There was no statistically significant difference between the observation group and the control group (P>0.05)in the postoperative 2 hours pain score and skin staple missing.In the postoperative complications, the deviation rate of the prepuce was 1.11%, significantly lower than the control group 5.92%, and the difference was statistically significant (P<0.05). There was no statistically significant difference between the observation group and the control group in terms of edema on the third postoperative day, short postoperative anastomosis, patient satisfaction, and postoperative infection. Conclusion The way of one-man operation of disposable circumcision stitching instrumente not only saves labor costs, but also has a good postoperative clinical effect, meanwhile, it has high efficiency and strong operability, and is worthy of promotion for clinical first-line urologists. Key words: Circumcision, male; Surgical staplers; Phimosis; Redundant prepuce