Circumcisor: An Instrument for Circumcision

Abstract

Introduction: Circumcision is a common procedure in surgical practice. However, the operation sometimes brings about poor outcome when using conventional technique of "clamp and cut" with arterial forceps and metzenbaum scissors. The unsatisfactory look of asymmetrical cut of the right and left wing of prepuce and the difficult hemostasis that renders post-operative wound hematoma are the problems of this technique. To solve these problems, an instrument "Circumcisor" is invented.

Materials and Methods: Circumcisor is a medical device designed for circumcision in adult patients. The instrument consists of two parts, the stand and the splint. The stand is a cylindrical tube with expanded circular base. It has spiral grooves at its outer surface. The splint is also a cylindrical tube with spiral grooves at its inner surface that matches with the outside grooves of the stand. Below the upper end of the splint there are two circular grooves indicating the cutting line. The two parts are connected together before applying to the patient. Circumcisor was applied in 21 adult patients who underwent circumcision at 4 hospitals (10 cases at Kamphaengphet Hospital, I case at Lopburi cancer center, 5 cases at Rajthanee Hospital and 5 cases at Petcharat Hospital) during January 1, 2000 to April 30, 2005.

Results: The operative time ranged from 45 to 50 minutes. There was no complication in this study. The wound healed well with smooth and equal cutting line. Patients were satisfied with the cosmetic appearance.

Conclusions: Circumcisor is a new medical device for adult circumcision. It is easily applied. It provides good hemostatic control and give a satisfactory result.