Comparison of a CO2 (Carbon Dioxide) Laser and Tissue Glue with Conventional Surgical Techniques in Circumcision
Journal of Lasers in Medical Sciences,
Vol. 6 No. 1 (2015),
Introduction: CO2 (Carbon Dioxide) laser application in circumcision, for cutting and coagulation, has been reported to have excellent results. Also, tissue glue has been reported to have advantages over sutures for approximation of wound edges. Most previous studies focused on comparisons between CO2 laser and scalpel, or between tissue glue and sutures. This study prospectively compared the results and complications CO2 laser and tissue glue, with standard surgical techniques in circumcision.
Methods: Thirty boys were prospectively divided into two groups. Group 1 (n = 17) underwent circumcision by scalpel with approximation of the wound edges using chromic catgut sutures. Group 2 (n = 13) underwent circumcision with CO2 laser and approximation of the wound edges using tissue glue. Patient age, indications for surgery, operative time, wound swelling, bleeding, wound infection, local irritation, pain score, and cosmetic appearance were recorded.
Results: Group 1 had a significantly longer operative time (P= 0.011), higher rate of local irritation (P= 0.016), and poorer cosmetic appearance (P< 0.001) than group 2. Bleeding only occurred in one patient in group 1. There were no significant differences in pain score, wound infection rate, or cost of surgery between the two groups.
Conclusions: CO2 laser and tissue glue have advantages over standard surgical techniques in circumcision, with a significantly shorter operative time, lower rate of local irritation, and better cosmetic appearance. The cost of surgery is similar between the two groups.
- CO2 laser
- tissue glue
How to Cite
How ACSW, Ong CCP, Jacobsen A, Joseph VT. Carbon dioxide laser circumcisions for children. Pediatr Surg Int. 2003; 19: 11-3.
Xu Y, Li F, Li Z, Guan W, Wu Y, Ouyang Y, et al. A prospective, randomized controlled trial of circumcision in adult males using the CO2 laser: modified technique compared with the conventional dorsal-slit technique. Photomed Laser Surg. 2013; 31: 422-7.
Joseph VT, Yap TL Laser circumcision a novel technique for day-care surgery. Pediatr Surg Int. 1995; 10: 434-6.
M. Glotz. CO2 lasers. In: Berlien HP, Mueller GJ (eds). Applied laser medicine. Berlin: Springer; 2003. 33-6.
Asgari SA, Ghanaie MM, Falahatkar S, Niroomand H, Iran-Pour E, Safarinejad M. Pediatric sutureless circumcision without using skin closure adhesives. Urol J. 2012; 9: 423-8.
Tiwari P, Tiwari A, Kumar S, Patil R, Goel A, Sharma P et al. Sutureless circumcision - An Indian experience. Indian J Urol. 2011; 27:475–8.
Kelly BD, Lundon DJ, Timlin ME, Sheikh M, Nusrat NB, D’Arcy FT, et al. Paediatric sutureless circumcision-an alternative to the standard technique. Pediatr Surg Int. 2012; 28:305-8.
Lane V, Vajda P, Subramaniam R. Paediatric sutureless circumcision: a systematic literature review. Pediatr Surg Int. 2010; 26:141-4.
D’Arcy FT, Jaffry SQ. A review of 100 consecutive sutureless child and adult circumcisions. Ir J Med Sci. 2011; 180:51-3.
Elmore JM, Smith EA, Kirsch AJ. Sutureless circumcision using 2-Octyl Cyanoacrylate (Dermabond): Appraisal after 18-month experience. Urol. 2007; 70:803-6.
Ozkan KU, Gonen M. Wound approximation with tissue glue in circumcision. Int J Urol. 2005; 12:374-7.
Subramaniam R, Jacobsen AS. Sutureless circumcision: a prospective randomized controlled study. Pediatr Surg Int. 2004; 20:783-5.
Weiss HA, Larke N, Halperin D, Schenker I. Complications of circumcision in male neonates, infants and children: A systematic review. BMC Urol. 2010; 16:10-2.
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