[The circumcision in newborn and infant in the operating room of the Lomé Teaching Hospital: technique using Gomco clamp versus technique using only the grips]. / La circoncision chez le nouveau-né et le nourrisson au bloc opératoire du CHU de Lomé : technique utilisant le Gomco clamp versus technique utilisant uniquement des pinces.

OBJECTIVES: To describe the various techniques used for the circumcision in newborns and infants in the operating room of the Lomé Teaching Hospital (Togo) and to compare their results. PATIENTS AND METHODS: It is about a prospective study carried out in the operating room of the Lomé Teaching Hospital from June 15th, 2007 to December 15th, 2008 (18 months). It concerned newborns and infants circumcised according to two techniques: the technique using grips only (group A: n=138; 69%) and the technique using Gomco clamp (group B: n=62; 31%). The Khi(2) test with the threshold 5% was used for the statistical analysis. RESULTS: According to the duration of the intervention, 34 newborns and infants (24.6%) were circumcised within less than 15 minutes in the group A and 27 (43.5%) in the group B (p<0.05). According to the importance of the bleeding and to the type of material used, 28 newborns and infants (20.30%) had bled much in the group A and one (1,61%) in the group B (p<0.05). According to the postoperative complications and to the technique used, nine newborns and infants (9.4%) had postoperational complications in the group A and two (3.2%) in the group B. The wound had healed within less than 6 days in one infant (0.7%) in the group A and six (9.7%) in the group B (p<0.05). One hundred penises (72.46%) were considered to be very satisfying in the group A and 55 (88.7%) in the group B (p<0.05). CONCLUSION: The technique using Gomco clamp for circumcision had more advantages than that using only the grips. It was much more safe for the child.