Comparison between Thermocautery Assisted and Classic Scalpel Gomco Clamp Circumcision in Neonates and Infants

Introduction: Circumcision in male children is a frequently performed surgical procedure that may be associatedwith certain complications.Aim of work: To compare thermocautery-assisted circumcision (TCC) with classic scalpel circumcision (CSC) inneonates and infants.Patients and methods: In this comparative interventional study, 215 infants ≤3 months were categorized intoTCC (n=138) and CSC (n=77) groups. Pain scores and complications were assessed postoperatively.Results: Group A had an average age of 42.2 ± 26.9 days, while Group B had an average age of 37.7 ± 26.6days. Bleeding was significantly lower in TCC (2.2%) than CSC (14.3%, P<0.001). Moderate and severe edemawere higher in TCC (P<0.05). Among neonates ≤30 days, mean pain scores were greater in TCC (6.5±0.7) vs. CSC(6.0±0.8; P=0.006), but no significant pain differences were found in older infants.Conclusion: Thermocautery circumcision reduced bleeding risk but increased moderate-to-severe edema andneonatal pain scores compared to the scalpel technique.