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Plastibell

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[[Image:Plastibell.jpg|right|thumb|A circumcision device that uses string to cut off blood flow to the foreskin, amputating it ]]
The Plastibell Circumcision Device is a clear plastic ring with a deep groove running circumferentially designed for circumcising infant males. It was invented by Hollister Inc in 1950, and first reported on in 1953.<ref name=Miller1953>{{REFjournal
| last=Miller | first=RLR.L. | coauthorslast2=Snyder DC |first2=D.C. | date=1953, January | title=Immediate circumcision of the newborn male | journal=Am. J. Obstet. Gynecol. | volume=65 | issue=1 | pages=1-11 | url= | quote= | pubmedID=13016660 | accessdate=
}}</ref><ref name=Kariher1956>{{REFjournal
| last=Kariher | first=DHD.H. | coauthorslast2=Smith TW |first2=T.W. | date=1956, January | title=Immediate circumcision of the newborn | journal=Obstet Gynecol | volume=7 | issue=1 | pages=50-3 | url= | quote= | pubmedID=13280246 | accessdate=
}}</ref> The device works bo providing a circumferencial surface upon which to tie off the foreskin.
Furthermore, because convalescence depends on a (temporarily) affixed medical device, risks of infection or hemorrhage due to the bell slipping or otherwise failing are greater<ref>{{REFnews
| last=Brennae | first=Mark | coauthors= | url=http://www.canada.com/vancouversun/story.html?id=cb3b8281-4134-46ba-85d3-b076072bda75&k=25810 | title=Ontario boy dies after complications from circumcision | date=June 13, 2007 | publisher=The Vancouver Sun: CanWest News Service | quote= | accessdate=2008-07-16
}}</ref> than a [[Gomco clamp]] or similar entirely-supervised circumcision.
There are several reports in the literature of urinary retention after circumcision with the Plastibell device.<ref>{{REFjournal
| last=Ly | first=L. | coauthorslast2=Sankaran |first=K. | date=2003 | title=Acute venous stasis and swelling of the lower abdomen and extremities in an infant after circumcision | journal=CMAJ | volume=169 | issue=3 | pages=216-7 | url= | quote= | pubmedID=12900483 | accessdate=
}}</ref> Death has been reported.<ref>[http://www.pulsus.com/Paeds/12_04/Pdf/zwol_ed.pdf Paediatrics & Child Health, Home<!-- Bot generated title -->]</ref><ref>http://www.austlii.edu.au/cgi-bin/sinodisp/au/cases/vic/VCAT/2010/1772.html?stem=0&synonyms=0&query=anaesthetic</ref><ref>{{REFjournal
| last=Paediatric Death Review Committee: Office of the Chief Coroner of Ontario | first= | coauthors= | date=2007 | title=Circumcision: A minor procedure? | journal=Paediatrics & child health | volume=12 | issue=4 | pages=311-2 | url= | quote= | pubmedID=19030377 | pubmedCID=2528673 | accessdate=
}}</ref>
There also is a report of impetigo caused by Staphylococcus aureus when using the Plastibell.<ref>{{REFjournal
| last=Stranko | first=jJ. | coauthorsfirst2=M.E. |last2=ME Ryan, AM |first3=A.M. |last3=Bowman | date=1986 | title=Impetigo in newborn infants associated with a plastic bell clamp circumcision | journal=Pediatric infectious disease | volume=5 | issue=5 | pages=597-9 | url= | quote= | pubmedID=3763425 | accessdate=
}}</ref>
There have been multiple cases of children developing necrotizing fasciitis in their penis after being circumcised using the Plastibell device.<ref name=pubmed9329429>{{REFjournal
| last=Bliss | first=David P. | coauthorsfirst2=Patrick J. |last2=Healey, |first3=John H.T. |last3=Waldhausen | date=1997 | title=Necrotizing fasciitis after Plastibell circumcision | journal=The Journal of Pediatrics | volume=131 | issue=3 | pages=459-62 | url= | quote= | accessdate= | DOI=10.1016/S0022-3476(97)80078-9 | pubmedID=9329429
}}</ref><ref>{{REFjournal
| last=Woodside | first=JR | coauthors=J.R. | date=1980 | title=Necrotizing fasciitis after neonatal circumcision | journal=American journal of diseases of children | volume=134 | issue=3 | pages=301-2 | url= | quote= | pubmedID=6444778 | accessdate=
}}</ref>
There have been cases of necrosis of the glans penis following circumcision with the Plastibell device.<ref>{{REFjournal
| last=Bode | first=C.O. | coauthorsfirst2=S. |last2=Ikhisemojie, |first3=A.O. |last3=Ademuyiwa | date=2010 | title=Penile injuries from proximal migration of the Plastibell circumcision ring | journal=Journal of Pediatric Urology | volume=6 | issue=1 | pages=23-7 | url= | quote= | pubmedID=19570722 | DOI=10.1016/j.jpurol.2009.05.011 | accessdate=
}}</ref>
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