Plastibell Circumcision

Dear Editor, we read the publication on “Is the Plastibell of any haemostatic value after 24 h?” with a great interest.[1]Ikhisemojie et al. noted that postcircumcision haemorrhage was not significantly different between circumcised babies whose Plastibell rings were removed at 24 h and those in whom it was left to fall off on its own.[1]In fact, the important factor determining the efficacy of the Plastibell is the good case selection and preparation. As noted by Jimoh et al.,[2]detailed attention to placement of ligature, selection of appropriate Plastibell size and adequate parental education are key to preventing postprocedure mishaps. In our country, the circumcision is usually by classical technique without use of Plastibell and there is usually no problem of severe haemorrhage if there is no underlying congenital haemostasis problem