{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,29]],"date-time":"2026-07-29T23:23:06Z","timestamp":1785367386522,"version":"3.55.0"},"reference-count":24,"publisher":"FapUNIFESP (SciELO)","license":[{"start":{"date-parts":[[2020,1,1]],"date-time":"2020-01-01T00:00:00Z","timestamp":1577836800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2020,1,1]],"date-time":"2020-01-01T00:00:00Z","timestamp":1577836800000},"content-version":"am","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2020,1,1]],"date-time":"2020-01-01T00:00:00Z","timestamp":1577836800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Rev. Col. Bras. Cir."],"abstract":"<jats:p>ABSTRACT  Objective:  to compare the postoperative esthetic and healing aspects of postectomy performed by different surgical techniques, based on the evaluation of different specialty expert professionals.  Methods:  prospective and randomized clinical trial enrolling 149 preschool children with a medical indication for circumcision, divided into three groups: postectomy with the hemostatic device Plastibell\u00ae (PB group), conventional technique (CV group) and conventional with subcuticular stitches (SC group). Pictures were taken from patients at pre-defined angles on the 30th and 60th postoperative days. Photos were evaluated by three specialists (dermatologist, pediatrician and plastic surgeon), who assigned scores from 1 to 5 regarding the esthetic and healing features at each moment. Grades 4 or 5 from all specialists characterized \u201cbest result\u201d. Data were analysed to compare the used surgical techniques, the judgments from specialties and postoperative complications.  Results:  most of the patients obtained the \u201cbest result\u201d regarding healing (70%) and esthetics (56%). The final overall result showed the PB group as the best for healing (p=0.028) and the SC group as the best for esthetics (p=0.002). For the dermatologist, on the 60th postoperative day, the CV group presented the worst aesthetic result, whereas for the pediatrician and the plastic surgeon, the PB group presented the best healing result and the SC group had the best esthetic result. There was no difference between the groups regarding the presence of complications.  Conclusion:  the most common surgical techniques used to perform postectomy in children were differently assessed regarding healing and esthetic features by distinct medical professionals. The analysis of these two parameters among experts from related areas diverged among them and over time.<\/jats:p>","DOI":"10.1590\/0100-6991e-20202626","type":"journal-article","created":{"date-parts":[[2020,11,24]],"date-time":"2020-11-24T04:00:26Z","timestamp":1606190426000},"source":"Crossref","is-referenced-by-count":1,"title":["Postoperative aesthetic and healing features of postectomy using three different surgical techniques: a randomized, prospective, and interdisciplinary analysis"],"prefix":"10.1590","volume":"47","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9603-1992","authenticated-orcid":false,"given":"BRUNO PINHEIRO","family":"FALC\u00c3O","sequence":"first","affiliation":[{"name":"Universidade Federal do Paran\u00e1,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"MARCELO MARCONDES","family":"STEGANI","sequence":"additional","affiliation":[{"name":"Universidade Federal do Paran\u00e1,  Brazil; Universidade Federal do Paran\u00e1,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S\u00c9RGIO BERNARDO","family":"TEN\u00d3RIO","sequence":"additional","affiliation":[{"name":"Universidade Federal do Paran\u00e1,  Brazil; Universidade Federal do Paran\u00e1,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"JORGE EDUARDO FOUTO","family":"MATIAS","sequence":"additional","affiliation":[{"name":"Universidade Federal do Paran\u00e1,  Brazil; Universidade Federal do Paran\u00e1,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"530","published-online":{"date-parts":[[2020]]},"reference":[{"issue":"7","key":"ref1","first-page":"338","article-title":"Fimose o que se deve saber a respeito","volume":"50","author":"Braz A","year":"2014","journal-title":"Pediatr Mod"},{"issue":"6","key":"ref2","doi-asserted-by":"crossref","first-page":"572","DOI":"10.1016\/j.jpurol.2010.01.005","article-title":"Prospective randomized trial comparing dissection with 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