Circumcision Methods
Information to construct this site was provided by www.infocirc.org and www.noharmm.org
Gomco Clamp
The gomco clamp protects the head of the penis from injury during circumcision. The bell is placed inside the foreskin, and a sterile safety pin is used to secure the skin over the clamp. The thumbscrew is tightened until it is secure and the visible foreskin is removed using a scalpel blade. The clamp should remain in place for five minutes after the procedure to reduce the risk of bleeding. The excess foreskin that has been removed will remain on the bell when the clamp is loosened. Petroleum gauze are placed around the edge of the foreskin and corona of the penis and should remain in place for 12 to 24 hours.
Plastibell
This device is designed to cause strangulation of the blood supply to the foreskin. Studies have shown a small increase in infection with the plastibell device, as compared to other methods. After making a slit in the foreskin, the plastibell is placed on the glans and the excess foreskin is pulled over the device. The foreskin is clamped across the top of the plastibell with a straight clamp. Excess foreskin is trimmed from around the bell using scissors, and dead tissue falls off 7 to 12 days after the procedure.
Positioning for Circumcision
The infant is placed on a circumstraint board. This position is comfortable to the infant and allows surgical access to the operative site. It gently restrains the infant during the procedure.
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