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GOMCO CLAMP CIRCUMCISION
Circumcision, once a routine procedure in American hospitals, an after thought even, is falling under increased scrutiny. Despite that it is increasingly safer to perform and that anesthetic is consistently used for non-ritualistic procedures, more families are researching circumcision to find out what it really is and how it’s done.
The Gomco clamp circumcision is one of the most popular techniques. It is preferred by doctors and families alike for its safety and its record in preventing injury and bleeding.
The procedure itself seems easy enough. After all the legal requirements are made, the penis is examined for any abnormalities that might make it a poor candidate for circumcision. The clamp is also inspected for defects and for proper size. The penis is disinfected and a dorsal penile nerve block is administered.
The foreskin is pulled out and up. A cut is made down the midline to the corona, the ridge at the base of the glans. The bell (part of the Gomco clamp) is inserted through the tip and covers the glans. A base plate is slid over the bell and foreskin. The foreskin is pulled taut through the hole and then excised by cutting around the bell using the base plate as a guide.
What’s left of the skin should rest naturally below the glans and heal in place. Minimal care is needed at home, but the penis needs to be inspected frequently to ensure there are no problems.
As far as the Gomco clamp goes, its best use is dependent upon skill and technique. The concerns might include choosing the right bell size to cover the glans, choosing the right method for pulling the foreskin through the base plate, how much foreskin to remove. Of course cosmetic outcome is of primary interest since this is a cosmetic procedure.
You should discuss this method of circumcision with your pediatrician well in advance of the actual surgery. Once circumcision is done, it’s done. Make sure all your questions are answered and you choose a technique which you feel confident will give the best results if you decide to proceed.
Source: AAFP
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