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Bloodless, sutureless circumcision.

Nisar A Bhat1, Raashid Hamid, Kumar Abdul Rashid

  • 1Department of Paediatric Surgery, Sher-i-Kashmir Institute of Medical Sciences, Srinagar, Jammu and Kashmir, India.

African Journal of Paediatric Surgery : AJPS
|November 7, 2013
PubMed
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The Gomco clamp offers a safe, sutureless, and bloodless method for infant circumcision. This technique in 200 neonates and infants resulted in excellent cosmetic outcomes with minimal complications.

Area of Science:

  • Pediatric Surgery
  • Neonatal Care

Background:

  • Elective circumcision in neonates and infants.
  • Experience with the Gomco clamp technique.

Purpose of the Study:

  • To evaluate the safety and efficacy of sutureless and bloodless Gomco clamp circumcision.
  • Assess cosmetic results and complications in infants.

Main Methods:

  • Prospective study of 200 neonates and infants undergoing Gomco circumcision.
  • Administration of chlorohydrate, paracetamol, and local anesthesia.
  • Procedure performed in a minor operation theatre with 1-hour observation.

Main Results:

  • Low complication rate: 1% required immediate suturing, 2.5% needed suture repair, and 4% had minor ooze.

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  • No other significant complications were reported.
  • High satisfaction with cosmetic results among surgeons and parents.

    • Conclusions:

    • Gomco clamp is a safe, simple, and effective bloodless and sutureless circumcision method for newborns and infants.
    • Cost-effective procedure with excellent cosmetic outcomes under local anesthesia.
    • Suitable for use in minor operation theatres with minimal post-procedure observation.