Gomco Versus Mogen? No Effect on Circumcision Revision Rates

Area of Science:

• Pediatric Surgery
• Neonatal Care

Background:

• Elective newborn circumcision is a common global procedure.
• Gomco and Mogen clamps are frequently used surgical techniques.
• Variations in outcomes based on surgeon experience and technique are not fully understood.

Purpose of the Study:

• To compare circumcision revision and complication rates between Gomco and Mogen clamp techniques.
• To evaluate differences in surgical outcomes based on whether residents or attending physicians performed the procedure.

Main Methods:

• Retrospective chart review of elective newborn circumcisions (January 2013 - June 2017).
• Analysis included 979 Gomco and 718 Mogen clamp procedures.
• Statistical analysis used t-tests, ANOVA, Fisher's exact test, and logistic regression.

Main Results:

• Overall complication rate was 1.53% and revision rate was 0.47% for both clamps.
• Residents using the Gomco clamp had a higher revision rate (0.80%) compared to attending physicians (0.27%; P = .003).
• Older age at the time of the primary procedure was linked to higher revision rates (P = .03).

Conclusions:

• Gomco and Mogen clamps are associated with comparable complication and revision rates in elective newborn circumcision.
• No significant differences in outcomes were observed between procedures performed by pediatric residents and attending physicians.