Gomco: Difference between revisions

Add Video Section; Add SEEALSO section.
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  |last=Gelbaum
  |last=Gelbaum
  |init=I
  |init=I
|author-link=Ilene Gelbaum
  |date=1993
  |date=1993
  |title=Circumcision. Refining a traditional surgical technique
  |title=Circumcision. Refining a traditional surgical technique
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  |DOI=10.1016/0091-2182(93)90093-V
  |DOI=10.1016/0091-2182(93)90093-V
  |accessdate=
  |accessdate=
}}</ref> is a specialized clamp for performing circumcisionsIt was invented by [[Hiram S. Yellen]] and [[Aaron Goldstein]] in 1934-1935.<ref>{{REFbook
}}</ref> is a specialized clamp for performing non-therapeutic infant [[circumcision]]. There is no medical indication for [[circumcision of the newborn]].   
 
The clamp was invented by [[Hiram S. Yellen]] and [[Aaron Goldstein]] in 1934-1935.<ref>{{REFbook
  |last=Hodges
  |last=Hodges
  |first=Frederick M.
  |first=Frederick M.
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''No anaesthesia is used.
''No anaesthesia is used.


''On children older than twelve months, we find it advisable to insert a few sutures.
''On children older than twelve months, we find it advisable to insert a few sutures.<ref>{{REFjournal
|last=Yellen
|init=HS
|author-link=
|last2=Brodie
|init2=EL
|author2-link=
|url=https://archive.org/details/discussions-of-bloodless-circumcision/mode/2up?view=theater
|title=Booklet: Discussions of Bloodless Circumcision
|journal=Gomco Equipment
|date=1939-02
|volume=
|issue=
|pages=1-22
|accessdate=2024-10-07
}}</ref>
</blockquote>
</blockquote>


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== Advantages ==
== Advantages ==
* The circumcision scar is straight.
* The [[circumcision scar]] is straight.
* The circumcision is relatively quick compared to the more recent [[Plastibell]].
* The [[circumcision]] is relatively quick compared to the more recent [[Plastibell]].


== Disadvantages ==
== Disadvantages ==
* Involves several small parts, all of which must be sterile so as to ensure the safety of the patient and minimize the risk of infection.  
* Involves several small parts, all of which must be sterile so as to ensure the safety of the patient and minimize the risk of [[infection]].  
* Special care needs to be taken to match the correct size bell and clamp to prevent injuries to the glans.
* Special care needs to be taken to match the correct size bell and clamp to prevent injuries to the [[glans]].
* Procedure takes longer than the traditional Jewish Shield or Mogen Clamp techniques.
* Procedure takes longer than the traditional Jewish Shield or [[Mogen]] Clamp techniques.
* The scar is more visible.
* The scar is more visible.
* The procedure may be more painful.
* The procedure may be more painful.
 
<br>
[[Image:Gomco Image gallery.jpg|Gomco clamp crushing a foreskin]]
[[Image:Gomco Image gallery.jpg|Gomco clamp crushing a foreskin]]


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{{LINKS}}
{{LINKS}}
* [http://www.danheller.com/circumcision.html Photos of a circumcision, by Dan Heller]
* [http://www.danheller.com/circumcision.html Photos of a circumcision, by Dan Heller]
* [http://www.pediatricsconsultantlive.com/display/article/1803329/1601590?pageNumber=4 The Gomco Method]
== SEEALSO ==
== SEEALSO ==
* [[Dorsal penile nerve block]]
* [[Dorsal penile nerve block]]
* [[Pain]]
* [[Pain]]
* [[Trauma]]
{{REF}}
{{REF}}