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|DOI=
|accessdate=2020-11-08
}}</ref> Nervous tissue requires a large blood supply, so the foreskin is richly vascular with many blood vessels.,<ref name="fleiss-hodges-vanhowe1998">{{REFjournal
|last=Fleiss
|first=P.
|DOI=
|accessdate=2019-10-15
}}</ref> therefore the foreskin must be crushed with one of several special clamps in yet another painful procedure before the circumcision can be carried out.<ref>{{REFjournal
|last=
|first=
|author-link=
|title=Circumcision procedure (Gomco Clamp method)
|journal=Patient Care
|date=1978-03-15
|volume=12
|issue=
|pages=82-85
|url=http://www.cirp.org/library/procedure/gomco/
|accessdate=2020-11-08
}}</ref>
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