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readjusted spelling of Plastibell
Secondly, the manner in which the circumcision is performed is different. A mohel will pull as much skin forward as possible through a protective device that is supposed to keep the glans from being severed, and slice it off in a single cut.
A hospital circumcision is more intensive, employing the use of different clamps and devices, such as the [[Gomco]] clamp or [[PlastiBellPlastibell]]. In the most common procedure, the foreskin is first forcibly separated from the glans with a blunt object; it is then cut lengthwise and pulled through the clamp that will crush the foreskin before it is sliced off. When doctors use a [[PlastiBellPlastibell]] device, the foreskin is cut lengthwise in over to fit it over the device; the doctor then uses a string to tie off the foreskin, crushing it against the device. As in peri'ah, all flesh from the base of the glans up to the tip is removed.
It is notable that sometimes mohels may also double as physicians, and perform circumcisions on non-Jewish babies at hospitals using the tools that they use on Jewish boys. The [[Mogen]] clamp is a medical device created for use in hospitals, but it was modeled after a traditional barzel device used by mohels.