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}}</ref> is a specialized clamp for performing circumcisionsnon-therapeutic infant [[circumcision]]. There is no medical indication for circumcision of the newborn. It  The clamp was invented by [[Hiram S. Yellen]] and [[Aaron Goldstein]] in 1934-1935.<ref>{{REFbook

|first=FrederickM. |init=FM

|accessdate=2022-06-27

# Once separated, a hemostat is used to pull his [[foreskin ]] lengthwise in order to reduce [[bleeding]].<ref name="children.webmd">HealthWise Medical Reference, Available online at: http://children.webmd.com/tc/circumcision-what-happens-during-a-circumcision Last Updated: February 19, 2008.</ref>

''...the dorsal aspect of the [[prepuce ]] (A) is put on a stretch by grasping it on either side of the median line with a pair of haemostats. A flat probe, anointed with Vaseline, is then inserted between the prepuce and the glans to separate adherent mucous membrane. The prepuce is then gently drawn backward, exposing the entire [[glans penis]]. This is again cleaned. In case where the prepuce is drawn tightly over the glans, a partial dorsal slit will facilitate applying the cone of draw stud over the glans [?? sic]. (Note: If too long a slit is made, the cone has a tendency to slip of the glans. The slit should, therefore, be made only sufficiently long to enable the cone to be easily applied.)

''After anointing the inside of the cone (B) , it is placed over the [[glans]], allowing enough of the mucous membrane to fit below the cone so that too much is not removed. The prepuce is then pulled through and above the bevel hole in the platform (F), and clamped in place. In this way the prepuce is crushed against the cone, causing haemostasis. We allow this pressure to remain five minutes, and in older children slightly longer. The excess of the prepuce is then cut with a sharp knife without any danger of cutting the glans, which is always protected by the cone portion of the instrument, leaving a very fine one-thirty-second of an inch ribbon-like membrane formed between the new union of the [[skin ]] and mucous membrane. The pressure is then released. The [[circumcision ]] is completed and the [[penis ]] covered with Vaseline gauze.

''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>

A small safety pin may be used to bring the edges of the [[dorsal slit ]] together over the flare of the bell before bringing the draw stud through the base plate. The safety pin should be inserted through both the [[foreskin ]] and the [[mucosa ]] so that care is taken not to omit the mucosal [[mucosa]]l layer. In addition, the clinician must take special care to make sure that the sharp end of the safety pin does not cause inadvertent injury to the clinician or the infant.<ref name="peleg-steiner1998" />

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

* 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]].* Procedure takes longer than the traditional Jewish Shield or [[Mogen ]] Clamp techniques.

The ''Good Samaritan Hospital''' in Cincinnati, Ohio, was the scene of a notorious [[circumcision ]] experiment from 2012 to 2014 which compared the [[Gomco]] and [[Mogen]] penis clamps, to determine which was least painful for newborn boys.<ref name="sinkey2015">{{REFjournal

== SEEALSO ==* [http://www.pediatricsconsultantlive.com/display/article/1803329/1601590?pageNumber=4 The Gomco Method[Dorsal penile nerve block]]* [[Pain]]* [[Trauma]]

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