Gomco Circumcision Technique - Circumcision Clinic Dubai

Introduction

The Gomco circumcision technique is a widely used and trusted method for performing circumcisions, particularly in infants. At Dubai's DRHC, our experienced medical team utilizes the Gomco clamp to ensure a safe, efficient, and minimally invasive circumcision procedure. This technique has been refined over decades and is known for its precision and reduced risk of complications.

This device is designed to crush the excess foreskin between the bell and the base plate to perform circumcision.

First, a skin marker is used to identify the edge of the glans. note that the corona curves around more distally on the penile ventral aspect. Marking the foreskin to guide removal later.
Two clamps are applied on the edge of foreskin at the 10 o'clock and 2 o'clock positions. Then a probe is inserted at the 12 o'clock position to release a clear track between the glans and the foreskin. Separating the foreskin away from the glans.
Using a straight clamp to create a crush line on the dorsal aspect of the foreskin at the 12 o'clock position. The crush line should stop about 1 cm distal to the coronal ring. keep the clamp closed for a few seconds to create the crush line. cutting down the middle of the crush line with scissors and preparing for insertion of the bell.
With the 2 o'clock and 10 o'clock two clamps still attached; the foreskin retracted to remove any additional adhesions between the foreskin and the glans. Failure to remove all of the adhesions is labeled as the primary reason for a poor cosmetic outcome. Inserting the bell to cover a glans (determine which size of bell will best cover the glans completely, Gomco 1.3 cm is the most commonly used size). Make sure that the bell completely covers the glans and that the arms of the bell remain perpendicular to the axis of baby.
The next step is to place the base plate over the bell. catching both the skin and mucosal layers, and carefully starting the passage of the bell and foreskin through the base plate of the clamp. The base plate is lowered over the stem of the bell until it rests against the flare of the bell. A clamp is used to pull the edges of foreskin through the base plate up to previous skin marker line. Tighten the nut to secure the bell to the base plate with this action, we are applying hemostatic force against the foreskin and we are committed to what we will remove.
Waiting for 5-7 minutes then:
The foreskin is cut by using the scalpel and the cutline should be where the bell meets the base plate. loosen the nut disassemble the device.
Apply pressure with normal gauze.
Final check hemostasis (if required) with bipolar or applying pressure.
The foreskin should look tidy near the corona.
Finally, a Vaseline gauze dressing is applied.

Advantages of Gomco circumcision:

Short time procedure
Excellent cosmetic outcome
No bell or any foreign body remaining afterwards.
Safe procedure: a metallic bell protects the glans penis during this procedure.

Why Choose DRHC Dubai?

At DRHC Dubai, we prioritize patient safety and comfort. Our highly skilled medical team is experienced in performing the Gomco circumcision technique, ensuring the highest standards of care. We provide comprehensive pre and post-procedure support to ensure a positive experience for both the child and the parents.

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