|Harry Bronstein, a Brooklyn mohel (ritual circumcisor) who invented the Mogen Clamp, also invented the Nutech clamp. The Mogen Clamp is a variation of the Kantor clamp. Instead of crushing the tissue by the attached hemostat, the Mogen shield acts as the clamp. It has the shortcomings of the Kantor clamp, plus one uniquely its own: with the glans below the clamp and completely out of sight, there is a chance that the tip of the glans might be caught in the clamp. Nevertheless, this is the preferred device of the more modern Jewish Mohel. It is reported to cause less discomfort when used during infant circumcision than does the Gomco Clamp.|
If you are choosing to have your newborn circumcised, you may want to consult with the doctor who will be performing the circumcision as to what technique he employs.
- Stretch the preputial opening.
- Break preputial adhesions so that the foreskin is completely retractile, using a blunt-edged probe.
- Lift the prepuce in an upward and outward direction with a hemostat. This action should cause the glans to retract towards the scrotum, preventing accidental amputation of the glans.
- Place the open jaws of the Mogen clamp around the prepuce (grooved side facing the glans) and lift upwards.
- Close the clamp. Affixed to a newborn, it should be left closed for one to one and one-half minutes. If the infant is more than 6 months old it should remain closed for no less than five minutes.
- While the clamp is closed, excise the prepuce distal to the clamp.
- Open the clamp slowly and remove it from the penis.
- Apply downward pressure to the preputial skin around the corona until the skin-mucosal seal is broken and the glans is liberated.
- Apply antiseptic ointment (Betadine or similar) to the crush line. Apply a light dressing or loin cloth arrangement to keep the ointment from rubbing off.
- If you remove the clamp prematurely, the crushed edges may separate and bleeding will occur. In this eventuality, suture the mucocutanceous margin, being careful to avoid deep sutures that might penetrate the urethra. If the whole edge separates, treat as a freehand circumcision, placing quadrant sutures and sewing between them with fine stitches.
- Have the baby watched for any sign of bleeding.
- Bleeding is one of the most common complications and can also be controlled by applying gentle circumferential pressure with gauze or a sponge or by using absorbable gelatin sponge (Gelfoam), topical thrombin, epinephrine-soaked gauze or sutures.
|Note: This device should not be used to do a self-circumcision. Circumcision should always be performed by a trained and skilled healthcare provider.|
The US website Law.Com, accessed 12th January 2011. http://www.freepatentsonline.com/2747576.pdf
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