Modified safe technique for circumcision

ABSTRACT

We have used surgical gauze under the prepuceal skin as a pack in 20 cases prior to marking incision for circumcision. The prepuceal adhesions were first dissected and seperated. The method allows a stable, well-supported prepuceal surface for marking incisions and avoids injuries to the glans. Because the prepuceal surface is taut and stable, hemostasis is easier and quicker and the operating time is reduced.

KEYWORDS

Circumcision - packing gauze (tape gauze

• 1 Waszak SJ. The historic significance of circumcision. Obstet Gynaecol 1978; 51: 499-501
• 2 Lazim TR, Zainol J. A Simple device for circumcision. JR Coll Surg Edinb 1996; 41: 122-3
• 3 Zafar F, Thompson JN, Pati J, Abed PD. Suture less circumcision. Br J Surg 1993; 80: 859
• 4 Reynolds SJ, Shepherd ME, Risbud AR, Gangakhedkar RR, Brookmeyer RS, Divekar AD. et.al. Male circumcision and risk of HIV-1 and other sexually transmitted infections in India. Lancet 2004; 363: 1039-40
• 5 Williams N, Kapilla L. Complication of circumcision. Br J Surg 1993; 80: 1231-6
• 6 Horowtz M, Gershbein AB. Gomco circumcision: When it is safe?. J Pediatr Surg 2001; 36: 1047-9
• 7 Wakefield SE, Elewa AA. Adult circumcision under local anaesthetic. Br J Urol 1995; 75: 96
• 8 Sharma PP. Sutureless circumcision: Wound closure after circumcision with cynoacrylate glue - A preliminary Indian study. Indian J Surg 2004; 66: 286-8