Reynolds R D
University of Cincinnati College of Medicine, Ohio, USA.
Am Fam Physician. 1996 Jul;54(1):177-82.
Most newborn circumcisions performed in the United States are done with either a Gomco clamp or a Plastibell device. The Mogen clamp, devised by a jewish mohel, provides a quick and simple surgical alternative. The foreskin is freed from the glans by blunt dissection, but no dorsal slit is made. A dorsal hemostat is placed, and traction is applied to bring the foreskin forward. Placement of the Mogen clamp follows the angle of the corona to avoid removing excess skin ventrally and to obtain a superior cosmetic result. The clamp crushes the foreskin along a line that is 1 mm wide, and the foreskin is excised distal to the clamp. After removal of the clamp, the glans is liberated by pulling the crush line apart. The procedure usually takes three to four minutes and is virtually bloodless.
在美国，大多数新生儿包皮环切术是使用Gomco夹或Plastibell器械进行的。由犹太割礼师设计的Mogen夹提供了一种快速简单的手术替代方法。通过钝性分离将包皮从龟头游离，但不做背侧切口。放置一个背侧止血钳，并施加牵引力使包皮向前。Mogen夹的放置沿着冠状沟的角度，以避免在腹侧切除过多皮肤并获得更好的美容效果。夹子沿着一条1毫米宽的线挤压包皮，在夹子远端切除包皮。移除夹子后，通过拉开挤压线使龟头游离。该手术通常需要三到四分钟，几乎不出血。
