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Gomco  

Proses Berkhatan cara Clamp Menggunakan Alat Gomco

                                            Quite complicated, huh? A relative drawback of the Gomco clamp is that there are multiple parts to
                                            lose and assemble special facilities to sterilize, maintain and store the clamp are required! A Gomco
                                            clamp is thus quite expensive with a cost of at least $250 (American money u noo! Peh! if in RM?
STEP 1: 
The dorsal slit. As a circumcision is either done on newborns which only in about 4% have a retractable foreskin or on older males presenting with phimosis (a narrowness of the foreskin opening, preventing its being drawn back over the glans) so in both cases the foreskin cannot be retracted and thus it is necessary to slit the foreskin open to open the preputial cavity. 
STEP 2: 
After the foreskin has been cut open the bell can be inserted and placed on the glans
STEP 3: 
In order to apply the clamp the foreskin is grabbed with hemostats as the the bell and the glans have to be maneuvered through the bevel hole.
STEP 4: 
The arms of the bell are here maneuvered through the bottom of the bevel hole in the base plate. As soon as the bell arms are through the base plate is worked down over the secured foreskin and the plate is seated onto the bell. The top plate is swung around so that it sits over the base plate and the arms of the bell are lifted onto the yoke. 

          Now the nut is tightened down as far as possible, thereby crushing the foreskin between the bell (cone) and base plate. Tightening the Gomco clamp forces the rim of the bell down against the frenulum, which responds by either stretching or by tearing or bleeding.
STEP 5: 
With the scalpel blade the crushed foreskin is excised against the bell at the base plate and bell junction. All remaining shreds of foreskin above the plate are removed. 

             Now the nut can be loosened releasing the bell arms from the yoke. Removal of the Gomco clamp allows the bell arms to drop back down through the plate. Now the penis is circumcised.

 
 

 

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