Circumcision: Gomco Technique
Gomco
At present, the Gomco clamp is the most commonly used circumcision device in our nursery. It has the advantages of a steel bell which protects the glans penis during the procedure and the absence of a foreign body remaining at the site afterwards.
[19:47 Streaming Video]
In this video, Dr. Tony Burgos demonstrates circumcision with the Gomco clamp. Dr. Burgos is the director of the Newborn Nursery at Stanford and is one of the primary pediatricians responsible for training other physicians in this technique.
In addition to lidocaine, this infant was also given 2ml PO SweetEase™ (24% sucrose and water), a common practice in our nursery for newborns undergoing painful procedures.
This material was produced by Janelle Aby, MD for educational purposes only. Reproduction for commercial purposes is prohibited.
The Gomco clamp is one of several devices currently used for neonatal circumcision. Invented around 1935 by Dr. Hiram Yeller, an obstetrician, and Mr. Aaron Goldstein, an inventor, it has been in continuous use for more than 70 years. (The clamp gets its name from the company that originally manufactured it, the Goldstein Manufacturing Company.)*
*Wan, Julian. "GOMCO Circumcision Clamp: An Enduring and Unexpected Success", Urology. Volume 59, Issue 5, May 2002, Pages 790-794.