Manual for Male Circumcision under Local Anaesthesia
Manual for Male Circumcision under Local Anaesthesia
Manual for Male Circumcision under Local Anaesthesia
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<strong>Male</strong> circumcision <strong>under</strong> local anaesthesia<br />
Version 3.1 (Dec09)<br />
Any significant bleeding vessels should be clipped with an artery<br />
<strong>for</strong>ceps and tied or secured with an <strong>under</strong>-running suture. Provided the<br />
cut has not been made too deeply, most bleeding will be from the skin<br />
edge and can be stopped by simple pressure over a swab.<br />
Fig. 5.38 Completed incisions leaving a sleeve of <strong>for</strong>eskin<br />
Step 6. Cut the skin between the proximal and distal incisions with<br />
scissors, as shown in Fig. 5.39.<br />
Fig. 5.39 Cutting the skin between the two incisions<br />
Step 7. Hold the sleeve of <strong>for</strong>eskin <strong>under</strong> tension with two artery<br />
<strong>for</strong>ceps, and dissect the skin from the shaft of the penis, using<br />
dissection scissors (Fig. 5.40).<br />
Surgical procedures <strong>for</strong> adults and adolescents Chapter 5-29