Manual for Male Circumcision under Local Anaesthesia

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Male circumcision under local anaesthesia Version 3.1 (Dec09) stop the bleeding with an artery forceps before changing the punctured glove. Whether to use a gown A surgical gown is recommended, though a circumcision operation may be performed with the surgeon wearing sterile operating gloves but without a sterile gown, or using full operating theatre gowning techniques. It is less expensive to use gloves only, and this is the practice in many clinic settings. The surgeon should, in any case, wear a clean theatre uniform, cap and theatre shoes. If a surgical gown is not used, it is important that the surgeon wears a clean apron to protect clothes from splashes during the operation. Face masks and protective eyewear Face masks are recommended, as they reduce droplet contamination if the surgeon coughs or sneezes, and protect the surgeon’s mouth from any spray of blood droplets. Eyewear is also recommended, and should be worn (together with a mask) whenever an accidental splash of blood onto the face is likely. Facilities and supplies and preparation for surgery Chapter 4-10
Male circumcision under local anaesthesia Version 3.1 (Dec09) Appendix 4.1 SAMPLE CLIENT RECORD FORM FOR ADULTS AND ADOLESCENTS GENERAL INFORMATION 1. Name:_____________________________________________________ 2. Address:______________________________________________________ 3. Date of visit: / / Day Month Year 4. Patient’s ID Number: 5. Hospital ID Number: if different from above 6. Date of birth: / / Age: ___________years Day Month Year 7. Patient is referred by: 1: self/parent; 2: family planning clinic; 3: voluntary testing and counselling centre; 4: urology clinic; 5: outpatient department; 6: nongovernmental organization; 7: other (specify) __________________________________ 8. Marital status: 1: single; 2: married; 3: divorced/separated; 4: other (specify) ________ 9. Tribe/ethnicity: __________________ 10. Religion: 1: Buddhist; 2: Christian; 3: Hindu; 4: Jewish; 5: Moslem; 6: other (specify) ________________________ 11. Primary indication for circumcision: 1: for partial protection against HIV; 2: social/religious; 3: personal hygiene; 4: phimosis; 5: paraphimosis; 6: erectile pain; 7: recurrent balanitis; 8: preputial neoplasm; 9: other (specify) _________________________ 12. Is client sexually active Yes No 13. Previous contraceptive use: 1: none; 2: condoms; 3: vasectomy; 4: other (specify)___________________ 14. HIV test a. HIV test recommended: Yes No b. HIV test performed Yes No c. Post-test counselling given Yes No Facilities and supplies and preparation for surgery Chapter 4-11
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Manual for Male Circumcision under Local Anaesthesia

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