Manual for Male Circumcision under Local Anaesthesia

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Male circumcision under local anaesthesia Version 3.1 (Dec09) Once the forceps is in position, feel the glans to check that it has not been accidentally caught in the forceps. Fig. 5.18 Forceps-guided method. The forceps is applied taking care not to catch the glans. Step 6. Using a scalpel, cut away the foreskin flush with the outer aspect of the forceps. The forceps protects the glans from injury, but nevertheless, particular care is needed at this stage. Fig. 5.19 Forceps-guided method. Cutting off the foreskin. Step 7. Pull back the skin to expose the raw area. Clip any bleeding vessels with artery forceps. Take care to catch the blood vessels as accurately as possible and with minimal adjacent tissue. Tie each vessel (see Fig. 5.3 and 5.4) or under-run with a suture and tie off. Take care not to place haemostatic stitches too deeply. When dealing with bleeding in the frenular area or on the underside of the penis, care must be taken not to injure the urethra. Surgical procedures for adults and adolescents Chapter 5-18
Male circumcision under local anaesthesia Version 3.1 (Dec09) Fig. 5.20 Applying artery forceps to blood vessels to stop bleeding Simple A B C o Suture ligatio Fig. 5.21 Haemostasis with artery forceps and tying off (suture ligation) of blood vessels Step 8. Place a horizontal mattress suture at the frenulum. The technique is shown in Fig. 5.5. Surgical procedures for adults and adolescents Chapter 5-19
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Manual for Male Circumcision under Local Anaesthesia

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