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Consultant. Vol. 50 No. 7
Primary Care Procedures 

Newborn Circumcision: The Gomco Method

By NATHAN HITZEMAN, MD | July 1, 2010
Dr Hitzeman is a clinical instructor in family medicine at the Sutter Health Family Medicine Residency Program in Sacramento, Calif.

 

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by Adan Atriham | July 18, 2010 8:47 AM EDT

I don't see what is the big deal about doing (or not doing) this procedure. Obviously, there are those who argue the benefits and those who disprove them. If the parents are strongly in favor or it and it can be done safely, why not? - If in the other hand, parents see no benefit then let them be.

by Isaac Jakubowicz | July 14, 2010 4:10 PM EDT

As a Pediatrician, and a Certified Mohel, I have performed multiple ritual and non-ritual Circumcisions, in over 30 years of practice.  Being well trained in the subject, I have avoided the classic contraindications of the procedure, and have been careful and observant to avoid all possible complications, therefore I have not seen, or experienced any of the referenced possible secondary effects and/or complications (infections, excessive bleeding, severance or injury of glans, frenulum, pain, etc.)  I generally use the well known and safest surgical method of the "Mogen-Lawton", which was developed in Germany during the mid 18th Century, which in my opinion provides the most safe, simple, less risky, fastest, and less painful of all male Circumcision surgical methods.

I still agree that the well known and documented benefits of Circumcisions far outweigh the potential risks, therefore I believe that is perfectly safe to recommend  this type of Circumcisions, while under verbal and written (signed) full Informed Consent", and upon the specific request and wish of the Newborn's Parents.  Thank you. 

by | July 14, 2010 2:00 PM EDT

I agree it is a barbaric procedure, not different from nose piercing in the deep jungles of Amazon. There is no justification except for the very few with phymosis or other medical condition.

by Gregory Gillett | July 14, 2010 1:45 PM EDT

This is a horrible procedure that should NEVER be done!  This is done completely without the Patient's consent.

There is much false information about the benefits of this procedure.  Studies have been done that completely provide evidence that this is completely unnecessary, is painful to the patient and has adverse consequences to the patient for the rest of his life--STOP DOING THIS PROCEDURE!!!!

by Dr. Kassahun Aifa Arshe | July 14, 2010 11:39 AM EDT

well done ..i like the way Dr. Hitzeman discribe the surgical procedure ...

sincerely Dr. Aifa:






 
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