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Disadvantages:
Leaves 0.51.0 cm of mucosal skin proximal to corona Cosmetic effect may be less satisfactory
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When dealing with bleeding in the frenular area, care must be taken not to injure the urethra.
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Stopping the bleeding: Cut blood vessels should be located accurately and tied or transfixed.
2. The blood vessel is then held with 3. The artery forceps is then the forceps and gently pulled up so applied, taking the minimum that an artery forceps can be applied. amount of extra tissue.
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Blood vessels should be accurately clipped with artery forceps, taking care to avoid taking too big a chunk of tissue. If it is difficult to see the source of bleeding, apply pressure with a swab and wait for 23 minutes and usually the bleeding vessel can then be occluded accurately.
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Horizontal mattress suture at the frenulum (6 oclock). Vertical mattress sutures at 9, 12 and 3 oclock and simple sutures between these.
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Once all bleeding has stopped, place a piece of petroleum-jelly-impregnated gauze (tulle gras) around the wound.
Apply a sterile, dry gauze over this, and secure it in position with adhesive tape. Take care not to apply the dressing too tightly.
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Summary
Three common methods of MC have been reviewed:
Description of the dorsal slit method of male circumcision Description of the forceps guided method of male circumcision Description of the sleeve method of male circumcision
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Summary (cont.)
The recommended operative techniques have been described in detail. Surgeons should become expert in the technique most suited to the circumstances of their practice. It is not recommended to learn all of the techniques. It is best to become a master of one adult technique and, if appropriate, one paediatric technique.
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