Bone cutter, gomco clamp, and plastibell device for circumcision in neonates and infants: A comprehensive review

Abstract

Background: Circumcision, the surgical removal of the foreskin from the penis, is a common procedure in neonates and infants worldwide, driven by cultural, religious, and medical factors. Several techniques and devices are utilized, including the Bone Cutter, Gomco Clamp, and Plastibell Device, each with distinct advantages and risks. Understanding these methods is crucial for healthcare providers faced with decisions regarding circumcision.Objective: This review aims to comprehensively evaluate and compare the efficacy, safety, clinical outcomes, and complication rates associated with the Bone Cutter, Gomco Clamp, and Plastibell Device used in neonatal and infant circumcisions. By synthesizing current literature and clinical studies, the review seeks to provide evidence-based guidance for selecting the most suitable technique based on patient-specific factors and clinical settings.Conclusion: Each circumcision device offers unique benefits and potential risks. The Bone Cutter provides precise cutting with minimal bleeding but requires expertise. The Gomco Clamp is reliable for ensuring hemostasis but demands careful assembly. The Plastibell Device simplifies the procedure but carries a risk of retained ring complications. Healthcare providers should weigh these factors alongside patient preferences and cultural considerations when choosing a circumcision method.