title: Bloodless, sutureless circumcision.
abstract: BACKGROUND
  W e present our experience of sutureless and bloodless elective circumcision in neonates and infants with Gomco clamp.
  
  
  METHODS
  From March 2008 to May 2011, 200 babies with age ranging from 2 weeks to 7 months underwent Gomco circumcision. All patients were given chlorohydrate 50 mg/kg, paracetamol suppository 15 mg/kg, and local anesthesia. Procedure was done in minor operation theatre (OT) and babies were observed for 1 h in recovery room before discharging them home.
  
  
  RESULTS
  Two of our patients (1%) required immediate suturing on table after Gomco clamp was removed, five patients (2.5%) were shifted back from the recovery room to minor OT for suture repair and eight patients (4%) required reinforcement of primary dressing to control the minor ooze. There was no other complication. Cosmesis was to the satisfaction of the surgeon as well as the parents.
  
  
  CONCLUSIONS
  Gomco clamp is a bloodless, sutureless, simple, and safe method of circumcision in newborns and infants. It is cost-effective and can be performed under local anesthesia and sedation with excellent cosmetic results.
authors.affiliation: Department of Paediatric Surgery, Sher-i-Kashmir Institute of Medical Sciences, Srinagar, Jammu and Kashmir, India.
authors.forename: Nisar A
authors.initials: NA
authors.lastname: Bhat
authors.forename: Raashid
authors.initials: R
authors.lastname: Hamid
authors.forename: Kumar Abdul
authors.initials: KA
authors.lastname: Rashid
mesh_terms: D002944:Circumcision, Male / Q000295:instrumentation*; D004867:Equipment Design; D005500:Follow-Up Studies; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D008297:Male; D012189:Retrospective Studies; D013536:Suture Techniques / Q000295:instrumentation*; D016896:Treatment Outcome; D014945:Wound Healing