Comparative Analysis of Postoperative Outcomes Following Various Neonatal Circumcision Techniques: Mogen Clamp,Gomco Clamp,and Plastibell Device

Abstract

Circumcisions using local anesthesia are among the most common procedures performed in the neonatal period and are typically performed using one of three techniques—Mogen clamp, Gomco clamp, or Plastibell device. Comparative data regarding outcomes, specifically rates of complications such as bleeding for which emergency room (ER) evaluation and intervention are indicated as well as operative revision of circumcision, remain unknown. This retrospective review aimed to better define rates of complications for each of the three procedure types. There were statistically significant differences between the three circumcision types as they relate to the subjective report of pain, but there were no statistically significant differences between the three circumcision modalities regarding rates of complications or return to the ER. Neonatal local circumcisions by these devices are all well tolerated with no demonstrable differences in outcomes. Careful patient selection and surgeon preference should continue to drive the approach utilized.