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Reversible Clamping |
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DRIMS TRADING SDN. BHD. ( No. 730943 – P ) Blok F G-18 Larkin Perdana 3 Taman Larkin Perdana 80350 Johor Bahru Johor Tel /Fax : 07-2349154 |
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CIRCUMCISION THEN AND NOW
Circumcision is one of the oldest and commonest elective surgical procedure performed by man.
Since time immemorial, problem faced were mainly pain sensation, bleeding and infection. Death due to circumcision were not uncommon, and mainly attributable to bleeding and infection. Circumcision were not done under aseptic technique and death due to secondary infection, particularly tetanus, has been reported.
With the advent of analgesia, aseptic technique, sutures, ATT and antibiotics, circumcisions done today are safe and relatively painless. With the free hand technique, accidental amputation of glans penis (partial or total) has been reported even in advanced and well equipped medical centre.
Attempts were made to ensure that circumcision are safe and relatively bloodless. Bleeding is not only bad for the patient, but also messy, and obstruct surgeon’s view, to the extent that he may not be able to visualize what is going on. In the early 20th century, Moskovich was the 1st to practice bloodless circumcision, when he invented the circumcision forcep. The forcep was not popular, because of it’s poor cosmetic outcome and has since become obsolete.
Subsequently, more clamps (disposable and non disposable) were invented, most of which are already obsolete. Non disposable circumcision clamp that are popular today is the Gomco Clamp. Disposable circumcision clamps are gaining popularity, and the popular ones are Plastibell, Tara Klamp and Smart Klamp. Recent introduction includes Zhengxi Ring, Pro Device and Sunathrone.
Ismail Clamp, just like any other circumcision procedure by occlusion technique, makes circumcision safe, faster, with minimal bleeding and produce good cosmetic outcome. It merely introduce 2 new features that is unique to Ismail Clamp
Features unique to Ismail Clamp
i. Reversible Clamping—Clamp can be removed just by turning screw nut anticlockwise a. Clamp can be removed at home by family members. If family member not able to do it, clamp can be removed in clinic by attending doctor. b. In case of complication, easy to remove clamp and proceed to conventional circumcision c. Prepuce can be adjusted, prior to it’s removal d. Removal of clamp on 5th day is easy, spontaneous and relatively painless.
ii. Easy, spontaneous and relatively painless removal To achieve this, the only active intervention required is to unscrew and remove screw nut. Do not attempt to forcibly detach clamp from penis. Allow patient to go home with clamp on (without screw nut) and advise patient to soak (1/2 to 1 hour) clamp and penis in water (take a long shower) and clamp will spontaneously and Relatively painlessly detach from penis.
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MEASUREMENT DEVICE |
