Circumcision of Infants with Gomco Clamp - An Effective and Safe Method, in A Tertiary Care Setting: Circumcision of Infants with Gomco Clamp - An Effective and Safe Method

Bashir Ahmed Soomro; Abdul Ghaffar Arain; Sidra Abbas; Shafaatullah Qudratullah; Syed Mohammad Abdullah Bukhari; Khalid Ahmed

doi:10.54393/pjhs.v6i7.3314

Authors

Bashir Ahmed Soomro Department of Pediatric Surgery, Baqai Medical University, Karachi, Pakistan
Abdul Ghaffar Arain Department of General Surgery, Baqai Medical University, Karachi, Pakistan
Sidra Abbas Department of General Surgery, Baqai Medical University, Karachi, Pakistan
Shafaatullah Qudratullah Department of General Surgery, Baqai Medical University, Karachi, Pakistan
Syed Mohammad Abdullah Bukhari Department of General Surgery, Baqai Medical University, Karachi, Pakistan
Khalid Ahmed Department of General Surgery, Baqai Medical University, Karachi, Pakistan

DOI:

https://doi.org/10.54393/pjhs.v6i7.3314

Keywords:

Circumcision, Gomco Clamp, Neonates, Infants, Safety, Cosmetic Outcome, Clamp Size, Complications

Abstract

Circumcision is among the most commonly performed pediatric surgical procedures. The Gomco clamp is widely used due to its simplicity and safety profile. However, variations in clamp size may influence postoperative outcomes. Objectives: To evaluate the safety, efficacy, and complication rates of Gomco clamp circumcision in neonates and infants, with a focus on the association of clamp size with key outcomes. Methods: This prospective observational study was conducted at Baqai Medical University from March 2022 to February 2024. Male neonates and infants up to one year undergoing elective Gomco clamp circumcision were enrolled. Data on age, weight, clamp size, procedure duration, and complications were recorded. Follow-ups were conducted at days 3–5, days 7–10, and at 2 months to assess early and delayed complications and cosmetic outcomes. Results: Early complications were mild and infrequent. Surgical site infection (4.2%), meatal stenosis (4.2%), and adhesions (8.3%) were rare. Bleeding requiring intervention occurred in 6.2% of cases, and cosmetic outcomes were excellent or good in 85.4%. Significant associations were found between clamp size and bleeding (p=0.041), as well as cosmetic outcome (p=0.027). Conclusions: Gomco clamp circumcision is a safe and effective method for neonates and infants. However, careful selection of clamp size is crucial for minimizing complications and optimizing cosmetic results.

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