Pain During Mogen or PlastiBell Circumcision

Taeusch, H. William; Martinez, Alma M; Partridge, JC; Sniderman, Susan; Armstrong, Jennifer; Fuentes-Afflick, Elena

doi:10.1038/sj.jp.7210653

Cited by 27 publications

(19 citation statements)

References 26 publications

(10 reference statements)

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“…Only three papers [25,26,30] compared different surgical techniques to perform MC, as shown in Table 4; all three studies found a greater analgesic effectiveness of Mogen clamp than both Gomco and PlastiBell. In particular, two of these papers [26,30] compared Mogen with Gomco clamp and both found a best analgesic effect of Mogen in terms of performing time and to decrease the pain response, if associated with preoperative analgesia, especially using a combination of analgesics (DPNB with EMLA and acetaminophen [30], and EMLA with sucrose solution [26]).…”

Section: Resultsmentioning

confidence: 99%

“…In particular, two of these papers [26,30] compared Mogen with Gomco clamp and both found a best analgesic effect of Mogen in terms of performing time and to decrease the pain response, if associated with preoperative analgesia, especially using a combination of analgesics (DPNB with EMLA and acetaminophen [30], and EMLA with sucrose solution [26]). One paper compared the use of the Mogen clamp with the Plastibell device [25], showing that the Mogen procedure is associated with less pain, stress and discomfort.…”

Section: Resultsmentioning

confidence: 99%

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Analgesia for infants’ circumcision

2013

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Male circumcision (MC) is one of the oldest and most common operations performed all over the world. It can be performed at different ages, using different surgical techniques, for different religious, cultural and medical reasons.Our aim is to examine and compare the various methods of analgesia and different surgical procedures reported in literature that are applied in infant MC. We performed a PubMed, MEDLINE, EMBASE and Cochrane search in the papers published since 2000: 14 studies met the inclusion criteria, most of them showing that a combined pharmacological and non-pharmacological intervention is the best analgesic option, in particular when the dorsal penile nerve block is combined with other treatments. The Mogen surgical procedure seems to be the less painful surgical intervention, when compared with Gomco clamp or PlastiBell device. Only 3 papers studied groups of at least 20 babies each with the use of validated pain scales. Data show a dramatic decrease of pain with dorsal penile nerve block, plus acetaminophen associated to oral sucrose or topic analgesic cream. However, no procedure has been found to definetively eliminate pain; the gold standard procedure to make MC totally painfree has not yet been established.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Analgesia for infants’ circumcision

2013

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“…Painless circumcision is possible in almost all newborns if it is performed during the 1st week after birth [13,20]. Neonatal circumcision is most commonly Comparative evaluation of two techniques of hemostasis performed using one of three techniques: the Mogen clamp, the Gomco clamp or the Plastibell â device [7].…”

Section: Discussionmentioning

confidence: 99%

Comparative evaluation of two techniques of hemostasis in neonatal circumcision using the Plastibell® device

Kazem

Mehdi

Golrasteh

et al. 2010

Journal of Pediatric Urology

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“…The type of clamp used affects the time taken for the procedure, being on average 81 seconds for the Mogen clamp and 209 seconds for the Gomco clamp (Kurtis et al, 1999). In a head-to-head trial of length of procedure the Mogen took 12 minutes, compared with 20 minutes for the Plastibell (Taeusch et al, 2002). The latter time is far greater than others generally achieve (see 8.2.4 below).…”

Section: Medical Circumcision Of Infants and Very Young Boysmentioning

confidence: 94%

“…The latter time is far greater than others generally achieve (see 8.2.4 below). Although simpler to use and more pain-free than the other two (Kurtis et al, 1999;Kaufman et al, 2002;Taeusch et al, 2002), the Mogen clamp removes less foreskin. The Gomco is the oldest and is the most refined instrument (Wan, 2002).…”

Section: Medical Circumcision Of Infants and Very Young Boysmentioning

confidence: 99%