The Gomkoll device for child circumcision A complete guide

"Circumcision in children is a medical procedure that requires great precision and special attention, as doctors are always looking for innovative solutions to reduce pain and speed up the healing process. Among these solutions, the Gomco device has emerged as a modern tool that ensures a safe and accurate circumcision for children. In this article by Daliy Medical, we will discuss the advantages of the Gomco device, how it is used, and why doctors prefer it over traditional methods. Is it the best choice for treating children? Read on to discover more."

What is the Gomco Device for Circumcision?

The Gomco device is a medical clamp specifically designed for performing circumcision on children. It features a bell that protects the head of the penis and a lever to precisely determine and remove excess skin with ease and accuracy.

How Long Does the Circumcision Procedure Take with the Gomco Device?

The circumcision procedure using the Gomco device is very quick, taking only about 10 to 15 minutes, compared to traditional methods that take longer and are more complex.

Is the Circumcision Procedure Painful Using the Gomco Device?

No, the Gomco clamp does not cause pain to children, as the procedure is performed under local anesthesia, meaning the child feels no discomfort during the procedure.

Is the Gomco Device Safe for Home Use?

Yes, the Gomco device is safe for home use, as long as the user follows the instructions carefully, ensuring the child's safety during the procedure.

What is the Weight of the Gomco Device?

The weight of the Gomco device is approximately 1.5 kg, making it easy to carry and use by medical professionals.

Is the Device Easy to Sterilize?

Yes, the Gomco device can be easily sterilized using medical alcohol or steam sterilization devices, ensuring cleanliness and safety with every use.

Warranty Duration of the Gomco Device

The Gomco device comes with a two-year warranty, along with technical support services available to ensure user satisfaction and provide assistance whenever needed.

Design of the Gomco Device

The Gomco device has a modern, sleek design with a silver color and blue accents. It features a comfortable handle for easy control during use.

Can the Gomco Device Be Used for Multiple Procedures?

Yes, the Gomco device is designed for repeated use while maintaining high performance and efficiency after each use.

Does the Gomco Device Require Medical Expertise?

No, the Gomco device is designed to be easy to use by anyone, whether at home or in medical centers, simplifying the circumcision process safely.

Can the Device's Strength Be Adjusted?

Yes, the Gomco device includes a control button to adjust its strength as needed, allowing the doctor or user to modify the pressure according to the child's requirements.

Why Do Doctors Prefer the Gomco Device?

Greater Safety: The device reduces the risks of infection and bleeding during the procedure.
Speed: The procedure is completed very quickly, reducing discomfort for the child.
Accuracy: The device ensures high precision in removing the foreskin, reducing the chances of complications post-procedure.

Can the Gomco Device Be Used for All Children?

Yes, the Gomco device can be used for children from a young age, but it is always recommended to consult a specialist doctor to determine whether the device is suitable for the child’s health condition and age.

Technical Specifications of the Gomco Device

Type:
A surgical medical device used to cut and remove the foreskin with precision and safety.
Function:
It is used to perform circumcision safely and accurately on children.
Design:
The device consists of several interconnected parts to ensure a precise circumcision procedure. The doctor manually controls the device to apply pressure on the foreskin accurately.
Technology:
The device uses a suction technique to secure the foreskin in place during the procedure.

Main Components of the Gomco Device

Main Part (Metal Ring or Vessel):
Contains a sharp edge for precise foreskin cutting.
Made of stainless steel, offering durability and strength.
Piston/Suction Tool:
Used to create a vacuum and hold the foreskin in the desired position during the procedure.
Made of medical rubber for flexibility and secure fixation without additional pain.
Protective Cover:
Used to reduce accidental injuries and protect other tissues during the procedure.
Compressible Pins and Sutures:
Used to hold the device in place during the procedure, made from safe medical materials like polyethylene and polypropylene.
Cutting Tool (Blades):
The device contains sharp blades to ensure precise cutting.
Sterilized and safe for medical use.
Tubes and Auxiliary Accessories:
The device includes tubes to drain fluids in some cases, and auxiliary tools to ensure the procedure is performed safely.

Materials Used to Manufacture the Gomco Device

Stainless Steel: Used for durable parts that need resistance to corrosion.
Medical Rubber: Provides flexibility and ensures easy handling of tissues.
Polyethylene and Polypropylene: Used in blades and sutures to ensure safety during the procedure.

Sterilization and Storage:

All parts of the Gomco device are sterilized using approved techniques, such as steam sterilization or gas sterilization.

After sterilization, the device is stored in a clean environment to ensure it remains uncontaminated before use.

Uses of the Gomco Device:

Surgical Circumcision: The primary use of the Gomco device for performing circumcision.
Other Medical Procedures: The device can also be used in procedures that require precise tissue cutting.

Safety of Use:

The Gomco device is very safe when used according to the doctor’s guidelines. Educational instructions are provided to ensure proper use and minimize risks.

Replaceable Parts (Consumables):

Blades: Should be replaced after each procedure.
Protective Covers: Replaced based on usage.
Pistons: Should be checked regularly to ensure efficiency.

Features and Benefits of the Gomco Device

High Precision Performance
- Features: The Gomco device allows doctors to perform circumcision with high precision using suction and piston techniques to secure the foreskin in place. The integrated sharp tools help in making precise cuts without affecting surrounding tissues.
- Benefits:
  - Reduces accidental injuries or unintended cuts.
  - Enhances procedure outcomes and shortens recovery time.
Reduced Potential Risks
- Features: The Gomco device helps reduce surgical risks due to its advanced design, ensuring complete control during the circumcision process. It uses sterile and safe medical materials such as stainless steel and medical rubber.
- Benefits:
  - Reduces the risk of infection or fluid leakage.
  - Decreases the likelihood of complications such as bleeding or tissue damage.
Speed and Efficiency
- Features: The Gomco device is easy to use, saving time during the procedure. Doctors can complete the circumcision quickly and effectively thanks to its engineered design, which allows full control over each step of the procedure.
- Benefits:
  - Reduces the time needed for circumcision compared to other methods.
  - Provides greater comfort for the child or patient as the procedure is faster and less painful.
Reduction of Pain and Swelling
- Features: The Gomco device utilizes suction technology, which helps reduce swelling and pain during and after the procedure. It also minimizes bleeding.
- Benefits:
  - Helps patients, especially children, recover more quickly after the procedure.
  - Reduces the need for painkillers, minimizing the side effects of medications.
Sterile and Safe Tool
- Features: The Gomco device is made from high-quality medical materials like stainless steel and medical rubber, known for their strength and resistance to contamination. The device is sterilized according to the highest medical standards.
- Benefits:
  - Reduces the risks of infection and contamination from improper sterilization.
  - Ensures safety when used in a sterile environment, preserving patient health.
Flexibility in Use
- Features: The Gomco device is designed to be comfortable and easy to use in various medical settings, whether in hospitals or small clinics. It is available in different sizes to suit various surgical procedures.
- Benefits:
  - Allows medical professionals to use it in different cases and with patients of different ages and sizes.
  - Can be adjusted based on the specific needs of the procedure or patient, enhancing its effectiveness in providing care.
Improved Surgical Outcomes
- Features: The Gomco device uses sharp blades and advanced tools to ensure precise cutting of the foreskin without affecting other tissues. It helps perform the procedure uniformly and consistently.
- Benefits:
  - Helps achieve satisfactory results in terms of appearance and health after the procedure.
  - Reduces the need for additional doctor visits or further surgical interventions.
Support for Complex Surgical Procedures
- Features: The Gomco device is used in cases that require high precision, such as conjoined twins or situations that need delicate surgical intervention.
- Benefits:
  - Enhances the ability of doctors to handle complex cases by providing accurate and suitable tools.
Easy Maintenance and Sterilization
- Features: The Gomco device is easy to maintain and sterilize after each use. Replaceable parts can be easily removed and cleaned according to health standards.
- Benefits:
  - Reduces the time and effort required to maintain the device.
  - Helps maintain the device’s effectiveness and readiness for future use.
Excellent Control for Both Patient and Doctor
- Features: The Gomco device provides the doctor with full control over the procedure from start to finish. It helps doctors monitor the situation using precise tools and visual control devices.
- Benefits:
  - Contributes to a highly efficient procedure.
  - Assists doctors in making the right medical decisions during the procedure based on real-time conditions.

How to Use the Gomco Device for Circumcision in Children

Preparation Before Use
- Wash your hands thoroughly: Make sure to wash your hands with soap and water to avoid transferring bacteria.
- Check the device: Ensure the device is clean before use. If it has a replaceable head, make sure to use the correct one.
- Prepare the child: Lay the child down in a clean and calm environment, and ensure the position is comfortable.
Device Setup
- Turn on the device: If the device runs on batteries, make sure it is charged or replace the batteries before turning it on. Select the gentle mode if the device has speed settings.
- Check the temperature: Make sure the device is warm (but not hot) if it has a heating feature.
Using the Device
- Gently apply the device: Place the device head gently on the sensitive area of the child and begin cleaning the area with smooth, circular motions.
- Move carefully: Avoid moving too quickly or pressing on the skin. Use the device around the circumcision site.
- Clean gently around the wound: If there is any wound from the circumcision, avoid direct pressure on the wound.
Duration of Use
- Clean for 2-3 minutes: It’s recommended that cleaning does not take more than 2-3 minutes per area.
- Ensure the device is clean: If the device has multiple heads, change the head after each use.
Post-Use Care
- Clean the area: Wash the area with warm water after use, and make sure the skin is dry.
- Moisturize: Apply a moisturizing cream or antibacterial ointment as recommended by the doctor.
- Avoid direct friction: Do not use tight clothing or anything that may cause friction on the area after circumcision.
Care for the Device After Use
- Clean the device: Clean the device thoroughly according to the manufacturer’s instructions using water or medical alcohol.
- Store the device: Place the device in a dry, clean location away from moisture.
Additional Tips
- Check the child’s condition: Ensure the child doesn’t experience irritation or redness in the sensitive area after use.
- Frequency: You can use the device once or twice a week, but avoid excessive use.
- Consult the doctor: If you notice any issues or pain after using the device, consult a doctor.

Are There Any Risks Associated with Using the Gomco Device?

Yes, as with any personal care device, there are some potential risks if the device is not used correctly or if the skin is sensitive. Here are some risks and how to avoid them:

Irritation or Redness
- Risks: Excessive pressure on the skin or prolonged use of the device may cause irritation or redness.
- Prevention: Use the device gently, avoid excessive pressure, and use it for short periods (2-3 minutes per area).
Contamination or Infection
- Risks: If the device is not cleaned properly, it may transfer germs.
- Prevention: Clean the device thoroughly after each use and ensure it is dry before storage.
Injury to the Wound Post-Circumcision
- Risks: Excessive pressure or friction on the wound may cause pain or infection.
- Prevention: Avoid direct contact with the wound and focus on areas around the circumcision site.
Improper Use of Settings
- Risks: Using the wrong settings (such as high speed) may damage the skin.
- Prevention: Choose the gentle settings suitable for the child’s skin.
Inappropriate Device for the Child
- Risks: Some devices may be too strong for children’s sensitive skin.
- Prevention: Ensure the device is appropriate for use on children’s skin.
Overuse
- Risks: Overuse may cause the skin to dry out or become irritated.
- Prevention: Use the device in moderation, only 2-3 times a week.

Tips to Avoid Risks:

Test the device first: Try it on a small area of skin to ensure there is no irritation.
Consult the doctor: If you notice any abnormal signs after using the device, consult a doctor.
Use a child-specific device: Ensure the device is suitable for use on children's sensitive skin.

Comparison Between New Circumcision Devices and Gomco

With advancements in circumcision technology, several tools have been introduced to perform the procedure more quickly and safely. Among these devices, the Gomco clamp, Plastibell, laser circumcision, and electrical circumcision stand out. Here’s a comparison of these devices:

1. Gomco Clamp

Mechanism: The Gomco clamp applies mechanical pressure to the foreskin using its metal parts, which stops blood flow to the section to be cut. The excess foreskin is then removed using a cutting device, and bleeding is controlled.
Age Group: Safe for use in infants and newborns, especially those under 2 months of age.
Duration: The procedure typically takes 10-15 minutes.
Advantages:
- High precision in removing the foreskin, leaving smooth skin edges.
- A safe and approved tool for circumcision for many years.
- Suitable for both older children and infants.
Disadvantages:
- Requires proper training from the doctor.
- Relies on the correct selection of size for each case, affecting the final result.
- The cutting tool must be appropriately chosen to avoid affecting cosmetic outcomes.

2. Plastibell Device

Mechanism: A plastic ring is placed around the foreskin, and a string is wrapped around the excess skin to mark the cutting point. The ring stays in place for several days and separates from the foreskin after 5-10 days.
Age Group: Suitable for infants up to 1 year old.
Advantages:
- No need for stitches or manual removal of the skin.
Disadvantages:
- Potential urinary retention in some cases.
- Risk of glans necrosis due to excessive pressure on the penile tissue.
- The ring may fail to fall off automatically, requiring additional intervention.

3. Laser Circumcision

Mechanism: A high-precision laser beam is used to cut the foreskin, reducing bleeding and enhancing sterilization during the procedure.
Age Group: Can be used for both infants and older children, under specialized medical supervision.
Duration: Typically takes 10-15 minutes, depending on the child's age and foreskin thickness.
Advantages:
- No blood loss.
- Reduces the risk of infection.
- Provides high-precision cutting.
- Contributes to faster healing compared to traditional methods.
Disadvantages:
- Requires specialized equipment with higher costs.
- Needs an experienced doctor skilled in laser use.
- Limited availability of specialized laser doctors.

4. Electrosurgical Circumcision

Mechanism: Electrosurgical circumcision (or diathermy) uses an electric current to cut the skin and coagulate blood vessels directly.
Advantages:
- Reduces the overall procedure time.
Disadvantages:
- Requires special expertise to use.
- Can cause damage to healthy tissue due to the heat generated by the electrical current.
- Single-pole electrosurgical cutting is banned due to severe damage to tissues.

Important Instructions and Tips After Using the Gomco Clamp for Circumcision

It is crucial to follow specific instructions and tips to ensure quick and healthy healing for the child after the circumcision procedure using the Gomco clamp. Here are the key recommendations to consider:

Maintain Cleanliness
- Wash your hands thoroughly: Always wash your hands with soap and water before touching the sensitive area or the device to avoid transferring bacteria.
- Clean the area gently: After each use of the device, clean the area with lukewarm water or a mild cleanser.
- Avoid strong soaps: Do not use soaps with harsh chemicals that may irritate the skin; choose mild, non-fragranced soaps.
- Dry the area gently: Pat the area dry with a clean towel. Avoid rubbing or applying excessive pressure on the skin.
Comfort and Proper Ventilation
- Avoid tight clothing: It is best to dress the child in loose clothing to prevent friction or pressure on the area.
- Good ventilation: Ensure the area remains well-ventilated, but avoid exposing the child to cold drafts, which can irritate the skin.
Avoid Direct Contact
- Avoid friction: In the initial days after the procedure, prevent any direct contact or strong friction with the area, whether from clothes or hands, especially if the wound is still healing.
Use the Gomco Device Cautiously
- Ensure the device is clean: Make sure the device is thoroughly cleaned before use.
- Use gentle settings: In the first days after the procedure, use the device on its gentle or low setting.
- Avoid excessive pressure: Do not press the device too firmly on the skin; move it in gentle circular motions.
Moisturizers and Soothing Ointments
- Use antibacterial ointment: You may apply a suitable ointment to help heal the wound and prevent skin infections.
- Coconut oil or aloe vera gel: These natural substances can be used to aid in healing if they are suitable for the child.
Pain Management
- Use appropriate pain relievers: If you notice the child is in pain or discomfort, you can give pain relief medication such as paracetamol or ibuprofen, according to the doctor’s guidance.
- Cold compresses: You can use cold compresses to reduce swelling and pain in the area.
Continuous Monitoring of the Child
- Monitor the wound: Regularly check the wound. If you notice any abnormal changes such as persistent bleeding, excessive redness, or swelling, or pus discharge, consult a doctor immediately.
- Monitor urination: If the child is experiencing difficulty urinating or severe pain while urinating, speak to the doctor.
When to Consult a Doctor
- Persistent bleeding: If bleeding continues or becomes heavy after the procedure.
- Signs of infection: If you notice signs of infection, such as excessive swelling, foul odor, or pus discharge.
- Ongoing pain: If the child continues to experience pain without improvement after several days.
- Wound not healing: If the wound shows no signs of improvement within two weeks after the procedure.
Ensure Rest
- Complete rest: In the first few days, the child may be more anxious or less active, so it is important to provide full rest.
- Avoid strenuous physical activity: Refrain from vigorous physical activity or rough play for at least two weeks after the procedure.
Bathing and Personal Hygiene

Avoid hot baths: In the first few days, it is better to bathe the child using a hose or lukewarm water instead of sitting in a warm bath.
Avoid chemicals: Do not add any chemicals, such as essential oils or scented soaps, to the bathwater.