Consideration | Mogen | Gomco | Plastibell |
Single or multiple sizes | Single infant size can be used for all infant males. | Various sizes must be available. | Various sizes must be available. |
Number of parts | Single part simplifies inventory. | Various sizes and multiple parts complicate inventory. | Multiple sizes but a single part simplifies inventory. |
Sizing errors | Reduced risk. One size for all infants (slot size must be checked). | Increased risk (related to mismatching device parts). | Increased risk (complications associated with bell of wrong size). |
Duration of procedure | Requires the least amount of time to perform. | Requires more time. | Requires more time. |
Use in older infant males and young boys without suturing* | Routinely requires closure of the wound in infants >60 days of age. | Routinely requires closure of the wound in infants >60 days of age. | Routinely does not require closure of the wound, regardless of age. |
Disposable/reusable | Reusable. Requires reprocessing.¶ | Reusable. Requires reprocessing.¶ | Device itself is disposable (instruments may require reprocessing). |
* This manual addresses early infant male circumcision. For more information on male circumcision later in life, refer to the World Health Organization Manual for male circumcision under local anaesthesia.
¶ The Mogen and Gomco clamps are reusable. This could be a benefit if the infrastructure is available to reprocess the instruments and the cost of sterilization is less than that of purchasing a disposable device.Do you want to add Medilib to your home screen?