Re: Circs/Pain/complications

From: Arthurfree@aol.com
Fri Aug 15 17:39:15 1997


In a message dated 97-08-15 09:54:58 EDT, you write:

<< The Mohel only can use a Mogan clamp. The Gomco crushes tissue and that makes it not Kosher. I suspect the bump was from a Mogan clamp.

-- Robert Brenner MD FACOG >>

The Mogen crushes less tissue (it is a "knife edge" clamp), but the mechanism of hemostasis with all of these clamps is that a small amount of crushed devitalized tissue remains on the margin of healthy tissue. This is why "clamp time" is somewhat important with both (more so for the Gomco)- the tissue needs to be completely devitalized to prevent bleeding. Speaking of "knife edge" clamps, is there anyone out there who still uses a Sheldon clamp?

Arthur Freeland Warrensburg Missouri





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