Neonatal Circumcision Procedure Note

Preoperative diagnosis: Desires Neonatal Circumcision Postoperative diagnosis: same Procedure: Neonatal Circumcision Operator(s): _ Pre-procedure counseling: The risks, benefits, and alternatives of the procedure were discussed with the patient's parent/guardian and consent form is signed and verified. Procedure: A timeout was performed prior to starting the procedure, verifying correct patient, procedure, consent and ID band checked. The infant was laid in a supine position and the surgical field was prepped and draped in usual sterile fashion.

Infant stable and healthy. No hypospadias, chordee, epispadias, buried or webbed penis, penoscrotal fusion, or ambiguous genitalia on exam.

A pacifier with sucrose water was used to aid anesthesia. _ mL of 1% lidocaine without epinephrine was used to anesthetize the penis with a (select one) _ dorsal penile nerve block / _ subcutaneous ring block. A dorsal slit was made after clamping the foreskin. The foreskin was retracted and adhesions were removed bluntly. The _ cm Gomco clamp was placed in usual fashion ensuring the dorsal slit was completely included and that the amount of foreskin was symmetric on all sides. After securing the Gomco clamp to ensure hemostasis, the foreskin was cut with a scalpel. The Gomco clamp was removed. Hemostasis was assured. Blood loss was minimal (<1 mL). The wound was dressed with 1/2” petrolatum gauze. The attending physician, Dr. _, was present throughout the entire procedure.