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this video demonstrates a circumcision performed on a model from limbs and things initially we must make sure the reason for circumcision and that the patient is appropriately counseled with regards the risks of bleeding infection and altered cosmesis and sensation we start with routine prep and drape and in this instance use a skin marker were checking that we can see the meatus and theres no other issues for example masses or abnormalities on the glans or for skin we mark around the glans ensuring that theres plenty of length for the erect and theres not going to be any pain or discomfort and how much skin that we remove we make a slight V at the frenulum underneath the at this point its useful to place two clips onto the foreskin this allows your assistant to help with retraction a swab in the left hand allows sharp dissection here we are using a 15 blade with each incision we try and produce some countertraction with a swab and the clips to allow the plane to open
