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Plastibell
The Plastibell Circumcision Device is a clear plastic ring with a deep groove running circumferentially designed for circumcising infant males. The Plastibell is placed onto the head of the penis during a 10-minute surgical procedure, and the device will fall off within 3 to 7 days. The Plastibell was invented by Hollister Inc in 1950, and first reported on in 1953.
==Surgical description==
The Plastibell Circumcision Device is a clear plastic ring with handle designed for male neonatal circumcision that has a deep groove running circumferentially. The elective minimally invasive surgical procedure to install the Plastibell device may be performed by an OB/GYN, a pediatrician, a urologist, a family physician or a pediatric surgeon. The important issue is that the medical practitioner is trained in the procedure.
The adhesions between the mucous membrane surfaces of the inner foreskin and the glans, which are normally present in most male and female children for years as both structures remain immature, are divided with a blunt probe introduced through the preputial orifice to accelerate such process and in order to introduce the other tools underneath. Then the foreskin is cut longitudinally to allow it to be retracted and the glans (the head of penis) to be exposed. The Plastibell comes in 6 sizes. The appropriate one is chosen and introduced under the foreskin to be applied over the head (the circumcision pictured at right is in this stage). The ring is then covered over by the foreskin. A ligature is tied firmly around the foreskin, crushing the skin against the groove in the Plastibell and to allow this to remain in place for days. Then the amount of foreskin protruding beyond the ring is trimmed off. Finally, the handle is broken off at the end of the procedure. The entire procedure may take five to ten minutes, depending on the experience and skill of the surgeon.
As with all circumcisions, the procedure should involve adequate anaesthesia, using either EMLA cream, dorsal penile nerve block, penile ring block, or a combination of these prior to operation. The ring falls off in 3 to 7 days leaving a circumferential wound that will heal over the following week. Typically, the Mucous membrane surface of the glans will appear red or yellow while it heals from the scraping process the blunt effected on it, until it has cornified in order to protect the from now on exposed membrane from contact with air and other external materials.
抄文引用元・出典: フリー百科事典『 ウィキペディア（Wikipedia）』
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