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Petroleum jelly may be applied liberally at diaper changes until the glans re-epithelializes.
The dorsal penile nerve block was first described in 1978.1 Since then, more than 2,000 newborns undergoing circumcision and receiving dorsal penile nerve blocks have been reported without any major complications.17 The nerve block is a simple procedure that can be easily performed.
The penis should be inspected following the procedure for signs of bleeding, with special attention to the ventral frenulum region.
A dressing of petroleum jelly or petroleum gauze should be gently applied.
Typically, 0.4 m L of 1 percent lidocaine is injected into the subcutaneous tissue at the base of the penis at each of the points indicated in for a total of 0.8 m L.
Some physicians prefer to use a single mid-line injection, but this has not been well studied or described.
The foreskin is then drawn over the glans, and the bell of the Gomco clamp is inserted over the glans .