The pictures below are from my article and show the steps in Mogen circumcision. It is imperative that physicians unfamiliar with the technique read the entire article and enlist the instruction of an experienced practitioner before attempting the procedure. The first step in any circumcision is appropriate anesthesia. With this technique, most newborns sleep thru the procedure. The dorsal tip of the foreskin is grasped with a fine hemostat for traction, and another fine hemostat is used to open the plane between the glans and the foreskin all the way back to the corona.
Care is taken to keep the tip of the dissecting hemostat tenting the skin at all times.
This keeps the hemostat out of the urethra. The ventral area is not dissected to avoid bleeding from the artery in the frenulum. The first hemostat is removed and replaced on the dorsal midline with its tip about3 mm short of the corona, and locked in place. The Mogen clamp is opened fully. Clamps should be checked periodically to insure that the opening is no more than 3.0 mm, and sent for repair or discarded if they do open wider.