Paediatric Circumcision Using Bipolar Diathermy

TECHNIQUE Two bags of irrigation solution are suspended from a drip stand, with one hanging one-third of a bag length lower than the other (Fig. 1). The outflow to the upper bag is opened first and the lower bag is opened once the upper bag is half empty. This timing, and the relative heights of the bags, is important to prevent the lower bag from becoming over-inflated. Once the upper bag is empty, the lower bag continues to supply irrigation fluid. The upper bag is renewed and opened before the lower bag empties, and the position of the bags is then reversed, ensuring a continuous supply of fluid.