TaraKlamp

Dr. T. Gurcharan Singh invented the
Taraklamp. It was used widely around the
world in 1990's.

It is made of plastic designed for single use
only. It can be used for infants and adults
with varying sizes.
The tara klamp is a plastic with two parts which are uniting at the distal
end. Those are the tube and the outer clamp.

The tube is cylinder in shape. Its proximal end is a circular opening for
protecting the glans penis during circumcision.

Its distal end is also circular shape matching the distal part of the outer
clamp. It has two 'wings' that lock inside the hole provided by the outer
clamp.

The outer clamp has two distinct openings, two arms and two locks at
left and right sides of its distal end.
To lock the clamp, the upper part of the arm is pressed into the distal
part of the outer clamp until two clicks are heard and felt.
Same as plastibell, the size is important.
The correct size can avoid unnecessary
complications.

When the glans is cleared of adhesions,
insert the tube of the tara klamp into the
foreskin. The foreskin is pulled over the rim
of the tube underneath the clamp. Amount
of foreskin is adjusted.
The two arms are brought closer to the lock the clamp. The rim of the
clamp grips the foreskin on the tube. Further pressure applied to the
arms so two clicks are heard and felt. Lock is complete.

The skin has been clamp well to cut off any homeostasis. Use a tissue
cutter or scalpel to cut the excess foreskin.

It is a good practice to check the clamp and the penis before excise the
foreskin. Make sure the lock is fixed and position of the urethral meatus
is in the central of the tube.

When the clamp is locked and fixed, it cannot be undone. The Tara
klamp can be separated by cutting through the plastic in the hole at
distal end of the outer clamp. However, the clamp cannot be reused. To
continue circumcision, use a new tara klamp with the same size.
The clamp can be removed easily with some
discomfort. If the tube cannot be removed
from its attachment on the necrotic skin,
then it is better to let the boy home with the
tube intact. Advice for regular wash and
shower, the tube will be detached by a few
days.

Aftercare of circumcision is easy. Regular wash and shower with pain
killers whenever is necessary. Apply ointment or petroleum jelly over
the wound area.

The device is allowed to remain on the penis for the next few days.
Urine is easily voided through the distal opening.

Removing the device after 5-7 days:

Using a curve blade provided, the clamp is separated from the tube by
cutting the thin plastic at distal end of the tara klamp as shown.

The clamp can be removed easily with some
discomfort. If the tube cannot be removed
from its attachment on the necrotic skin,
then it is better to let the boy home with the
tube intact. Advice for regular wash and
shower, the tube will be detached by a few
days.