FAQs
Tel. 603-205-6598
FAQs
The circumcision procedure care commences before the operation. Rabbi Slavaticki will discuss the nature and purpose of the procedure, and obtain signed consent before performing the procedure.
Here are information notes for the circumcision procedure for parents as prepared by Rabbi Slavaticki.
The word circumcision means removal of the foreskin and the edges heal together. On rare occasions dissolvable stitches are used.
Several health professionals may suggest delaying the procedure, after which time they wiill have also told you it will then be too late.
After delivery Rabbi Berel reccommends you contact him directly.
The sterile surgical operation is very quick usually taking a few moments.
Circumcision procedure care continues with preparation.
PLEASE BATH BABY BEFORE BRIS ADDING ONE CHLORHEXIDINE ANTISEPTIC SACHET TO BATHWATER.
1 Two Sterile Dressing Packs
2 Sterile Gauze Swabs
3 Calpol / Medinol Baby
4 Two Chairs
5.Two Bed Pillows
6.Small Table
7.Small Bin
8. one bottle red kosher wine with seal
9. Bechar Kiddush Cup
The time taken for the wound to heal completely depends on the age of the child and the size of the raw area, but initially is 14-21 days. The joining skin (“rim, ridge, tyre, band”) takes much longer.
The red raw healing area exudes healing tissue (not pus). The swelling around gradually resolves.
The wound of a baby after traditional circumcision looks different to that of a baby after surgical circumcision with stitches.
This healing process is explained by Rabbi Berel.
This exudate will be beige in colour, thin or thick in consistency, not to be confused with pus or infection. Exudate is normal healing of this type of circumcision wound since there are no stitches.
Circumcision procedure care is undertaken with appropriate pain relief and aftercare. Rabbi Berel has the necessary skills and experience both to perform the operation and use appropriate measures, including anaesthesia, to minimise pain and discomfort.
Rabbi Berel gives a local anaesthetic cream (not injection) also oral Tylenol by mouth. Rabbi Berel will discuss and advise with written instructions.
The next instruction leaflet after the circumcision gives full aftercare instructions.
• Baby is fed after the operation.
• Pain relief medication is available and advised; Baby is unsettled for the first 24 hours.
• The instruction leaflet after the procedure aftercare details keeping in contact with Rabbi Berel every four hours or earlier if you are concerned in any way.
Rabbi Berel will explain the care needed and 24 hour contact following the procedure. He will provide written instructions, which should be read carefully and this includes details on change of dressing and a bath.
Aftercare for the first 24hours includes :
• A dressing will be placed around the penis after the operation. This is to absorb the small amount of blood that may leak out from the wound.
• The wound will appear raw and swollen and this appearance will start to settle down within a few days.
• The baby will be unsettled the first 24 hrs and requires regular feeding.
• Position of the baby
• Winding of the baby over the shoulder.
• Nappy check but do not dislodge dressing.
• Nappy change directions.
• Nappy change and sequence with feeding.
• Dressings explained.
• Top gauze swab additional cover, applied but not tied.
• Soiling and what to do.
• Urine colour expected.
• Fresh bleeding what to observe.
• Analgesia pain relief treatment guidelines & dosage.
• Please do not bath baby or apply double nappies.
• Arrange next & further contact.
• If you have any concerns at all, please contact Rabbi Berel
Complications are rare. Occasionally there is bleeding or swelling. Other complications may include infection, meatal ulcer or stenosis, & reopcircumcision.
• Sometimes the wound continues to leak fluid or blood. If this happens try to apply pressure. If it does not stop please contact Rabbi Berel.
• If you notice your wound looks very red and swollen or you have a yellow (pus).Discharge around the wound area you may have an infection, please contact Rabbi Berel.