Originally posted by kohanson:
Usually a child has dressed too quickly and not wearing
underpants, accidentally pulled up penile skin into his zipper. The
skin becomes entrapped and crushed between the teeth and the slide
of the zipper, thereby painfully attaching the article of clothing
to the body part involved (most often the penis or less often the
area beneath the chin).
[b]What to do:
Paint the area with a small amount of povidone-iodine and
infiltrate the skin with 1% lidocaine (plain). This will allow the
comfortable manipulation of the zipper and the article of
clothing.
Cover the area with mineral oil. This lubricates the moving parts
and often frees the skin without having to cut the zipper.
If the mineral oil alone does not work, then cut the zipper away
from the article of clothing to leave yourself with a less
cumbersome problem.
Cut the slide of the zipper in half with a pair of metal snips or
an orthopedic pin cutter. The patient is less likely to be
frightened if this procedure is kept hidden from his view. If you
are unable to break the two halves of the zipper slide apart using
a metal cutter, then take two heavy duty surgical towel clamps and
place their tongs into the side grooves at both ends of the slide.
then grip one clamp firmly in each hand and then twist your wrists
in opposite directions. This often will pop the two halves of the
zipper slide apart, releasing the entrapped skin.
Pull the exposed zipper teeth apart, cleanse the crushed skin, and
apply an ointment such as povidone-iodine.
Tetanus prophylaxis should be administered as needed.
What not to do:
Do not cut clothing if mineral oil releases the zipper.
Do not destroy the entire article of clothing by cutting into it.
You only need to cut the zipper away allowing repair of the
clothing.
Do not excise an area of skin or perform a circumcision; it only
creates unnecessary morbidity for the patient.
[/b]
Brudder nice works..... 