Latest / SHULCHAN ARUCH YOMI: Own the Halacha in 25 minutes a day! / Yoreh De’ah 264:2-3. Bris Milah: Iron Knife, Clamps, Blood, Foreskin On the Atarah, Glans Vs Corona, Milah and Priah, 2 Layers, How and What To Cut, Hypospadias
Transcript
- 0:00OK, we are today we're in Helkos Amila we're we left off at Reish
- 0:06Samak Dalid Gilman. That's where we left off.
- 0:11I just want to go back a little bit on what we learned
- 0:14yesterday. So we mentioned just to clarify,
- 0:18the reason why some of the qatan or others are kosher for Amila
- 0:25is because by Amila there's no din of leeshma.
- 0:28That's the Gomara Navarrezara Kavzai.
- 0:31We also mentioned it says that you can use for a, if a baby
- 0:36unfortunately dies before it has a brasimila, It's mentioned that
- 0:40you can use a, a stone, a stone or whatever any hard read that
- 0:46you can find. So 2 reasons is because as our
- 0:50emotion points out, that's what's available.
- 0:52Of course, one's allowed to use a knife or a scissor and there's
- 0:55nothing wrong with that. It's just that's what's no
- 0:59Hermosha says. Even because even you can use
- 1:02it, even though we learned by a child who's alive, we always
- 1:07use, we always use a knife, right?
- 1:10That's you're going to get the best, best results.
- 1:12No splints, no splinters. You're not allowed to use the
- 1:16Kanan. So there you're allowed to even
- 1:18use whatever you find. It was in the Shulkhan Gavoa
- 1:20that says it's in the base of Kavaros.
- 1:22You don't always have the knife handy.
- 1:24You just take what you have from the floor and do what you need
- 1:27to do and it's OK. So that's why it's that
- 1:29difference. But I'll point out an
- 1:31interesting midrash that's mentioned in the Prisha.
- 1:35A stone was always considered to have some level of of Kadusha or
- 1:40a purpose for kedusha, like a misbeya.
- 1:43You meld A misbeya for a carbon to a sham on a stone.
- 1:46So we see that Miriam used a stone.
- 1:49We see that it's Yoshua used a stone.
- 1:52It says it's sewer and Sephora. Thank you.
- 1:56I meant right Sephora, the wife of Moshe.
- 2:00So when did we mention the word Barzell or iron, Right, which is
- 2:06in stainless steel. When did we mention using?
- 2:10When did we see iron first being used?
- 2:13And the midrar says it started with which is why it's Vidapka
- 2:17nice to use Barzell iron or steel because it's with with
- 2:24David Amela when he went to take a stone with Kedusha to kill
- 2:29Goliath, he threw it and the midrar says it went basically
- 2:34right through the armor of Goliath, which had which was
- 2:38made of iron to protect his head.
- 2:40And the miracle happened that the that the armor became soft
- 2:45and the stone went right through to kill him.
- 2:48So that's so from then on it was oka to be used for a breastmula.
- 2:53So iron is being used. So that's the preferred look at
- 2:58the Midrash. It's an apresia.
- 3:01OK, we mentioned not using Goyim not to do a bris on Nagoy.
- 3:07So there are two reasons that wasn't so clear. 2 main
- 3:10different type, completely different reasons.
- 3:13We mentioned one about it's a, it's a host of from Avraham
- 3:16Avinu. It's our bris.
- 3:18But there's another reason which is really again different
- 3:22opinions. Toast was the reason is because
- 3:26it's done for Rafua and so there it's an insert to do Rafua for a
- 3:34a friend Ovetto, what is Zara unless he pays you.
- 3:38So then if you're doing it for money, so based on Tosos, it's
- 3:42OK. Based on the other reason it
- 3:44still might not be OK. Anyways, it's discussed.
- 3:48Lamaisa is done especially because, as we mentioned the
- 3:50reasons the other day, something else interesting.
- 3:56It's brought down the Piscreetuva and it's a little
- 3:58bit of homage. So I just wanted to interesting
- 4:00to mention. So you dialed it, but real big
- 4:03Kitzer, the Rambam points out that perhaps it's a mitzvah and
- 4:06you think he says it is a mitzvah to do it on Binet
- 4:10Ishmael. So Shagasari doesn't exactly
- 4:13agree because what's the source for the Rambam?
- 4:17It's from Binay Kitura. So they were, they're also from
- 4:21the Zaro Sha Avraham and they're also Hayev.
- 4:25So Rashi says only those six children were Hayev, but the
- 4:30Ramblin says nuts, all their descendants are Hayev and
- 4:33they're mixed in with Vinay, Ishmael, and we don't know who
- 4:36is who. So therefore they all become so
- 4:40therefore, because you don't know they're all Hayev.
- 4:44And so it's a whole discussion. You can see over there.
- 4:47Do you go after Rove or not? If it's a Jew, you go after
- 4:51after Rove. If it's a non G, you don't go
- 4:53after Rove. That's one of the Titans of the
- 4:55Nodia. Be who though?
- 4:56But OK, I am Sean point out because we mentioned it
- 4:58yesterday and it's going to come up again today.
- 5:02So the question is 2 questions, what we mentioned about clamps.
- 5:07So I do want to just point out, and as Morty Ness pointed out,
- 5:14shout out to him that not all clamps, I don't know if I
- 5:17expressed it enough, not all clamps are created equal. 11 I
- 5:22think that first came out popular was the Gomco and that
- 5:26was, that was intended to really cut off the circulation
- 5:30completely so that there's no bleeding.
- 5:33And so the biggest problems we had we mentioned was it's going
- 5:38to cause pain. There's going to be no blood.
- 5:41I'm going to talk about that. Blood's an integrable part of
- 5:44the Bersmila. And what was the other thing?
- 5:49Some even say by the time you cut it off, the it's cut offs,
- 5:53all the circulation and the foreskin that's on the other
- 5:56side that you're going to cut off is basically dead and you're
- 5:59basically not really doing a Bristol anymore.
- 6:02The Braca is a braca or vitala and maybe now the child will be
- 6:06Mahul or an Aral, but you're lacking the misa of doing the
- 6:11bristola. So that's another issue.
- 6:14So the mole of Bronstein, it's known as the Bronstein clamp,
- 6:19it's known as the the Mogen clamp and it is quite popular in
- 6:25the secular world or in hospitals.
- 6:28So there there is generally speaking, as as long as you
- 6:33don't leave it on for a few minutes and it depends how long
- 6:36you leave it on. I mentioned depends if you you
- 6:38know, you squirt in inject some epinephrine or anesthetic is
- 6:44depending how if it's if it's just put on real quick and then
- 6:49you cut and take it off, there's generally always bleeding.
- 6:52So, so anyway, so and suppose that maybe there's less pain and
- 6:58there is some bleeding. So basically it's a Mojocus.
- 7:02Generally, it's definitely the postgame say definitely not all
- 7:06of them or all of them say, well, I don't want to start
- 7:11saying, oh, I did not take a survey and I didn't prepare all
- 7:14The Who says what. But generally most posts can
- 7:18definitely say not to use it unless it's necessary.
- 7:25A necessary might be a hemophiliac.
- 7:28But nowadays generally to to deal with that, we just give
- 7:32them the factory, give them an injection of what they're
- 7:34missing. Again, to find out what the
- 7:36situation is, but normally just give it an injection factor is
- 7:40whatever is missing and that solves the the bleeding problem.
- 7:44And then on the 8th day you can go ahead and give a bursimula
- 7:46like normal and depending on the situation.
- 7:49So, but that's that's what one reason sometimes if there's not
- 7:55every foreskin is the same, sometimes there's complicated
- 7:58cases and you're afraid of bleeding and dealing with
- 8:02sutures and blood is a mess. So therefore that can be another
- 8:06reason some some feel it is OK with the bronze sting.
- 8:13Is there is there a cutting done?
- 8:15Yeah, the bronze sting is a, is a clamp.
- 8:18It's it doesn't. I don't know exactly.
- 8:20I haven't, I don't know if I've seen one personally ever, but it
- 8:24does. It's squeak.
- 8:26What it does is normally we have a normal, the normal shield that
- 8:30we have that all most molding use, almost all was created
- 8:35maybe a few, 100 years ago. And it's just, you slide the
- 8:38foreskin right through. There's an opening, there's a
- 8:42slit of maybe a millimeter, millimeter and change.
- 8:45So you have enough room to slide it through without crushing And,
- 8:49and then right. So the the glands, the aver's on
- 8:52one side, the foreskin's on the other, and you just slice across
- 8:55and you cut it off. The clamp is basically the exact
- 8:59same thing. But what it does is after you
- 9:02slide it through, it squeezes, brings the clamp to the shield
- 9:07basically together. It's a little bit of a hinge and
- 9:10it squeezes it together and I don't know how much space is in
- 9:16between, but if you do it real quick then there's always going
- 9:19to be bleeding and then you cut it.
- 9:22You cut it just like always. There's no there's really no
- 9:25difference between a like a regular shield and the bronze
- 9:28zinc and a clamp, except that the clamp will squeeze together
- 9:34and close in on the on the skin. OK, but they're both both you
- 9:39cut afterwards. Let's see what else?
- 9:42OK, so emotion ask a great question.
- 9:45What happens if the you do 1 uses a clamp and there's no
- 9:51bleeding, especially if you use epinephrine and you leave it on
- 9:53for a few minutes? Do you have to do a toughest
- 9:57dumb breathe? So I'll just point out real
- 10:00quick and then and we're going to see this Khazal point out in
- 10:05the Mikhilta that Hashem gave 2 mitzvahs to Binet Israel in the
- 10:09midbar, right? Dumb Pesach and dumb bris.
- 10:13And it's all it's, it's always been, it's always referred to as
- 10:18dumb Pesach and dumb bris. And it's a drasha on the Pasak.
- 10:21They make a Drasha Khazal from Mikesco Ted sign where it says
- 10:25we are Vora Lyek, we are air and everyone says the parcel
- 10:29continues twice. Why for those two done.
- 10:35You see it's it's anyways, as I'll point out, it's it's
- 10:40important. Also, there's an another part
- 10:42SEC. It says gamat bedam britef
- 10:45shilakhti arisayat that's in Zakharia tete.
- 10:48You're all of four talks about again the future of Khal.
- 10:51You saw the sham's going to redeem us, bring us back from
- 10:53Gallus based on the source of the britef, which is the dam
- 10:59Britef, the blood of the bris Mila shabis Kuflama Zion says
- 11:03Himalay dam Bris Lodiskaimu Shamayanvaritz again it talks
- 11:07about the dam and in Mobius and the Pasak in Mobriti Yomam
- 11:11Valaya Kokoshamayan, the arts Los Santi, right, the creation
- 11:15is the dam. All they're showing in basically
- 11:19the Rashi Ramban Rashbam here they all talk about dam is an
- 11:22integrable part of the mitzvah, right?
- 11:25It's part of it and the Ramban and I think others will agree
- 11:31that it's not me a cave one from a bristmilla, but it's certainly
- 11:35an important part of it. So that's also we mentioned.
- 11:38I think that's an issue that's a problem with using a laser if
- 11:42there's not going to be any. It's also you don't have, it's
- 11:45not the Minnag, it's you're losing that the knife, the Barzo
- 11:48an important, an important line from Amin Khasitzhak.
- 11:52I don't think anyone argues, but in the Minnkhasitzhak and La
- 11:55Mervad, he points out loko shashima, it's a koval.
- 11:59We're not worried about kavala or doing any hurting them,
- 12:05causing blood bleeding. Whenever there is you do it with
- 12:09shame mitzvah. It's if you're doing it, there
- 12:12are kabiza, you know, to hurt someone.
- 12:13So there's an essa dereisa of kavala.
- 12:15But if you're doing it with shame mitzvah, I don't know if
- 12:19he mentions it, but we know the shame rufua.
- 12:21We don't call that a nessa of kavala.
- 12:24Yeah. But the question is do you have
- 12:25to, so you have to do a Tafas Dambris.
- 12:28So the only thing only source I saw is the Mish potato zeal
- 12:32first Chief Rabbi of Smart up Chief Rabbi of Israel is he says
- 12:36you have to do a Tafas Dambris if there's no bleeding.
- 12:39But I think it's clear from the from the Sholkhanara, from all
- 12:44the postscame, from the case of Nola Dumahul, that one, I don't
- 12:50think there'd be one who would argue that you have to do a
- 12:52Tafas Dambris. It's, it's an integrable part of
- 12:55the whole process. We see even though you're not
- 12:58you're, you're Nolan Mahul or any of these cases, it's done at
- 13:02night time. OK, There's a Mahogas we saw if
- 13:04you have to do a Tafas Dambris if it was done at night or
- 13:06before the 8th day, but certainly those who do anyways,
- 13:11it's going we see all these cases where it if it wasn't
- 13:15done, if there was no bleeding, it seems to be clear that one
- 13:18would have to do how Tafas dumb brace and but I'll just point
- 13:24out if you want to and then time to move on is the Gumar and
- 13:30Shabbos. I think it's Kuf Lahmed olive.
- 13:34Later on there maybe Kuf Lahmed. Hey, there's a Mahlokis, Rav and
- 13:38Schmoel regarding if you're if a baby is born Mahul, it's true.
- 13:47It's a Mahlokis, it's a mahloukas in the Gomara
- 13:50basically, and it's a mahlokas in the rishonium.
- 13:52I had to deal with it. If you know for sure it's mahul
- 13:55and it's 100% perfect, it's true.
- 13:58There's an opinion that says you do not have to do a tafas
- 14:00d'ambris, just happens to be it's in the Gomara.
- 14:03But the halacha clearly is we do have to do a tafas d'ambris, but
- 14:08because of that mahlokis, it's not done on Shabbos.
- 14:13So that's because on Shabbos only if it's vadai, so that's
- 14:18OK. So let's let's read inside with
- 14:22Gilmo and we will start to further understand the the
- 14:27process of Mila. OK, Gilmo Keitzad Mullin, how do
- 14:35you do the breast Mila right? The mobile shows up, opens up
- 14:39the baby's diaper and now is ready to cut.
- 14:41So how do you do it? So OK, let's read inside.
- 14:48We're going to skip a common step, but let's read inside.
- 14:52Khodkin ETA Orla. We'll come back to it.
- 14:54So the first thing you do in the Shah Khanara is you cut the
- 14:58Orla, you cut the, the, the, the foreskin hakofeh atara, whatever
- 15:03covers up the whole portion that covers up the atara.
- 15:08The atara can be translated as crown.
- 15:12It's the the head, the glands, the end of the whole ever acha
- 15:19titkale atara. You have to remove all of the
- 15:22foreskin and so that when it's when you finish cutting the
- 15:27atara, the whole top portion is the whole from starting from the
- 15:32groove. Maybe I'll show you a picture.
- 15:38Just sent it out and what's up? I don't know what you can see
- 15:44from here, if that helps. Closer, farther.
- 15:49So all the way till the bottom where there is this groove or
- 15:53it's called the coronal sulcus. I'm sure most of you are
- 15:57familiar. So starting from there,
- 16:00everything till the till the end has to be completely revealed
- 16:04after you cut it off via harka porin ET hakrum harak shalamata
- 16:12neha or betsi porin. And then there's covering the
- 16:17entire right, the entire attara. Now I'll just point out right
- 16:21now there happens to be a mahlokat.
- 16:23What is considered now you're judging here.
- 16:27This is also a mahlokat, but we're judging or what's
- 16:32considered the the entire we're calling.
- 16:36OK, let me start with this part. We're calling the whole thing
- 16:39starting from the sulcus and up, which means in Hebrews khazal,
- 16:45it's called the khuta sevev where it gets a little bit,
- 16:48bulges out a little bit, and then the entire So that's khuta
- 16:53sevev. That's some say that is the
- 16:56atara in in Khazal Besiosev says the entire thing is the atara,
- 17:01but this is the Ikar atara. So there is a little debate on
- 17:06what's the kavana of the Besiosev, but let's just assume
- 17:09it means the entire thing is the the Atara before shore is quoted
- 17:15for saying only this is the atara.
- 17:17I think most post games say the entire thing is we consider to
- 17:20be the atara and so the whole thing.
- 17:24Now how do you judge that when it's at rest without an
- 17:28erection, we're going to see from Morris EIN that's with an
- 17:31erection Makula here it's it's a major mahlokit or a big
- 17:37difference. It's a mahlokit and it's a big
- 17:39difference if you're judging the foreskin when it's when the aver
- 17:45is erect or when it's I guess relaxed when it's not.
- 17:50So then so you obvious if it's erect, you're going to have less
- 17:53skin to cut and if it's relaxed, you're going to have more
- 17:55foreskin to cut. So we want to make sure it's
- 17:58entirely revealed when it's not erect.
- 18:03OK, so the whole thing is going to be revealed.
- 18:05So I'll explain again in a second.
- 18:09Well, maybe I'll explain now. The foreskin, it's how do we
- 18:14describe? And if you look carefully at my
- 18:15diagram, you'll see that the whole entire foreskin, it's
- 18:21really made-up of two layers, but it's like combined, it's
- 18:25like it's like folded over the whole skin.
- 18:27I don't know if it's a better how better way to describe it.
- 18:30It's one long, right? It's round, it's the skin and
- 18:34it's, it's 2 layers at the at the very tip.
- 18:40There's but it's not 2 membranes.
- 18:42It's but it's look at the diagram and you'll it's two
- 18:47actual layers, but it's connected at the top and there's
- 18:52no opening. So what happens is when one,
- 18:55when a, when a mole, right when you do the circumcision, you're
- 18:58pulling the foreskin away. And let's say some will actually
- 19:02take a pen. They'll find out where while the
- 19:05foreskin is there. They'll they'll find out where
- 19:08the sulcus is while the foreskin before they even start before.
- 19:12All right. The first thing they'll do is
- 19:14you have the foreskin covering the glands completely.
- 19:17They'll look for where this groove is or a Haritz in Hebrew,
- 19:21and they'll mark it with a pen. OK.
- 19:25And then, so now they'll know how much they have to cut.
- 19:28Then they'll pull the whole thing forward above right,
- 19:34because it's able to extend. And then the whole foreskin that
- 19:37comes above, then they'll put the shield, they'll slide the
- 19:41shield through. So now the pen mark needs to be
- 19:44above the shield, must be above the shield so that they cut all
- 19:48of it. So if you just do that, the way
- 19:50I explained right now, what's actually going to happen is
- 19:53you're going to end up pulling forward all the outer layer of
- 19:57the foreskin and the inner layer of the foreskin.
- 20:01Because the foreskin is really made-up of two layers.
- 20:04And the inner layer will be stuck to the aver to the glands
- 20:09and this side. So it'll the inner layer will
- 20:13stay here, the outer layer will get pulled forward.
- 20:17And then when they cut, So everything basically kind of
- 20:19like slings, slings back or just goes back to its position.
- 20:23So now you're going to see that the entire aver is revealed from
- 20:28one layer, but it's still completely covered or partially
- 20:32covered depending on the anatomy of the inner layer.
- 20:36So then that's what the Shulkhanarak is talking about.
- 20:40So first you pull and cut the ormila or the OR orilla,
- 20:45whatever you want to call it, the outer layer of the foreskin.
- 20:48And then there's a whole another thinner, little more delicate
- 20:52layer and easier to cut. This again, you need, you have
- 20:57to be very careful what you're doing and you need to have good
- 21:01skills or instruments so that it's easiest, especially in
- 21:04those days to use Itziporin. There's P Kabbalah, maybe
- 21:08there's an Indian of Itziporin used to be the the Klipa or
- 21:13Amakif around us before we send with Adam Marishon before we
- 21:17send. So here we are kilu making AT
- 21:20cone using the same nail, the same material that was around us
- 21:25before Adam Marish when Adam Marishan was born.
- 21:28And now we're removing the clipa that's on before he sent.
- 21:33So the inner layer isn't really stretched.
- 21:35It's cut correct In this case, dangerous part, it seems with
- 21:40the knife. Well, you don't want to right?
- 21:43You need to get in there to cut the Priya the OR Priya without
- 21:47cutting the Ava or the glands. So I'll explain the probe rhythm
- 21:52off read afterwards. So then, so that explains.
- 21:56So then what's left, this thin layer and you don't want to do
- 21:59any damage to what's left and you have to like pry it apart.
- 22:04So you take a, what's common is you take a sharp nail or a sharp
- 22:06thumb nail on your thumb or whatever you use to cut this.
- 22:10The pria, you RIP it with your nail, you grab onto it, you feel
- 22:14it, you grab onto it and you RIP it all the way down to the
- 22:19groove. And if you're doing it with your
- 22:21nail, you're not going to damage.
- 22:22You're right. It's your nail is careful and
- 22:27sort of smooth. You're not going to damage the
- 22:30aver. You're going to RIP it all the
- 22:31way down and then you either RIP it away and cut it away, or you
- 22:36just fold it down. And then after you fold it down,
- 22:41we're going to see you're going to put a bandage on it.
- 22:44And as long as the whole aver is completely uncovered, whether
- 22:49it's been cut or pulled down, then it's revealed that's a
- 22:56proper brissimila. And to prevent the skin,
- 23:00whatever gets pushed down from coming back up is you put a
- 23:04bandage on it. So every mole is going to, I
- 23:07mean, there's also bleeding. So it accomplishes both.
- 23:10A bandage is going to keep it, help with the hemostasis, stop
- 23:13the bleeding, and it's going to keep whatever foreskin is there
- 23:17down and it's going to heal permanently down without growing
- 23:21back. Now that I mentioned that I do
- 23:23before you misunderstand me, I do have to point out that
- 23:27there's a famous Mahocus between now the two names that are
- 23:33always referred to. It's not just those two names,
- 23:35but those are the two names that are most famous who who speak
- 23:38most about it and most passionately about it is the
- 23:43Hoskas Adam versus the Divre Khayyam.
- 23:47So every mole needs to know what the what's the Mahlokas between
- 23:51the Hoskhmas Adam and the Divre Khayyam.
- 23:54So the question is, everyone agrees the OR or Apriya, the
- 23:59orpria you can fold down. OK, we're going to get to the
- 24:05probe and we're going to cut to cutting both, both layers of the
- 24:09foreskin at the same time. That might have to be tomorrow.
- 24:12But let's let me just explain this important distinction.
- 24:18It's very that everyone agrees the Orpria can be pulled down
- 24:22and healed down. What's the main the major
- 24:25Mahlokas famous between the Hochmass Adam and the Dvrikaiam
- 24:29is what about the OR Mila? the OR the Orla, the outer
- 24:33layer. So the Dvrikaiam holds, everyone
- 24:37holds. You're supposed to try and cut
- 24:39all of it away. That's not a Mahlokas.
- 24:42And generally speaking, as far as from what I've been told, as
- 24:46long as you have a competent mohel, that always happens.
- 24:50You're always cutting away all of the oral 100%, you grab all
- 24:54of it, you put it through the shield, and especially the
- 24:57shield actually helps to make sure all of it is through.
- 25:01You did. You did what you need to do and
- 25:03it's not a problem. And I don't know first hand, you
- 25:05know what happens in every mohel's hands around the world
- 25:08and for hundreds of years. And that's part of the
- 25:11contention between the Khokhmasadam and the de
- 25:13Rihrheim. It comes out of the
- 25:16Khokhmasadam, you'll see it puts a question mark and he himself
- 25:19does put a question mark on a lot of people walking around.
- 25:23Derekhayim says the way the Derekhayim explains, everyone's
- 25:27going to be fine because the Derekhayim says as long as you
- 25:29cut part of the skin of the Orla, the outer layer, but you
- 25:34didn't cut. Let's say you didn't cut enough.
- 25:37So the Derekhayim and we're going to explain that more, what
- 25:40it means to cut enough and not cut enough, but it's if you
- 25:44don't pull all of it and cut all of it.
- 25:46So it might be a puzzle Bersamila, but what the
- 25:51Derekayen says is anything that's left, even if it would be
- 25:55a puzzle Bersamila, you didn't cut enough.
- 25:57It would be Titian ham akrim. As long as you pull it down.
- 26:01Now you pull it down all the way down below then and you revealed
- 26:07the entire a verb because you pulled it down.
- 26:10That's 100% kosher. No problem.
- 26:13Khok Mas Adam holds. Pulling it down is useless.
- 26:19Mean Hatara. This is an arrow for his entire
- 26:22life. The whole whatever is considered
- 26:25the skin of the Orla, the outer layer, all of it must be removed
- 26:30completely down to the sulcus. It almost comes out even if you
- 26:35have a little bit. We're going to get to what that
- 26:37means next. We'll say that for tomorrow, but
- 26:42as long, but as long as you have some of the Orla still there
- 26:46from the Ora and it's the Ma cave, pulling it down doesn't
- 26:50help. So at the end of a meal, there's
- 26:52always pulling something down. So as long as it's only or
- 26:56Priya, which is the assumption we wanted to make sure that it's
- 27:01done properly. So then it's an or Priya and
- 27:04it's then that's OK. But if that's part of the Orla
- 27:07that's being pulled down, if it's enough to be Ma cave to
- 27:10prevent a kosher brisk, then he says that person is is an RL for
- 27:15his entire life. And as far as I know, the only
- 27:19time it's really important this mochlochus.
- 27:22Nowadays it's less important, but it used to be really
- 27:25important is if a baby was born Hypospadias where the hole,
- 27:31right? You have the urethra, the whole
- 27:33the canal, the tube where one urinates from.
- 27:37And then there's the orifice, the hole, the miatus.
- 27:40That hole sometimes is in a different location.
- 27:45It could be anywhere. Anywhere, Yeah, and it could be
- 27:50down the shaft, down on the gate, anywhere.
- 27:52But anyways, the point is if it's not in its proper place, we
- 27:56want to correct that with surgery.
- 27:58It used to be might still be depending on consult your
- 28:01surgeon, MOL. If this happens.
- 28:03It happens. I think I read maybe once every
- 28:042-3 hundred babies. I don't know, but it depends
- 28:07what degree. It's common.
- 28:08Not so common, but the best way to correct this is using skin.
- 28:12So the best way to correct this is through using the skin of the
- 28:18orella, the outer layer of the orella.
- 28:20So according to the Divrekayen, what do you do?
- 28:23You leave a little bit when you cut it away and pull it down.
- 28:27And then when the surgeon comes later to do the surgery, his
- 28:31skin that he's using to correct the whole and the whole tube or
- 28:34whatever he needs to do is all ready for him to use the the
- 28:38best the best material. But according to the Chocomos
- 28:41Adam, this is unless it's removed afterwards, this is mom
- 28:45100% RL and it's you can't say a brach on the Mila, but nowadays
- 28:49there's other methods.