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Abnormally short umbilical cord and its consequences
714
AMERICAN JOURNAL OJ<' OllS'l'E'l'RICS ,\ ND GYNF.COLOGY
out of the rectum and contaminate the field, as so often happens when a sponge stick is used as a rectal guide. It is preferable to the finger in the rectum because it allows the operator the use of both hands and minimizes the opportunities for in· fection. The guides or indicators I have been using are made of a luminum and have the by 2 inches; li by ;:: inches; 6 by 2 following dimensions: 4th by 3 inches; 4 inches. Other metals or rubber may be used instead of aluminum.
vl
In the majority of eases I use the +v~ hy :: ineh gu id e ; wltere the anal c·anal iH smaller, the 4% by 2 inch. In cases of sphinder tears I employ the larger guides. The guides are lubricated with sterile soap or sterile lubricating jelly. 'l'he eye end b grasped by a sponge holder or uterine tlressing forceps and the guide ifl gently introduced into the rectum. The sterile tapes are left dangling outside the rectum and at the completion of the repair, the guirle is easily removed by pulling on the tapes. 1882 GRAND CONCOURSE
Politzer, G.: Abnormally Short Umbilical Cord and Its Consequences, Wien. Klin. Wchnschr. 49: 40, 1936. The author describes a human embryo between 7 and 8 mm. in length in whir.h there is a 90 degree rotation of the embryonic axis to the left. The facial anlage is in contact with the left ''rump.'' The author attributes this torsion to an abnormally short umbilical cord. This condition is normal in the chick embryo and with embryonic development at maturity corrects itself with no evil consequences. Two theoretical possibilities are cited for this embryo; it may have corrected itself by subsequent growth or it could have persisted and thrm become responsible for a con· genital torsion of the skeleton resulting in scoliosis. W. B. SERBIN.
AMERICAN JOURNAL OJ<' OllS'l'E'l'RICS ,\ ND GYNF.COLOGY
out of the rectum and contaminate the field, as so often happens when a sponge stick is used as a rectal guide. It is preferable to the finger in the rectum because it allows the operator the use of both hands and minimizes the opportunities for in· fection. The guides or indicators I have been using are made of a luminum and have the by 2 inches; li by ;:: inches; 6 by 2 following dimensions: 4th by 3 inches; 4 inches. Other metals or rubber may be used instead of aluminum.
vl
In the majority of eases I use the +v~ hy :: ineh gu id e ; wltere the anal c·anal iH smaller, the 4% by 2 inch. In cases of sphinder tears I employ the larger guides. The guides are lubricated with sterile soap or sterile lubricating jelly. 'l'he eye end b grasped by a sponge holder or uterine tlressing forceps and the guide ifl gently introduced into the rectum. The sterile tapes are left dangling outside the rectum and at the completion of the repair, the guirle is easily removed by pulling on the tapes. 1882 GRAND CONCOURSE
Politzer, G.: Abnormally Short Umbilical Cord and Its Consequences, Wien. Klin. Wchnschr. 49: 40, 1936. The author describes a human embryo between 7 and 8 mm. in length in whir.h there is a 90 degree rotation of the embryonic axis to the left. The facial anlage is in contact with the left ''rump.'' The author attributes this torsion to an abnormally short umbilical cord. This condition is normal in the chick embryo and with embryonic development at maturity corrects itself with no evil consequences. Two theoretical possibilities are cited for this embryo; it may have corrected itself by subsequent growth or it could have persisted and thrm become responsible for a con· genital torsion of the skeleton resulting in scoliosis. W. B. SERBIN.