Treatise on gynaecology : medical and surgical . les Taits in the manner of denuding the tissues, but differsfrom it in the sutures; my description is taken from Hart and Bar-bour.^^ The first incision starts from the end of the recto-vaginal septum,enters both rectum and vagina, follows the internal face of the labium 884 CLINICAL AND OPERATIVE GYNAECOLOGY. ma jus from within outward, and emerges at the point 1; another in-cision is made from the point «, jDarallel to the orifice of the vulva,passing by the external extremity of the first incision and stoppingat b, at the end of the sphincter
Treatise on gynaecology : medical and surgical . les Taits in the manner of denuding the tissues, but differsfrom it in the sutures; my description is taken from Hart and Bar-bour.^^ The first incision starts from the end of the recto-vaginal septum,enters both rectum and vagina, follows the internal face of the labium 884 CLINICAL AND OPERATIVE GYNAECOLOGY. ma jus from within outward, and emerges at the point 1; another in-cision is made from the point «, jDarallel to the orifice of the vulva,passing by the external extremity of the first incision and stoppingat b, at the end of the sphincter. This is repeated on the other two triangular fiaps thus obtained are dissected (Fig. 125); theflap alS is lifted forward on each side, so that the angles marked I inthe first figure reunite with each other in the second. The vaginalflaps are sutured with silver or silk, taking care to tie them on thevaginal surface; the ends are left long, and hang out of the the rectum it is better to employ catgut and cut the ends Fio. 126.—Laceration of the Recto-Vaginal Septum ; Method of Splitting (Fritsch-Walzberg).S, Recto-vaginal septum; /, laceration of the same ; L, labium inajus ; I, labium minus ; P, perineum; F,rectal portion of the septxun. To close the bleeding cavity which results, two deep perineal suturesare passed, and tied over metal i)lates. A few superficial stitchescomplete the operation. FritscTCs Metliod}^—This procedure still more closely resemblesTaits, and like it is based on the principle of splitting the septum,instead of denuding the tissues, with the object of avoiding the for-mation of new cicatricial tissue. Fritsch detaches the rectum fromthe vagina in the partial lacerations, and adds to this a lateral inci-sion for the sphincter when its ends are retracted; he unites these bya provisional stitch, which serves during the operation to restore theshape of the orifice and permit the regular process of reunion. Hethen sutures the
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