Treatise on gynaecology : medical and surgical . hich are has been well described by Picqae,*^ from whom I take my de-scription. In the first step a curved incision is made a. little distance fromthe free border of the recto-vaginal defect, circumscribing it, and per-mitting the division of the vaginal wall from the rectal portion of theseptum. This incision is prolonged ur)ward on each side at the muco-cutaneous border as far as the cicatricial surface caused by the lacera-tion extends, which is then denuded in the form of a butterfly. When LACERATION OF THE PEEHSTEUM. 377 the inc
Treatise on gynaecology : medical and surgical . hich are has been well described by Picqae,*^ from whom I take my de-scription. In the first step a curved incision is made a. little distance fromthe free border of the recto-vaginal defect, circumscribing it, and per-mitting the division of the vaginal wall from the rectal portion of theseptum. This incision is prolonged ur)ward on each side at the muco-cutaneous border as far as the cicatricial surface caused by the lacera-tion extends, which is then denuded in the form of a butterfly. When LACERATION OF THE PEEHSTEUM. 377 the incision and tlie denudation have been performed, Richet splitsthe septum in such a way that the area of surface thus exposed in-creases in proportion to its vicinity to the perineum, but even at itsbroadest portion the denuded surface does not exceed 8 to 10 this condition when the two portions of the divided perineal bodyare finally united, the flaps of the horizontal laceration are pressedtogether and form a projecting median fold. #^^%)i.
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