Transactions of the American Association of Obstetricians and Gynecologists for the year ... . een removed on the right side, toshow the fibres of the transversus peronei profundus muscle (b) within. Theanus (c), the vulva (d), and the levator ani (c) are intact as before. The cruraof the clitoris (/) are shown, the left one in its relation to the ischiocavernosusmuscle. stant tension would tire out muscle if it were not backed up by fasciato give it periods of rest. The anatomy is fairly exhibited by the accompanying drawings,which are exact representations of most careful and authentic dis-s
Transactions of the American Association of Obstetricians and Gynecologists for the year ... . een removed on the right side, toshow the fibres of the transversus peronei profundus muscle (b) within. Theanus (c), the vulva (d), and the levator ani (c) are intact as before. The cruraof the clitoris (/) are shown, the left one in its relation to the ischiocavernosusmuscle. stant tension would tire out muscle if it were not backed up by fasciato give it periods of rest. The anatomy is fairly exhibited by the accompanying drawings,which are exact representations of most careful and authentic dis-sections of specially prepared female pelves, and which were madeby Edward Martin(6) under the supervision of Waldeyer. They LACERATIONS ON THE PERINEUM. 131 are corroborated by the special anatomical studies of these parts byTandler and Halban, (7) W. Liepmann, (8) and Hugo Sellheim (o).Fig. 1 shows that the one considerable artery in these parts, theinternal pudic, lies on the outer wall of the ischio-rectal fossa, ata sufficient distance to make it safe to pick up the levator structures,. Fig. 4.—(Martin Plate XIV.) All structures of the superficial and middle-strata have been removed up to the margins of the rectum (),that have been carefully preserved, the latter as a projecting collar, which issurrounded by the inner remaining edge of the facial diaphragm ( ). The ischio-rectal fossa? have been cleared out, and the muscles in their walls, the levatorani (</), the internal obturators (e), and the pyriformi (/) have been divestedof their facial covering. down near the rectum, with a needle guided by one or more fingersof the opposite hand. Only venous bleeding occurs, which stopsreadily when the wound cavity is obliterated in all its parts by theburied suturing. Fig. 2 shows the superficial muscles of the firststratum , intact on the left side; but two of them are cut 132 A. GOLDSPOHN, away on the right side, so as to show the outer surface of the secondstratum, th
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