. The Medical and surgical reporter . t hand in the rectum, and enters the scis-sors about midway in the transverse line tobe incised. This beginning at the middle,instead of upon one side as advised by , is of course not an essential, but it hasseemed to me somewhat easier. Next, one-half of the transverse line, as shown inFigure 1 is made, then the other half; thetwo oblique lines toward the anus are nextcut, then those at the vulvar margin, theextent of the latter being longer, as greaterlessening of the outlet is required. Finally,the two flaps are by quick clips of the scis- 1 Lemo


. The Medical and surgical reporter . t hand in the rectum, and enters the scis-sors about midway in the transverse line tobe incised. This beginning at the middle,instead of upon one side as advised by , is of course not an essential, but it hasseemed to me somewhat easier. Next, one-half of the transverse line, as shown inFigure 1 is made, then the other half; thetwo oblique lines toward the anus are nextcut, then those at the vulvar margin, theextent of the latter being longer, as greaterlessening of the outlet is required. Finally,the two flaps are by quick clips of the scis- 1 Lemons de Gynecologie Operatoire, Paris, 1889. * The figure represents the flat of the scissors asparallel to the skin, whereas it should be perpendic-ular to it, so that a transverse incision will be made. sors separated to a uniform distance on eachside, and to such height as may be neces-sary. Figure 4 represents the appearance of thefresh surfaces made by splitting the recto-vaginal wall, the vaginal flap being drawnup with Fig. 4. The next step is the introduction ofthe stitches; and the following illustration


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Keywords: ., bookcentury1800, bookdec, booksubjectmedicine, booksubjectsurgery